{"ServiceGroups":[{"ServiceGroup":"75189","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91019","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0017M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97464","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.33","CodeVersion":"2017","CustomName":"ANNULOPLASTY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.34","CodeVersion":"2017","CustomName":"INFUNDIBULECTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107165","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35921","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3241","CodeVersion":"2020","CustomName":"INJECTION TEPROTUMUMAB-TRBW 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7628","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP PROD CONC PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6206","CodeVersion":"2020","CustomName":"CONTACT LAYER STERL 16 SQ IN\/LESS EA DRESSING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0700","CodeVersion":"2020","CustomName":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4030","CodeVersion":"2020","CustomName":"SPERM PROCUREMENT&CRYOPRES SERVICES; INIT VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9440","CodeVersion":"2020","CustomName":"OV-AFTER REGULARLY SCHEDULED HOURS"},{"ServiceGroup":"44330","CodeType":"HCPCS","Code":"E2402","CodeVersion":"2020","CustomName":"NEG PRESS WOUND THERAPY ELEC PUMP STATION\/PRTBLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6603","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST HIGH NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3001","CodeVersion":"2020","CustomName":"FOOT INSERT REMOVABLE MOLDED PT MODEL SPENCO EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2309","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7402","CodeVersion":"2020","CustomName":"ADD UP EXT PROS SD\/INTRSCAPULR THOR ULTRALT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0590","CodeVersion":"2020","CustomName":"INTEGRAL LENS SERVICE MISC SERVICES REPORTED SEP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4199","CodeVersion":"2020","CustomName":"CYGNUS MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6720","CodeVersion":"2020","CustomName":"RETAINER CROWN - RESIN WITH HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9212","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFACON-1 RECOMBINANT 1 MCG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9508","CodeVersion":"2020","CustomName":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3620","CodeVersion":"2020","CustomName":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9273","CodeVersion":"2020","CustomName":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4652","CodeVersion":"2020","CustomName":"MICROCAPILLARY TUBE SEALANT"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6080","CodeVersion":"2020","CustomName":"IMPL MAINT PROC REMV REINSRT CLEAN PROSTH & ABUT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0604","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3982","CodeVersion":"2020","CustomName":"UP EXTRM FX ORTHOS RADUS\/ULNAR PREFAB W\/FIT&ADJ"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6097","CodeVersion":"2020","CustomName":"ABUTMENT SUPP CROWN - PORCELAIN FU TI & TI ALLOY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7211","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII KOVALTRY 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7016","CodeVersion":"2020","CustomName":"DOME&MOUTHPIECE USED W\/SMALL VOLUME US NEBULIZR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8927","CodeVersion":"2020","CustomName":"TEE ASSESS CARD PUMP FUNCT&TX MSR IMMED TM BASIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6196","CodeVersion":"2020","CustomName":"ALGINAT\/OTH FIBER GELL DRESS STERIL PAD 16 SQ\/<"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9782","CodeVersion":"2020","CustomName":"BLD PROC NYHA CLS II\/III HF\/CCS CLS III\/IV CRA;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2199","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS"},{"ServiceGroup":"88667","CodeType":"REV","Code":"0990","CodeVersion":"2020","CustomName":"Patient Convenience Items - General Classification"},{"ServiceGroup":"73485","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"42784","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"918","CodeVersion":"2020","CustomName":"Poisoning and Toxic Effects of Drugs without MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"45.9","CodeVersion":"2017","CustomName":"INTESTINAL ANASTOMOSIS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.95","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTRIC RESTRICTIVE PROCEDURE"},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113814","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112025","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6120","CodeVersion":"2020","CustomName":"IMPL SUPP RETAIN - PORCELN FUSD TO TIT & TIT ALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0149","CodeVersion":"2020","CustomName":"WALKER HEAVY DUTY WHEELED RIGID\/FOLD ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5721","CodeVersion":"2020","CustomName":"REBASE MANDIBULAR PARTIAL DENTURE"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7272","CodeVersion":"2020","CustomName":"TOOTH TRANSPLANTATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4218","CodeVersion":"2020","CustomName":"STERILE SALINE\/WATER METERED DOSE DISPNS 10 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2034","CodeVersion":"2020","CustomName":"CRISIS INTERVENTION WAIVER; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7820","CodeVersion":"2020","CustomName":"CLOSED REDUCTION OF DISLOCATION"},{"ServiceGroup":"41406","CodeType":"ICD10P","Code":"4A023N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0006","CodeVersion":"2020","CustomName":"HEAVY-DUTY WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0132","CodeVersion":"2020","CustomName":"INJECTION ACETYLCYSTEINE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8817","CodeVersion":"2020","CustomName":"STATIN THERAPY NOT PRESCRIBED D\/C RSN NOT GIVEN"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0517","CodeVersion":"2020","CustomName":"INJECTION BENRALIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9877","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF MO 10-12 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9660","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON COLONOSCOPY PERF PT>\/=86 YOA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3710","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ELASTIC W\/METAL JOINTS PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0301","CodeVersion":"2020","CustomName":"HOS BED HEVY DUTY XTRA WIDE W\/WT CAPACTY>350 PDS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9191","CodeVersion":"2020","CustomName":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2510","CodeVersion":"2020","CustomName":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9306","CodeVersion":"2020","CustomName":"INJECTION PERTUZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2630","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL MONOSUSP ARM HAND SUPP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9047","CodeVersion":"2020","CustomName":"INJECTION CARFILZOMIB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0004","CodeVersion":"2020","CustomName":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7665","CodeVersion":"2020","CustomName":"MANNITOL ADMINISTERED THROUGH AN INHALER 5 MG"},{"ServiceGroup":"29346","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8080","CodeVersion":"2020","CustomName":"SCINTIMAMMOGRAPHY UNI INCL SUPPLY RADIOPHARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1900","CodeVersion":"2020","CustomName":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1883","CodeVersion":"2020","CustomName":"ADAPTOR\/EXT PACING LEAD\/NEUROSTIMULATOR LEAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0812","CodeVersion":"2020","CustomName":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8733","CodeVersion":"2020","CustomName":"ELDER MALTX SCR DOC POSITIVE & F\/U PLAN IS DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9359","CodeVersion":"2020","CustomName":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6686","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION SUCTION SOCKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4006","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9021","CodeVersion":"2020","CustomName":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG"},{"ServiceGroup":"13551","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0849","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Other Outpatient CAPD"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0663","CodeVersion":"2020","CustomName":"Respite Care - Daily Respite Charge"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"887","CodeVersion":"2020","CustomName":"Other Mental Disorder Diagnoses"},{"ServiceGroup":"41367","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90739","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.54","CodeVersion":"2017","CustomName":"APPLICATION OF SPLINT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113854","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0242U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3352F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69925","CodeType":"CPT","Code":"93656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91686","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0249U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9995","CodeVersion":"2020","CustomName":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0762","CodeVersion":"2020","CustomName":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P2028","CodeVersion":"2020","CustomName":"CEPHALIN FLOCULATION BLOOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6412","CodeVersion":"2020","CustomName":"EYE PATCH OCCLUSIVE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9910","CodeVersion":"2020","CustomName":"APPLICATION DESENZT MEDICAMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1971","CodeVersion":"2020","CustomName":"ANK FT ORTHOS PLSTC\/OTH MATL W\/ANK JNT PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3674","CodeVersion":"2020","CustomName":"SHOULDER ORTHOTIC ABDUCT PSTN THOR COMP CUSTOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1170","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0163","CodeVersion":"2020","CustomName":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9726","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3645","CodeVersion":"2020","CustomName":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4137","CodeVersion":"2020","CustomName":"AMNIOEXCEL AMNIOEXCEL PLUS\/BIODEXCEL PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7030","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 1000 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8920","CodeVersion":"2020","CustomName":"MRA WITHOUT CONTRAST FOLLOWED W\/CONTRAST PELVIS"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E07316","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C CORONARY ART PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5135","CodeVersion":"2020","CustomName":"COMPANION CARE ADULT ; PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2090","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5622","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5929","CodeVersion":"2020","CustomName":"FACIAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103614","CodeType":"CPT","Code":"97804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2329","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8110","CodeVersion":"2020","CustomName":"PEAK EXPIRATORY FLOW RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7413","CodeVersion":"2020","CustomName":"EXCISION MALIG LESION UP 1.25 CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0825","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7991","CodeVersion":"2020","CustomName":"CORONOIDECTOMY"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0743","CodeVersion":"2020","CustomName":"SUCTION PUMP HOME MODEL PORTABLE FOR USE WOUNDS"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2779","CodeVersion":"2020","CustomName":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9485","CodeVersion":"2020","CustomName":"CRISIS INTERVENT MENTAL HEALTH SERV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0587","CodeVersion":"2020","CustomName":"INJECTION RIMABOTULINUMTOXINB 100 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2049","CodeVersion":"2020","CustomName":"NON-EMERG TRNSPRT; STRETCHER VAN MILEAGE; MILE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1457","CodeVersion":"2020","CustomName":"INJECTION GALLIUM NITRATE 1 MG"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"476","CodeVersion":"2020","CustomName":"Prostatic operating room procedure unrelated to principal diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"266","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement except for skin ulcer or cellulitis without CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"464","CodeVersion":"2020","CustomName":"Signs and symptoms without CC"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"473","CodeVersion":"2020","CustomName":"Acute leukemia without major operating room procedure, age greater than 17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"922","CodeVersion":"2020","CustomName":"Other Injury, Poisoning and Toxic Effect Diagnoses with MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62295","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92193","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0247U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67990","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88317","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0018U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"67.69","CodeVersion":"2017","CustomName":"OTHER REPAIR OF CERVIX"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0283T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7667","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4326","CodeVersion":"2020","CustomName":"MALE EXT CATH W\/INTEGRAL CLCT CHAMB ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0801","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 HEAVY DUTY PT 301 TO 450 LBS"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8480","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5550","CodeVersion":"2020","CustomName":"INSULIN RAPID ONSET; 5 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0515","CodeVersion":"2020","CustomName":"INJECTION BENZTROPINE MESYLATE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4194","CodeVersion":"2020","CustomName":"NOVACHOR PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9468","CodeVersion":"2020","CustomName":"PT NOT REC CS >\/= TO 10 MG\/D PRD EQ 60\/GT CONS D"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9047","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 25% 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4166","CodeVersion":"2020","CustomName":"CYTAL PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8452","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED ELBOW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0862","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0256","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6244","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD > 48 SQ NO ADHES BORDR"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"91586","CodeType":"HCPCS","Code":"C9607","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL CA CA BR\/CABG; 1 VES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2503","CodeVersion":"2020","CustomName":"INJECTION PEGAPTANIB SODIUM 0.3 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2624","CodeVersion":"2020","CustomName":"IMPL WIRELESS PULM ARTERY PRESS SENSOR DEL CATH"},{"ServiceGroup":"89569","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80533","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.76","CodeVersion":"2017","CustomName":"ENDOVASC EMBOLIZ\/OCCL VES HEAD\/NCK BIOACTV COILS"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88597","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0301T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104337","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0100T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2601","CodeVersion":"2020","CustomName":"GENERAL WHLCHAIR SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2910","CodeVersion":"2020","CustomName":"INJECTION AUROTHIOGLUCOSE UP TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0047","CodeVersion":"2020","CustomName":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9818","CodeVersion":"2020","CustomName":"DOCUMENTATION OF SEXUAL ACTIVITY"},{"ServiceGroup":"74926","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2210","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER OVR 6.00D CYL-LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4142","CodeVersion":"2020","CustomName":"XCM BIOLOGIC TISSUE MATRIX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2106","CodeVersion":"2020","CustomName":"AFO FX ORTHOS TIB FX CAST THERMOPLSTC CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9927","CodeVersion":"2020","CustomName":"DOC SY RSN NOT RX WF\/ANR FDA-APV AC D\/T PT IN CT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0974","CodeVersion":"2020","CustomName":"TLSO FULL CORSET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3722","CodeVersion":"2020","CustomName":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1161","CodeVersion":"2020","CustomName":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9281","CodeVersion":"2020","CustomName":"REACHING\/GRABBING DEVICE ANY TYPE ANY LENGTH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2210","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3384F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9975","CodeVersion":"2020","CustomName":"TRANSPLANT REL LODG MEALS & TRNSPRT PER DIEM"},{"ServiceGroup":"62098","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4230","CodeVersion":"2020","CustomName":"COGENEX FLOWABLE AMNION PER 0.5 CC"},{"ServiceGroup":"50907","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2111","CodeVersion":"2020","CustomName":"1 VISN +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2015","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER HOUR"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J2405","CodeVersion":"2020","CustomName":"INJECTION ONDANSETRON HCL PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9712","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN FOR PRESCRIB\/DISPENS ABX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5740","CodeVersion":"2020","CustomName":"RELINE MAXILLARY PARTIAL DENTURE DIRECT"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"64201","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"042","CodeVersion":"2020","CustomName":"Intraocular procedures, except retina, iris and lens"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"478","CodeVersion":"2020","CustomName":"Other vascular procedures with CC"},{"ServiceGroup":"20752","CodeType":"DRG","Code":"619","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MINOR PROB-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1094","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE ACETATE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4367","CodeVersion":"2020","CustomName":"OSTOMY BELT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1553","CodeVersion":"2020","CustomName":"RE-CEMENT\/RE-BOND UNI SPACE MAINTAINR - PER QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1023","CodeVersion":"2020","CustomName":"CLINICAL DECN SUP MECH PERSIVIA CLIN DECN SUP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0310","CodeVersion":"2020","CustomName":"BEDSIDE RAILS FULL-LENGTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4526","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5595","CodeVersion":"2020","CustomName":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC\/=MOLD"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8416","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2787","CodeVersion":"2020","CustomName":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML"},{"ServiceGroup":"13000","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0974","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - NUCLEAR"},{"ServiceGroup":"68139","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"660","CodeVersion":"2020","CustomName":"Kidney and Ureter Procedures for Non-neoplasm with CC"},{"ServiceGroup":"50169","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4185F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"5062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0625T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON HEART AND PERICARDIUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.63","CodeVersion":"2017","CustomName":"REPAIR OF HEART ASSIST SYSTEM"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.1","CodeVersion":"2017","CustomName":"DIAGNOSTIC AMNIOCENTESIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"16020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13630","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.8","CodeVersion":"2017","CustomName":"TOTAL REPAIR CERTAIN CONGENITAL CARD ANOMALIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0227T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3092F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0534T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.64","CodeVersion":"2017","CustomName":"OTHER EXCISION OF ABDOMINAL AORTA"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107048","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5845","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN STANCE FLX FEATUR ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0054","CodeVersion":"2020","CustomName":"COORD STROKE PREV CULTIVT +OUTCOM MIPS VAL PATHW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9302","CodeVersion":"2020","CustomName":"INJECTION OFATUMUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7029","CodeVersion":"2020","CustomName":"NASAL PILLOWS COMB ORAL\/NASL MASK REPL ONLY PAIR"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3425","CodeVersion":"2020","CustomName":"APICOECTOMY - MOLAR FIRST ROOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1520","CodeVersion":"2020","CustomName":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0131","CodeVersion":"2020","CustomName":"INJECTION ACETAMINOPHEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0304","CodeVersion":"2020","CustomName":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0444","CodeVersion":"2020","CustomName":"ANNUAL DEPRESSION SCREENING 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6022","CodeVersion":"2020","CustomName":"COLL DRSG STERL PAD SIZE>16 SQ IN BUT\/=48 SQ EA"},{"ServiceGroup":"104132","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91687","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91892","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0335U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93079","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1127F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4261F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2545","CodeVersion":"2020","CustomName":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5506","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/OFF SET HEEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8020","CodeVersion":"2020","CustomName":"LTD ORTHODONT TX TRNSITIONL DENTITN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0310","CodeVersion":"2020","CustomName":"BEDSIDE RAILS FULL-LENGTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8505","CodeVersion":"2020","CustomName":"ARTFICL LARYNX REPLCMT BATTRY\/ACCESS ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4286","CodeVersion":"2020","CustomName":"LOCKING RING FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"E0782","CodeVersion":"2020","CustomName":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1229","CodeVersion":"2020","CustomName":"WHEELCHAIR PEDIATRIC SIZE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4286","CodeVersion":"2020","CustomName":"LOCKING RING FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0801","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 HEAVY DUTY PT 301 TO 450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8452","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED ELBOW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1250","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ANTERIOR ASIS PAD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"48645","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4619","CodeVersion":"2020","CustomName":"FACE TENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4247","CodeVersion":"2020","CustomName":"BETADINE OR IODINE SWABS\/WIPES PER BOX"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0153","CodeVersion":"2020","CustomName":"INJECTION ADENOSINE 1 MG"},{"ServiceGroup":"86340","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9141","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGM F\/U VISIT MD PROVIDER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8950","CodeVersion":"2020","CustomName":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES"},{"ServiceGroup":"9529","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"38607","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"24090","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0549","CodeVersion":"2020","CustomName":"Ambulance - Other Ambulance"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"25535","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"9830","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"1171","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105753","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3765","CodeVersion":"2020","CustomName":"EWHFO RIGID W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1930","CodeVersion":"2020","CustomName":"ANKLE FOOT ORTHOSIS PLASTIC\/OTH MATL PREFAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1885","CodeVersion":"2020","CustomName":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7030","CodeVersion":"2020","CustomName":"FULL FACE MASK USED W\/POS ARWAY PRESS DEVICE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0900","CodeVersion":"2020","CustomName":"CUSTOMIZED DME OTHER THAN WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7460","CodeVersion":"2020","CustomName":"REMV BEN NONODONTGN TUMR-TO 1.25 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5645","CodeVersion":"2020","CustomName":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0811","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Living Donor"},{"ServiceGroup":"52742","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"023","CodeVersion":"2020","CustomName":"Nontraumatic stupor and coma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37642","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107079","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0329T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3141F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47526","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.61","CodeVersion":"2017","CustomName":"IMPLANT OF PULSATION BALLOON"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6076","CodeVersion":"2020","CustomName":"IMPLANT SUPP RET FPD - PORCELN FUSED HI NBL ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1630","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL HIP JNT SEMI-FLEX CSTM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4188","CodeVersion":"2020","CustomName":"AMNIOARMOR PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1220","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2796","CodeVersion":"2020","CustomName":"INJECTION ROMIPLOSTIM 10 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5263","CodeVersion":"2020","CustomName":"HEARING AID DISPOSABLE ANY TYPE BINAURAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1041","CodeVersion":"2020","CustomName":"PT CA AC FX\/INF REL TO LSP\/PT IDIO\/CNG SCOLIOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9281","CodeVersion":"2020","CustomName":"SCREEN PERFORM DOC VACC NOT INDICATED\/PT REFUSAL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7178","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2003","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER\/TRIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9260","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4618","CodeVersion":"2020","CustomName":"BREATHING CIRCUITS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7192","CodeVersion":"2020","CustomName":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12309","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44066","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107657","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90420","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0680T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1060","CodeVersion":"2020","CustomName":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5200","CodeVersion":"2020","CustomName":"ABVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0946","CodeVersion":"2020","CustomName":"FRACTURE FRAME DUAL W\/CROSS BARS ATTACHED TO BED"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0111","CodeVersion":"2020","CustomName":"WET MOUNTS INCL PREP VAGINAL CERV\/SKIN SPECIMENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0047","CodeVersion":"2020","CustomName":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7525","CodeVersion":"2020","CustomName":"TACROLIMUS PARENTERAL 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0400","CodeVersion":"2020","CustomName":"GLOBAL FEE XTRACORP SHOCK WAVE LITH KIDNEY STONE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9091","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8917","CodeVersion":"2020","CustomName":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9032","CodeVersion":"2020","CustomName":"PLATELETS IRRADIATED EACH UNIT"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4322","CodeVersion":"2020","CustomName":"IRRIGATION SYRINGE BULB OR PISTON EACH"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4050","CodeVersion":"2020","CustomName":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4495","CodeVersion":"2020","CustomName":"SURGICAL STOCKING THIGH LENGTH EACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10520","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5301","CodeVersion":"2020","CustomName":"BELW KNEE MOLD SOCKT SHIN SACH FT ENDOSKEL SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3219","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1826","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 30 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4255","CodeVersion":"2020","CustomName":"REGUARD FOR TOPICAL USE ONLY PER SQ CM"},{"ServiceGroup":"104237","CodeType":"HCPCS","Code":"S5150","CodeVersion":"2020","CustomName":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN"},{"ServiceGroup":"73301","CodeType":"HCPCS","Code":"S8990","CodeVersion":"2020","CustomName":"PHYSICAL\/MANIP TX MAINT RATHER THAN RESTORATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2375","CodeVersion":"2020","CustomName":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6214","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD SZ > 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0565","CodeVersion":"2020","CustomName":"INJECTION BEZLOTOXUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9882","CodeVersion":"2020","CustomName":"2 MDPP ONGOING MS ATD BNF MO 13-15 UND MDPP EM"},{"ServiceGroup":"88426","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"17067","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0987","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - HOSPITAL VISIT"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"14174","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"20252","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"559","CodeVersion":"2020","CustomName":"ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT"},{"ServiceGroup":"53151","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87525","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31773","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27253","CodeType":"CPT","Code":"90812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4187F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1034F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.83","CodeVersion":"2017","CustomName":"INITIAL INSERTION OF DUAL-CHAMBER DEVICE"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0030U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0157U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"33.51","CodeVersion":"2017","CustomName":"UNILATERAL LUNG TRANSPLANTATION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.87","CodeVersion":"2017","CustomName":"REMOVAL OF CAROTID SINUS STIMULATION LEADS ONLY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84184","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98460","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82447","CodeType":"HCPCS","Code":"A0426","CodeVersion":"2020","CustomName":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3929","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS 1\/> NONTORSN JNT PRFAB CSTM"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1260","CodeVersion":"2020","CustomName":"INJECTION DOLASETRON MESYLATE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5520","CodeVersion":"2020","CustomName":"HOME INFUSION TX ALL SPL NECES PICC LINE INSERT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0692","CodeVersion":"2020","CustomName":"UV LT TX SYS PANL W\/BULB\/LAMP TIMER 4 FT PANEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2640","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED PALLADIUM-103 PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8540","CodeVersion":"2020","CustomName":"DEXAMETHASONE ORAL 0.25 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0221","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6460","CodeVersion":"2020","CustomName":"SYN RSRB WND DRSG STER PAD 16 SI\/< NO ADH BO EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5073","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; USE BARRIER W\/FLANGE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3240","CodeVersion":"2020","CustomName":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2599","CodeVersion":"2020","CustomName":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9873","CodeVersion":"2020","CustomName":"1ST MDPP C SESS ATD MDPP BENEFICIARY UND MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1310","CodeVersion":"2020","CustomName":"NUTRIT CNSL CONTROL DENTAL DISEASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4232","CodeVersion":"2020","CustomName":"SYRINGE W\/NDLE EXTERNAL INSULIN PUMP STERILE 3CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8907","CodeVersion":"2020","CustomName":"PT DOC NO:BURN;FALL FAC;WRG EVENT;\/HOS TRANSFER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2019","CodeVersion":"2020","CustomName":"THERAPEUTIC BEHAVIORAL SERVICES PER 15 MINUTES"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5730","CodeVersion":"2020","CustomName":"RELINE COMPLETE MAXILLARY DENTURE DIRECT"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7627","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7186","CodeVersion":"2020","CustomName":"ELEC ELB CHILD VRITY VILLAGE\/EQUAL SWITCH CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7650","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH-OPEN REDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9047","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 25% 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0029","CodeVersion":"2020","CustomName":"TOB SCN NOT PERF OR TOB CES NOT PRV IN 12 MO NOS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3070","CodeVersion":"2020","CustomName":"INJECTION PENTAZOCINE 30 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5980","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6258","CodeVersion":"2020","CustomName":"TRNSPRT FILM STERL >16 SQ BUT<\/= 48 SQ EA DRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9498","CodeVersion":"2020","CustomName":"ANTIBIOTIC REGIMEN PRESCRIBED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2780","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST HIGH NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4361","CodeVersion":"2020","CustomName":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB"},{"ServiceGroup":"83898","CodeType":"HCPCS","Code":"G0121","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6709","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5679","CodeVersion":"2020","CustomName":"ADD LW EXT BK\/AK CSTM MOLD\/PRFAB NOT W\/LOCK MECH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9219","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE IMPLANT 65 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5102","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9500","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q24 HRS DIEM"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"13248","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"70939","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"31782","CodeType":"DRG","Code":"261","CodeVersion":"2020","CustomName":"Breast procedure for non-malignancy except biopsy and local excision"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"674","CodeVersion":"2020","CustomName":"Other Kidney and Urinary Tract Procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4144F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69981","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79590","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.77","CodeVersion":"2017","CustomName":"TRAINING IN BRAILLE OR MOON"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93065","CodeType":"CPT","Code":"0163T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97039","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58634","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0225U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0615T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106708","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90375","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0206U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10904","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107033","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90375","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0495","CodeVersion":"2020","CustomName":"BATT CHRGR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"C9067","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4051","CodeVersion":"2020","CustomName":"SPLINT SUPPLIES MISCELLANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P2028","CodeVersion":"2020","CustomName":"CEPHALIN FLOCULATION BLOOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2783","CodeVersion":"2020","CustomName":"INJECTION RASBURICASE 0.5 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0178","CodeVersion":"2020","CustomName":"LOMUSTINE ORAL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9910","CodeVersion":"2020","CustomName":"APPLICATION DESENZT MEDICAMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9773","CodeVersion":"2020","CustomName":"AT LEAST 1 BT MSR =\/>35.5 DEGC NOT ACHV ANES ET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0616","CodeVersion":"2020","CustomName":"IMPL CARD EVENT RECORDR W\/MEM ACTIVATOR&PROGMMER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2364","CodeVersion":"2020","CustomName":"PWR WC ACSS U-1 NON-SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8046","CodeVersion":"2020","CustomName":"PARTIAL FACIAL PROSTHESIS PROVIDED NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4143","CodeVersion":"2020","CustomName":"REPRIZA PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1894","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH NOT GUID INTRACARD EP NON-LASR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0249","CodeVersion":"2020","CustomName":"PAD WATER CIRCULATING HEAT UNIT REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9731","CodeVersion":"2020","CustomName":"PT UNABLE COMPL ANK\/FT FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5460","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABVE KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0170","CodeVersion":"2020","CustomName":"RE-EVALUATION - LTD PROBLEM FOCUSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4145","CodeVersion":"2020","CustomName":"EPIFIX INJECTABLE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4041F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1554","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7187","CodeVersion":"2020","CustomName":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0651","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS\/PANELS"},{"ServiceGroup":"103551","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"46108","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"147","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"16274","CodeType":"REV","Code":"0819","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Other Donor"},{"ServiceGroup":"33270","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"98721","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0235T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46584","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3390F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0034U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0106U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3763F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108270","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10A04ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERQ ENDOSCOPIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8650","CodeVersion":"2020","CustomName":"RISK-ADJ FS KNEE IMPAIR NOT MEAS RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0110","CodeVersion":"2020","CustomName":"CRTCHS FORARM VARIOUS MATL PAIR W\/TIPS&HNDGRIPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1039","CodeVersion":"2020","CustomName":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP>300 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8416","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE"},{"ServiceGroup":"10521","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2207","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9529","CodeVersion":"2020","CustomName":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9727","CodeVersion":"2020","CustomName":"INSERTION IMPL TO SOFT PALATE; MINIMUM 3 IMPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2014","CodeVersion":"2020","CustomName":"LIMITED 30 MINUTES CARE PLAN OVERSIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2325","CodeVersion":"2020","CustomName":"HIP CORE DECOMPRESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6781","CodeVersion":"2020","CustomName":"RETAINER CROWN-3\/4 CAST PREDOMINANTLY BASE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2010","CodeVersion":"2020","CustomName":"APIS PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8950","CodeVersion":"2020","CustomName":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5522","CodeVersion":"2020","CustomName":"HOM INFUS TX INSRTION PICC NRS SRVC ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6057","CodeVersion":"2020","CustomName":"CUSTOM FABRICATED ABUTMENT - INCLUDES PLACEMENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2629","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB M ARM SUPP FRICTION ARM SUPP"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7189","CodeVersion":"2020","CustomName":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9764","CodeVersion":"2020","CustomName":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG"},{"ServiceGroup":"38422","CodeType":"HCPCS","Code":"J9015","CodeVersion":"2020","CustomName":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9148","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0645T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84320","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103928","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0322U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4461","CodeVersion":"2020","CustomName":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4920","CodeVersion":"2020","CustomName":"UNSCHEDULED DRESSING CHANGE NOT TX DENTIST STAFF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6454","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH >\/= 3 & < 5 IN PER YD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4128","CodeVersion":"2020","CustomName":"FLEXHD OR ALLOPATCHHD PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1627","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0148","CodeVersion":"2020","CustomName":"WALK HEAVY DUTY W\/O WHLS RIGID\/FOLD ANY TYPE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1571","CodeVersion":"2020","CustomName":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0470","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR POST FRME&ANT APRON W\/STRAP PRFAB"},{"ServiceGroup":"106934","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2350","CodeVersion":"2020","CustomName":"DISKECT ANT W\/OSTEOPHYTECT; LUMBAR 1 INTERSPACE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9144","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG & HYALURONIDASE-FIHJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6243","CodeVersion":"2020","CustomName":"HYDROGEL DRESS >16 SQ BUT <\/= 48 SQ W\/O ADHES EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3620","CodeVersion":"2020","CustomName":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2796","CodeVersion":"2020","CustomName":"INJECTION ROMIPLOSTIM 10 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3845","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR ALPHA-THALASSEMIA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3170","CodeVersion":"2020","CustomName":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5765","CodeVersion":"2020","CustomName":"SOFT LINER FOR CMPL\/PRTL REM DENTURE - INDIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5108","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9021","CodeVersion":"2020","CustomName":"RED BLOOD CELLS EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3765","CodeVersion":"2020","CustomName":"EWHFO RIGID W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7676","CodeVersion":"2020","CustomName":"PENTANUDUBE ISETGUIBATE I SOL CP PROD U D 300 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9997","CodeVersion":"2020","CustomName":"DENTAL CASE MGMT - PTS SPECIAL HEALTH CARE NEEDS"},{"ServiceGroup":"39579","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9589","CodeVersion":"2020","CustomName":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4399","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SUPPLY; CONE\/CATH W\/WO BRUSH"},{"ServiceGroup":"65421","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9963","CodeVersion":"2020","CustomName":"EMB EPT NOT DOC SEP EMB VESS\/OA AG\/EMB NOT PERF"},{"ServiceGroup":"114009","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"22820","CodeType":"REV","Code":"861","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - MEG"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0546","CodeVersion":"2020","CustomName":"Ambulance - Neonatal Ambulance Services"},{"ServiceGroup":"68192","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"24807","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0602","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply <1 LPM"},{"ServiceGroup":"977","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"14562","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"69801","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"329","CodeVersion":"2020","CustomName":"Urethral stricture, age greater than 17, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"454","CodeVersion":"2020","CustomName":"Other injury, poisoning, and toxic effect diagnosis with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"460","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99149","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99163","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.92","CodeVersion":"2017","CustomName":"EVACUATION OF OTHER HEMATOMA OF VULVA OR VAGINA"},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC MARSUPIALIZATION OF OVARIAN CYST"},{"ServiceGroup":"93022","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73488","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0556T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110443","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0233T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77580","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6236","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL >48 SQ NO ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2550","CodeVersion":"2020","CustomName":"INJECTION PROMETHAZINE HCL UP TO 50 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4252","CodeVersion":"2020","CustomName":"BLOOD KETONE TEST OR REAGENT STRIP EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2503","CodeVersion":"2020","CustomName":"INJECTION PEGAPTANIB SODIUM 0.3 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9901","CodeVersion":"2020","CustomName":"DME DEL SET UP&\/DISPNS SRVC CMPNT ANOTH HCPCS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0343","CodeVersion":"2020","CustomName":"LAPAROT ISLET CELL TPLNT W\/PORTL VEIN CATH&INFUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6698","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB LOCK MECH EXCL SCKT INSRT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9203","CodeVersion":"2020","CustomName":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6057","CodeVersion":"2020","CustomName":"CUSTOM FABRICATED ABUTMENT - INCLUDES PLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0481","CodeVersion":"2020","CustomName":"ELECTRON MICROSCOPY DIAGNOSTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6537","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 30-40 MMHG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5001","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG BRAND NAME"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8709","CodeVersion":"2020","CustomName":"URI EP HAD COMPETING DX ON\/3 DAYS AFTER EP DATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6084","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - PORCELN FU TI & TI ALY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8950","CodeVersion":"2020","CustomName":"ELEVATED HTN BP READING DOC & INDICATED F\/U DOC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1300","CodeVersion":"2020","CustomName":"INJECTION ECULIZUMAB 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6012","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING; 6-10 MEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1094","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE ACETATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3356","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - INTERIM MEDICATION REPLACE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1763","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE NON-HUMAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1570","CodeVersion":"2020","CustomName":"ADJUSTABLE CHAIR FOR ESRD PATIENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9297","CodeVersion":"2020","CustomName":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3100","CodeVersion":"2020","CustomName":"HALLUS-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0302","CodeVersion":"2020","CustomName":"Laboratory - Immunology"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"17081","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"085","CodeVersion":"2020","CustomName":"Pleural effusion with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58515","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.33","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OPN APPRCH"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91475","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89840","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"16030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0104A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107100","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71666","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68780","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9622","CodeVersion":"2020","CustomName":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3489","CodeVersion":"2020","CustomName":"INJECTION ZOLEDRONIC ACID 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P2028","CodeVersion":"2020","CustomName":"CEPHALIN FLOCULATION BLOOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9004","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5250","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC"},{"ServiceGroup":"46692","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9204","CodeVersion":"2020","CustomName":"INJECTION MOGAMULIZUMAB-KPKC 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5110","CodeVersion":"2020","CustomName":"HOME CARE TRAINING FAMILY; PER 15 MINUTES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0221","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7121","CodeVersion":"2020","CustomName":"5% DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6540","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2353","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2860","CodeVersion":"2020","CustomName":"INJECTION SILTUXIMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0163","CodeVersion":"2020","CustomName":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1885","CodeVersion":"2020","CustomName":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5105","CodeVersion":"2020","CustomName":"BELOW KNEE PLSTC SOCKT JNT&THIGH LACER SACH FOOT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1448","CodeVersion":"2020","CustomName":"INJECTION TRILACICLIB 1MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9759","CodeVersion":"2020","CustomName":"TRANSCATHETER IO BLOOD VESSEL MICROINFUSION TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4402","CodeVersion":"2020","CustomName":"LUBRICANT PER OUNCE"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9120","CodeVersion":"2020","CustomName":"INJECTION DACTINOMYCIN 0.5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5988","CodeVersion":"2020","CustomName":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2207","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 0.12-2.00D CYL-EA"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8070","CodeVersion":"2020","CustomName":"COMP ORTHODONT TX TRNSITNL DENTITN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2186","CodeVersion":"2020","CustomName":"PT\/CG DYAD REF TO APP RES & CON TO RES IS CONF"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9601","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7310","CodeVersion":"2020","CustomName":"GANCICLOVIR 45 MG LONG-ACTING IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0900","CodeVersion":"2020","CustomName":"TRACTION STAND FREESTANDING PELVIC TRACTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2191","CodeVersion":"2020","CustomName":"PATIENTS CLIN IND IMAG HEAD: POSIT HEADACHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3649","CodeVersion":"2020","CustomName":"ORTHOPED SHOE MODIFICATION ADDITION\/TRANSFER NOS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113920","CodeType":"CPT","Code":"99000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3394F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28549","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0393T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.4","CodeVersion":"2017","CustomName":"MANUAL REMOVAL OF RETAINED PLACENTA"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON VESSELS OF HEART"},{"ServiceGroup":"107695","CodeType":"CPT","Code":"0312T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0242U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0755","CodeVersion":"2020","CustomName":"ELECTRONIC SALIVARY REFLEX STIMULATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0495","CodeVersion":"2020","CustomName":"BATT CHRGR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8030","CodeVersion":"2020","CustomName":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3150","CodeVersion":"2020","CustomName":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8708","CodeVersion":"2020","CustomName":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6067","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - HIGH NOBLE ALLOYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0287","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8428","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GAUNTLET READY MADE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5720","CodeVersion":"2020","CustomName":"REBASE MAXILLARY PARTIAL DENTURE"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0171","CodeVersion":"2020","CustomName":"INJECTION BUMETANIDE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1006","CodeVersion":"2020","CustomName":"ALCOHOL &OR SUBSTANCE ABS SRVC FAM\/COUPLE CNSL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2191","CodeVersion":"2020","CustomName":"PATIENTS CLIN IND IMAG HEAD: POSIT HEADACHES"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6093","CodeVersion":"2020","CustomName":"RECEMENT IMPL\/ABUTMNT SUPPORTED FIX PART DENTURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9734","CodeVersion":"2020","CustomName":"FOCUSED U\/S ABL\/TX INT OTH THAN UT LEIOMYOMATA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9110","CodeVersion":"2020","CustomName":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5922","CodeVersion":"2020","CustomName":"NASAL SEPTAL PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6255","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL >16 <\/= 48 SQ W\/ADHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3674","CodeVersion":"2020","CustomName":"SHOULDER ORTHOTIC ABDUCT PSTN THOR COMP CUSTOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0945","CodeVersion":"2020","CustomName":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8041","CodeVersion":"2020","CustomName":"MIDFACIAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0695","CodeVersion":"2020","CustomName":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6660","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6210","CodeVersion":"2020","CustomName":"FOAM DRESS > 16 BUT <\/= 48 SQ W\/O ADHES BORDR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9989","CodeVersion":"2020","CustomName":"SRVC PROVIDED OUTSIDE UNITED STATES OF AMERICA"},{"ServiceGroup":"2067","CodeType":"HCPCS","Code":"A0434","CodeVersion":"2020","CustomName":"SPECIALTY CARE TRANSPORT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"11336","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"42434","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0973","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - THERAPEUTIC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"190","CodeVersion":"2020","CustomName":"Other digestive system diagnoses, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108255","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0285T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3757F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4009F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0693T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112054","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79594","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0547T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0101A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0245T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89944","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6004","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 6-10 MEV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8480","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0598","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5590","CodeVersion":"2020","CustomName":"PREP AK-DISARTIC NON-ALIGN LAMINATED SCKT MOLD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5721","CodeVersion":"2020","CustomName":"REBASE MANDIBULAR PARTIAL DENTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2626","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE TEMPORARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1786","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0076","CodeVersion":"2020","CustomName":"BRIEF CARE MANAGEMENT HOME VISIT NEW PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1743","CodeVersion":"2020","CustomName":"INJECTION IDURSULFASE 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6050","CodeVersion":"2020","CustomName":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0385","CodeVersion":"2020","CustomName":"MAXILLOFACIAL MRI IMAGE CAPTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2219","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0300","CodeVersion":"2020","CustomName":"INJECTION AMOBARBITAL UP TO 125 MG"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1728","CodeVersion":"2020","CustomName":"CATHETER BRACHYTHERAPY SEED ADMINISTRATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1426","CodeVersion":"2020","CustomName":"INJECTION CASIMERSEN 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3929","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS 1\/> NONTORSN JNT PRFAB CSTM"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8020","CodeVersion":"2020","CustomName":"LTD ORTHODONT TX TRNSITIONL DENTITN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0230","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5120","CodeVersion":"2020","CustomName":"BINAURAL BODY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5245","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0110","CodeVersion":"2020","CustomName":"CRTCHS FORARM VARIOUS MATL PAIR W\/TIPS&HNDGRIPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2240","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ROUND CALIPER&PLATE ATTACHMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9355","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CHELATION; PER DIEM"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3305","CodeVersion":"2020","CustomName":"INJECTION TRIMETREXATE GLUCORONATE PER 25 MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5289","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM ADPTR\/BOOT CPLG RECV"},{"ServiceGroup":"11301","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"12014","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86606","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92085","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0203T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75","CodeVersion":"2017","CustomName":"OTHER OBSTETRIC OPERATIONS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3382F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0285T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0248T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105241","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91002","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92821","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1270","CodeVersion":"2020","CustomName":"INJECTION DOXERCALCIFEROL 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8650","CodeVersion":"2020","CustomName":"RISK-ADJ FS KNEE IMPAIR NOT MEAS RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0969","CodeVersion":"2020","CustomName":"NARROWING DEVICE WHEELCHAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4539","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DIAPER\/BRF REUSABLE SIZE EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3030","CodeVersion":"2020","CustomName":"INJECTION SUMATRIPTAN SUCCINATE 6 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7830","CodeVersion":"2020","CustomName":"MANIPULATION UNDER ANESTHESIA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2280","CodeVersion":"2020","CustomName":"INJECTION MOXIFLOXACIN 100 MG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1875","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2670","CodeVersion":"2020","CustomName":"INJECTION TOLAZOLINE HCL UP TO 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9287","CodeVersion":"2020","CustomName":"ABX REGIMEN NOT PRSCR W\/I 10 DA AFTR ONSET SX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0959","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4361","CodeVersion":"2020","CustomName":"OSTOMY FACEPLATE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2203","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 0.12-2.00D CYL-EA"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8543","CodeVersion":"2020","CustomName":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2510","CodeVersion":"2020","CustomName":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0400","CodeVersion":"2020","CustomName":"HST W\/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0179","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"10538","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7070","CodeVersion":"2020","CustomName":"INFUSION D-5-W 1000 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0472","CodeVersion":"2020","CustomName":"ACCESS TISS-GROSS EXAM-PREP & REPRT"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"694","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - CONSULTATION AND EDUCATION"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"50906","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"698","CodeVersion":"2020","CustomName":"Other Kidney and Urinary Tract Diagnoses with MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88398","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"73948","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0391","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS - ADMIN (E.G., TRANSFUS)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"655","CodeVersion":"2020","CustomName":"Major Bladder Procedures without CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"560","CodeVersion":"2020","CustomName":"Bacterial and Tuberculosis Infections of Nervous System"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4481F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114518","CodeType":"CPT","Code":"0671T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0015M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.47","CodeVersion":"2017","CustomName":"RESECTION OF ABDOMINAL VEINS WITH REPLACEMENT"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4185F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0594T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0528T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67990","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50062","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1265","CodeVersion":"2020","CustomName":"INJECTION DOPAMINE HCL 40 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0435","CodeVersion":"2020","CustomName":"PRTBLE LQD O2 SYS PURCH; RESRVOR FLWMTR HUMIDFR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2503","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2182","CodeVersion":"2020","CustomName":"PATIENT RECV FRST-TM BIOL DZ MOD ANTIRHEUM DX TX"},{"ServiceGroup":"86828","CodeType":"HCPCS","Code":"S5521","CodeVersion":"2020","CustomName":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2722","CodeVersion":"2020","CustomName":"CROWN - RESIN WITH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1030","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 40 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1030","CodeVersion":"2020","CustomName":"CONT NONINVASIVE GLU MONITORING DEVICE PURCHASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2096","CodeVersion":"2020","CustomName":"ACE INHIB\/ARB\/ARNI TH WAS NOT PRSC RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9775","CodeVersion":"2020","CustomName":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0620","CodeVersion":"2020","CustomName":"INJ CALCM GLYCEROPHOSPHATE&CALCM LACTAT-10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4410","CodeVersion":"2020","CustomName":"OST SKN BARR EXT W\/O BUILT-IN CONVXITY>4X4 IN EA"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4275","CodeVersion":"2020","CustomName":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT"},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0644T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4429","CodeVersion":"2020","CustomName":"OST POUCH URIN BLT-IN CONVXI W\/FAUCET TAP VALVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0446","CodeVersion":"2020","CustomName":"TOPICAL OXYGEN DELIVERY SYSTEM NOS INCL SUPPLIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2510","CodeVersion":"2020","CustomName":"INLAY - METALLIC - ONE SURFACE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5995","CodeVersion":"2020","CustomName":"PERIO MEDICAMNT CARR PERIPH SEAL - LAB PROCD-MAX"},{"ServiceGroup":"17081","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"9832","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0306","CodeVersion":"2020","CustomName":"Laboratory - Bacteriology & MICROBIOLOGY"},{"ServiceGroup":"11659","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0248U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0469T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107015","CodeType":"CPT","Code":"21139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4165F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0615T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0520T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1034F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0723T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61558","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0080U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4481","CodeVersion":"2020","CustomName":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9987","CodeVersion":"2020","CustomName":"BPCI ADV MOD HOME VISIT PT ASMT PERF CLIN STAFF"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5286","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM\/DM RECEIVR"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9853","CodeVersion":"2020","CustomName":"PATIENT ADM TO ICU IN THE LAST 30 DAYS OF LIFE"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1019","CodeVersion":"2020","CustomName":"PERSONAL CARE SERVICES PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7520","CodeVersion":"2020","CustomName":"SIROLIMUS ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0130","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0749","CodeVersion":"2020","CustomName":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8705","CodeVersion":"2020","CustomName":"TOPOTECAN ORAL 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9091","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1005","CodeVersion":"2020","CustomName":"TENSION BASED SCOLIOSIS ORTHOS&ACCESSORY PADS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0899","CodeVersion":"2020","CustomName":"PWR MOBILTY DVC NOT CODED DME PDAC\/NOT MEET CRIT"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7296","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5160","CodeVersion":"2020","CustomName":"DISPENSING FEE BINAURAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8884","CodeVersion":"2020","CustomName":"CLIN DOC REASON PT BIOPSY RESULTS NOT REVIEWED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0982","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1703","CodeVersion":"2020","CustomName":"MODERNA COVID-19 VACCINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1116","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8660","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC < 0"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1223","CodeVersion":"2020","CustomName":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4467","CodeVersion":"2020","CustomName":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE"},{"ServiceGroup":"10362","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3353","CodeVersion":"2020","CustomName":"APEXIFICAT\/RECALCIFICAT-FINAL VISIT"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9218","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0761","CodeVersion":"2020","CustomName":"NON-THRML PULS RADIOWAV ELECMAGNET ENRGY TX DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7198","CodeVersion":"2020","CustomName":"ANTI-INHIBITOR PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9772","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ACHV AL 1 BT MSR =TO\/> 35.5 DEG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7313","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6676","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4458","CodeVersion":"2020","CustomName":"ENEMA BAG WITH TUBING REUSABLE"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0381","CodeVersion":"2020","CustomName":"Blood and Blood Components - Packed Red Cells"},{"ServiceGroup":"701","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0520","CodeVersion":"2020","CustomName":"Free-Standing Clinic - General Classification"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"14271","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"39522","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"68139","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0529","CodeVersion":"2020","CustomName":"Free-Standing Clinic - Other Free-Standing Clinic"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"20906","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"029","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age greater than 17, without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4190F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33764","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4009F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13627","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0633T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0282T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24","CodeType":"ICD9P","Code":"37.21","CodeVersion":"2017","CustomName":"RIGHT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91033","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88808","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2194","CodeVersion":"2020","CustomName":"PT CLIN IND IMG HEAD: NEW ON HA PED PT W\/DISAB"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9959","CodeVersion":"2020","CustomName":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0400","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9001","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE INITIAL RATE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9230","CodeVersion":"2020","CustomName":"INJECTION MECHLORETHAMINE HCL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4413","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE HI OP BARRIER W\/FLNGE\/FLTR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0484","CodeVersion":"2020","CustomName":"CONSULTATION SLIDES PREPARED ELSW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0471","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/BACK-UP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87820","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104232","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"83519","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3357","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - COMPLETION OF TREATMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0006","CodeVersion":"2020","CustomName":"HEAVY-DUTY WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2630","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL MONOSUSP ARM HAND SUPP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1930","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5522","CodeVersion":"2020","CustomName":"HOM INFUS TX INSRTION PICC NRS SRVC ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4372","CodeVersion":"2020","CustomName":"OST SKIN BARR SOL 4X4\/EQUV STD WEAR CONVXITY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1310","CodeVersion":"2020","CustomName":"WHIRLPOOL NONPORTABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1236","CodeVersion":"2020","CustomName":"WHLCHAIR PED SIZE FOLD ADJUSTBL W\/SEATING SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2031","CodeVersion":"2020","CustomName":"MENTAL HEALTH CLUBHOUSE SERVICES PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3380","CodeVersion":"2020","CustomName":"CLUBFOOT WEDGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0199","CodeVersion":"2020","CustomName":"MED INDUCED AB ORAL INGESTION MED W\/SRVC & SPL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0570","CodeVersion":"2020","CustomName":"BUPRENORPHINE IMPLANT 74.2 MG"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"17073","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0974","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - NUCLEAR"},{"ServiceGroup":"30222","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9228","CodeVersion":"2020","CustomName":"INJECTION IPILIMUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0897","CodeVersion":"2020","CustomName":"INJECTION DENOSUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6005","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 11-19 ME"},{"ServiceGroup":"19973","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"14165","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"42784","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"701","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"70080","CodeType":"REV","Code":"0320","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"662","CodeVersion":"2020","CustomName":"Minor Bladder Procedures with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1032F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3497F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0684T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91026","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"44960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1504F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1250","CodeVersion":"2020","CustomName":"INJECTION DOBUTAMINE HCI PER 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0744","CodeVersion":"2020","CustomName":"ABSORB WD DR HOM MDL PRTBLE PAD SZ 16 SQ IN\/LESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9642","CodeVersion":"2020","CustomName":"CURRENT SMOKER"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7186","CodeVersion":"2020","CustomName":"ELEC ELB CHILD VRITY VILLAGE\/EQUAL SWITCH CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8937","CodeVersion":"2020","CustomName":"CLIN DID NOT PRSC ACE INHIB\/ARB TX RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5953","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS ADULT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3400","CodeVersion":"2020","CustomName":"INJECTION TRIFLUPROMAZINE HCL UP TO 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6975","CodeVersion":"2020","CustomName":"INTERSCAP-THOR OTTO BOCK\/=MYOELEC CNTRL TERM DVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2300","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL PLANO OR +\/-4.00D PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1458","CodeVersion":"2020","CustomName":"INJECTION GALSULFASE 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6895","CodeVersion":"2020","CustomName":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0066","CodeVersion":"2020","CustomName":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1035","CodeVersion":"2020","CustomName":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1815","CodeVersion":"2020","CustomName":"DYN ADJ ANKLE EXT\/FLEX DEVC INCL SOFT INTF MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0974","CodeVersion":"2020","CustomName":"TLSO FULL CORSET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9208","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113716","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0530T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72286","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104120","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2920","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 40 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1745","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0470","CodeVersion":"2020","CustomName":"INJECTION DIMERCAPROL PER 100 MG"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0032","CodeVersion":"2020","CustomName":"INJECTION NAFCILLIN SODIUM 2 GRAMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1631","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL DECANOATE PER 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0222","CodeVersion":"2020","CustomName":"INJECTION PATISIRAN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1354","CodeVersion":"2020","CustomName":"APPLICATION CARIES ARREST MEDICAMENT - PER TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4604","CodeVersion":"2020","CustomName":"TUBING W\/INTGR HEAT ELEM W\/POS AIRWAY PRESS DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9016","CodeVersion":"2020","CustomName":"SMOK CESSATN CNSL IND ABSNCE\/ADD OTH E&M-SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1990","CodeVersion":"2020","CustomName":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM"},{"ServiceGroup":"45469","CodeType":"ICD10P","Code":"8E0WXBZ","CodeVersion":"2020","CustomName":"COMPUTER ASSISTED PROCEDURE OF TRUNK REGION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5550","CodeVersion":"2020","CustomName":"INSULIN RAPID ONSET; 5 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P2029","CodeVersion":"2020","CustomName":"CONGO RED BLOOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1016","CodeVersion":"2020","CustomName":"CASE MANAGEMENT EACH 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3590","CodeVersion":"2020","CustomName":"ORTHO SHOE ADD CONVRT FIRM COUNTER SFT COUNTER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1453","CodeVersion":"2020","CustomName":"INJECTION FOSAPREPITANT 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0394","CodeVersion":"2020","CustomName":"DIGTL SUBTRACTION 2\/> IMAGES\/IMAG VOL SAME MODAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9769","CodeVersion":"2020","CustomName":"CYSTOURETHROSCOPY INS TEMP PROS IMPL\/STENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0065","CodeVersion":"2020","CustomName":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0175","CodeVersion":"2020","CustomName":"FLUTAMIDE ORAL 125 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5621","CodeVersion":"2020","CustomName":"REPAIR CAST PARTIAL FRAMEWORK MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8970","CodeVersion":"2020","CustomName":"NO RISK FACTOR\/1 MOD RISK FACTOR THROMBOEMBOLISM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q1005","CodeVersion":"2020","CustomName":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4025","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA ADULT PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4534","CodeVersion":"2020","CustomName":"YOUTH-SIZED INCONT PRODUCT BRF EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0820","CodeVersion":"2020","CustomName":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"51102","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0323","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Arteriography"},{"ServiceGroup":"76094","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"319","CodeVersion":"2020","CustomName":"Kidney and urinary tract neoplasms without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21803","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.94","CodeVersion":"2017","CustomName":"MANUAL REPLACEMENT OF INVERTED UTERUS"},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89945","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0143U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61556","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93025","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.9","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON VESSELS OF HEART"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1087","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1640","CodeVersion":"2020","CustomName":"INJECTION HEMIN 1 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7946","CodeVersion":"2020","CustomName":"LEFORT I MAXILLA TOTAL"},{"ServiceGroup":"88978","CodeType":"ICD10P","Code":"10D07Z4","CodeVersion":"2020","CustomName":"EXTRACTION POC MID FORCEPS NATURAL\/ARTIF OPENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2780","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2329","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9177","CodeVersion":"2020","CustomName":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0016","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SERVICES; MEDICAL\/SOMATIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1685","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9348","CodeVersion":"2020","CustomName":"INJECTION NAXITAMAB-GQGK 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2650","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELV&THOR CONTROL GLUTEAL PAD EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4207","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 2 CC EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1730","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19\/<"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0459","CodeVersion":"2020","CustomName":"CHEST WRAP"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2024","CodeVersion":"2020","CustomName":"SUPPORTED EMPLOYMENT PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9530","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6810","CodeVersion":"2020","CustomName":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2300","CodeVersion":"2020","CustomName":"WHEELCHAIR ACC PWR SEAT ELEVATION SYS ANY TYPE"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1050","CodeVersion":"2020","CustomName":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3912","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2079","CodeVersion":"2020","CustomName":"LAP ESOPHAGOMYOTOMY HELLER TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9292","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1170","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1787","CodeVersion":"2020","CustomName":"PATIENT PROGPATIENT PROGRAMMER NEUROSTIMULATOR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"913","CodeType":"ICD10P","Code":"GZB4ZZZ","CodeVersion":"2020","CustomName":"OTHER ELECTROCONVULSIVE THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7981","CodeVersion":"2020","CustomName":"EXCISION SALIVARY GLAND BY REPORT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5726","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7210","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII AFSTYLA 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3310","CodeVersion":"2020","CustomName":"INJECTION PERPHENAZINE UP TO 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2770","CodeVersion":"2020","CustomName":"INJECTION QUINUPRISTIN\/DALFOPRISTIN 500 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6882","CodeVersion":"2020","CustomName":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8691","CodeVersion":"2020","CustomName":"AUD OI DEVC EXT SP EXCL TRNSDUCR\/ACTUATR REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9513","CodeVersion":"2020","CustomName":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"27726","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"51965","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"592","CodeVersion":"2020","CustomName":"Skin Ulcers with MCC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"262","CodeVersion":"2020","CustomName":"Breast biopsy and local excision for non-malignancy"},{"ServiceGroup":"23259","CodeType":"DRG","Code":"789","CodeVersion":"2020","CustomName":"MAJOR JOINT \"&\" LIMB REATTACH PROC LOW EXT, EXC HIP, FOR COMP-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1123F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88421","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.7","CodeVersion":"2017","CustomName":"VACUUM EXTRACTION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35669","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0443T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0194U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0307U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35559","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0559T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0571T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0342T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91047","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4222","CodeVersion":"2020","CustomName":"PROGENAMATRIX PER SQ CM"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7050","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 250 CC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7650","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1240","CodeVersion":"2020","CustomName":"INJECTION DIMENHYDRINATE UP TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4252","CodeVersion":"2020","CustomName":"VENDAJE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0147","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMERS CERV\/VAG AUTO UND PHYS SUPV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0199","CodeVersion":"2020","CustomName":"MED INDUCED AB ORAL INGESTION MED W\/SRVC & SPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8877","CodeVersion":"2020","CustomName":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8420","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE&GLOVE CUSTOM MADE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2397","CodeVersion":"2020","CustomName":"POWER WHLCHAIR ACCESSORY LITHIUM-BASED BATTRY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0733","CodeVersion":"2020","CustomName":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0508","CodeVersion":"2020","CustomName":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2643","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2001","CodeVersion":"2020","CustomName":"REHABILITATION PROGRAM PER 1\/2 DAY"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9598","CodeVersion":"2020","CustomName":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT\/MIN DIA AX CT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1021","CodeVersion":"2020","CustomName":"CLIN DECN SUP MECH EHLTHLINE CLIN DECN SUP MECH"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9280","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VACC NOT ADM PRIOR D\/C RSN NOT SPEC"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2638","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED IODINE-125 PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0692","CodeVersion":"2020","CustomName":"UV LT TX SYS PANL W\/BULB\/LAMP TIMER 4 FT PANEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9015","CodeVersion":"2020","CustomName":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10D00Z0","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION HIGH OPEN"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5102","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2034","CodeVersion":"2020","CustomName":"CRISIS INTERVENTION WAIVER; PER DIEM"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9563","CodeVersion":"2020","CustomName":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4041","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8509","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"30461","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"309","CodeVersion":"2020","CustomName":"Minor bladder procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74.91","CodeVersion":"2017","CustomName":"HYSTEROTOMY TO TERMINATE PREGNANCY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4192F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107101","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98364","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3374F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0098T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0043U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1906","CodeVersion":"2020","CustomName":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5190","CodeVersion":"2020","CustomName":"WELLNESS ASSESSMENT PERFORMED BY NONPHYSICIAN"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7013","CodeVersion":"2020","CustomName":"FILTER DISPOSABL W\/AREOSOL COMPRESS\/US GENERATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1516","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED - BILATERAL, MAXILLARY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0270","CodeVersion":"2020","CustomName":"INJECTION ALPROSTADIL 1.25 MCG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4259","CodeVersion":"2020","CustomName":"LANCETS PER BOX OF 100"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5113","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2020","CodeVersion":"2020","CustomName":"INJECTION LINEZOLID 200 MG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1227","CodeVersion":"2020","CustomName":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1298","CodeVersion":"2020","CustomName":"SPECIAL WHLCHAIR SEAT DEPTH &OR WIDTH CONSTRUCT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5225","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8399","CodeVersion":"2020","CustomName":"PATIENT W\/DOC RESULTS CENTRL DXA EVER BEING PERF"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106322","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5680","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0425","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 30 MIN W\/PT TELEHLTH"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9516","CodeVersion":"2020","CustomName":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6545","CodeVersion":"2020","CustomName":"GRADIENT COMPRS WRAP NONELAST BK 30-50 MM HG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9352","CodeVersion":"2020","CustomName":"INJECTION TRABECTEDIN 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9218","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE PER 1 MG"},{"ServiceGroup":"45966","CodeType":"REV","Code":"0569","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Other Med. Social Service"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"28818","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"147","CodeVersion":"2020","CustomName":"Rectal resection without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3471F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC MARSUPIALIZATION OF OVARIAN CYST"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4168F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0255U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0533T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0221T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3343F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0180U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41337","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0247","CodeVersion":"2020","CustomName":"INJECTION, SOTROVIMAB, 500 MG"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5240","CodeVersion":"2020","CustomName":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6195","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN - PORCLN FUSED TO TIT & TIT ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9517","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0485","CodeVersion":"2020","CustomName":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2544","CodeVersion":"2020","CustomName":"ONLAY METALLIC FOUR OR MORE SURF"},{"ServiceGroup":"106600","CodeType":"HCPCS","Code":"V5257","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL BTE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0280","CodeVersion":"2020","CustomName":"INJECTION AMINOPHYLLIN UP TO 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3262","CodeVersion":"2020","CustomName":"INJECTION TOCILIZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B9002","CodeVersion":"2020","CustomName":"ENTERAL NUTRITION INFUSION PUMP ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4017","CodeVersion":"2020","CustomName":"NUTRITION\/DIETICIAN MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1442","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4170","CodeVersion":"2020","CustomName":"CYGNUS PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9770","CodeVersion":"2020","CustomName":"VITRECTOMY MECH PP APP SR INJ PHRMACL\/BIOL AGENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2038","CodeVersion":"2020","CustomName":"SKILLS TRAINING AND DEVELOPMENT PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1570","CodeVersion":"2020","CustomName":"INJECTION GANCICLOVIR SODIUM 500 MG"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5210","CodeVersion":"2020","CustomName":"ABVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2005","CodeVersion":"2020","CustomName":"KAFO ANY MATL AUTO LOCK&SWNG RLSE W\/ANK JNT CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7178","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1070","CodeVersion":"2020","CustomName":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4913","CodeVersion":"2020","CustomName":"MISCELLANEOUS DIALYSIS SUPPLIES NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0815","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD SLING SEAT PT UP TO &= 300 LBS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0638","CodeVersion":"2020","CustomName":"INJECTION CANAKINUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2405","CodeVersion":"2020","CustomName":"REPR SACROCOC TERATOMA FETUS IN UTERO"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0603","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply >4 LPM"},{"ServiceGroup":"13551","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"350","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"3178","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"22406","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"91754","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104562","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0023A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0052A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104746","CodeType":"REV","Code":"0659","CodeVersion":"2020","CustomName":"Hospice Service - Other Hospice Service"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"121","CodeVersion":"2020","CustomName":"Circulatory disorders with acute MI and major complications, discharged alive"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"032","CodeVersion":"2020","CustomName":"Concussion, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83884","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110058","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96350","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105248","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107134","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"16036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105030","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111946","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0552T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0566T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0074A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1004","CodeVersion":"2020","CustomName":"CLINICAL DEC SUPP MECH NDSC DEFINED MCR AUC PROG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3764","CodeVersion":"2020","CustomName":"EWHO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7321","CodeVersion":"2020","CustomName":"ALVEOLOPLSTY NOT W\/XTRCT 1-3 TEETH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1452","CodeVersion":"2020","CustomName":"INJECTION FOMIVIRSEN SODIUM INTRAOCULAR 1.65 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6461","CodeVersion":"2020","CustomName":"SYN RSRB STR PAD SZ >16 SI BUT<\/= 48 SI NO A B E"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H1000","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ASSESSMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9294","CodeVersion":"2020","CustomName":"PATH RPT W\/PT CAT THICKNESS ULCERATION PT1 MR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1035","CodeVersion":"2020","CustomName":"SENSOR; INVASV DSPBL USE ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"46350","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9896","CodeVersion":"2020","CustomName":"DOCUMENT PT RSN NOT RX\/ADMN AD TX COM EBRT PROS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4737","CodeVersion":"2020","CustomName":"INJECTABLE ANESTHETIC FOR DIALYSIS PER 10 ML"},{"ServiceGroup":"103387","CodeType":"HCPCS","Code":"T1001","CodeVersion":"2020","CustomName":"NURSING ASSESSMENT\/EVALUATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9604","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG COMB DE IC STNT; 1 VES"},{"ServiceGroup":"42046","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4158","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITION CMPL W\/INTACT NUTRNTS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9060","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0500","CodeVersion":"2020","CustomName":"FILTERS FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"C9067","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4285","CodeVersion":"2020","CustomName":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9932","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV CMPL DENTUR MAXILLARY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1626","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4022","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8963","CodeVersion":"2020","CustomName":"CARD STRSS IMAG PRIM MON ASX PT HAD PCI W\/I 2 YR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2265","CodeVersion":"2020","CustomName":"INJECTION MINOCYCLINE HCL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5811","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0670","CodeVersion":"2020","CustomName":"INJECTION MEPIVACAINE HCL PER 10 ML"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"12014","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"79099","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"43986","CodeType":"DRG","Code":"261","CodeVersion":"2020","CustomName":"Breast procedure for non-malignancy except biopsy and local excision"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"664","CodeVersion":"2020","CustomName":"Minor Bladder Procedures without CC\/MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.59","CodeVersion":"2017","CustomName":"OTHER MANUALLY ASSISTED DELIVERY"},{"ServiceGroup":"115056","CodeType":"CPT","Code":"0312T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113974","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4178F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4131F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111946","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11223","CodeType":"ICD9P","Code":"00.66","CodeVersion":"2017","CustomName":"PERQ TRANSLUMINAL CORONARY ANGIOPLASTY PTCA"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0052A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4145F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107073","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9603","CodeVersion":"2020","CustomName":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORAT ACTL MILE"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7402","CodeVersion":"2020","CustomName":"ADD UP EXT PROS SD\/INTRSCAPULR THOR ULTRALT MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9097","CodeVersion":"2020","CustomName":"HOME VISIT FOR WOUND CARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2940","CodeVersion":"2020","CustomName":"SEDATIVE FILLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9873","CodeVersion":"2020","CustomName":"1ST MDPP C SESS ATD MDPP BENEFICIARY UND MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1726","CodeVersion":"2020","CustomName":"CATHETER BALLOON DILATATION NON-VASCULAR"},{"ServiceGroup":"108043","CodeType":"HCPCS","Code":"G0491","CodeVersion":"2020","CustomName":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W\/O ESRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1780","CodeVersion":"2020","CustomName":"LENS INTRAOCULAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0301","CodeVersion":"2020","CustomName":"HOS BED HEVY DUTY XTRA WIDE W\/WT CAPACTY>350 PDS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0098","CodeVersion":"2020","CustomName":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8919","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST PELVIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7820","CodeVersion":"2020","CustomName":"CLOSED REDUCTION OF DISLOCATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0425","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3475","CodeVersion":"2020","CustomName":"INJECTION MAGNESIUM SULPHATE PER 500 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3420","CodeVersion":"2020","CustomName":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0447","CodeVersion":"2020","CustomName":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0249","CodeVersion":"2020","CustomName":"PRVS TEST MATL & EQUIP HOME INR MON; ONCE A WEEK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0637","CodeVersion":"2020","CustomName":"COMB SIT STAND FRAME\/TABLE SYS SEATLIFT FEATURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6207","CodeVersion":"2020","CustomName":"CNTC LAYER > 16 SQ BUT <\/EQUAL 48 SQ EA DRESSING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9500","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q24 HRS DIEM"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0404","CodeVersion":"2020","CustomName":"ECG RTN ECG W\/12 LEADS TRACING ONLY W\/O I&R"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"31134","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"91","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"36727","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0385","CodeVersion":"2020","CustomName":"Blood and Blood Components - Leukocytes"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"465","CodeVersion":"2020","CustomName":"Aftercare with history of malignancy as secondary diagnosis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"16035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0145U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0073A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0101U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4179F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0246T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0705T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106240","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0214T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105889","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0059U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99164","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104744","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1133","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT SEEN ONLY ONE TO TWO VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4375","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/FCEPLATE ATTCH PLSTC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0274","CodeVersion":"2020","CustomName":"BITEWINGS - FOUR RADIOGRAPHIC IMAGES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5513","CodeVersion":"2020","CustomName":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8505","CodeVersion":"2020","CustomName":"ARTFICL LARYNX REPLCMT BATTRY\/ACCESS ANY TYPE"},{"ServiceGroup":"44042","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5110","CodeVersion":"2020","CustomName":"DISPENSING FEE BILATERAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8080","CodeVersion":"2020","CustomName":"COMP ORTHODONT TX ADOLES DENTITION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6945","CodeVersion":"2020","CustomName":"ELB DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2765","CodeVersion":"2020","CustomName":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"46604","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6022","CodeVersion":"2020","CustomName":"COLL DRSG STERL PAD SIZE>16 SQ IN BUT\/=48 SQ EA"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9360","CodeVersion":"2020","CustomName":"INJECTION VINBLASTINE SULFATE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0013","CodeVersion":"2020","CustomName":"ESKETAMINE NASAL SPRAY 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0879","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0657","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLIANCE USE W\/PNEUMAT COMPRS CHEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7306","CodeVersion":"2020","CustomName":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL&SPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0572","CodeVersion":"2020","CustomName":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9226","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG"},{"ServiceGroup":"3448","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"89337","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0810","CodeVersion":"2020","CustomName":"Acquisition of Body Components - General Classification"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"49622","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"21342","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"17019","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0996","CodeVersion":"2020","CustomName":"Patient Convenience Items - Late Discharge"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"070","CodeVersion":"2020","CustomName":"Otitis media and upper respiratory infection (URI), age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"903","CodeVersion":"2020","CustomName":"Wound Debridements for Injuries without CC\/MCC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"512","CodeVersion":"2020","CustomName":"Simultaneous pancreas\/kidney transplant"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"37.21","CodeVersion":"2017","CustomName":"RIGHT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68900","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91022","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3141F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3495F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4201F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103585","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0149U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.09","CodeVersion":"2017","CustomName":"OTHER ARTIFICIAL RUPTURE OF MEMBRANES"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105490","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.04","CodeVersion":"2017","CustomName":"INCISION OF AORTA"},{"ServiceGroup":"100281","CodeType":"CPT","Code":"90460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4232","CodeVersion":"2020","CustomName":"SYRINGE W\/NDLE EXTERNAL INSULIN PUMP STERILE 3CC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0499","CodeVersion":"2020","CustomName":"BELT\/VEST\/BAG CARRY ANY TYPE VAD REPLACE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2393","CodeVersion":"2020","CustomName":"RESIN COMPOS - 3 SURFACES POSTERIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9475","CodeVersion":"2020","CustomName":"AMB SET SUBSTANCE ABS TX\/DTOXFICATION SRVC-DIEM"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5008","CodeVersion":"2020","CustomName":"HEARING SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5501","CodeVersion":"2020","CustomName":"DIAB ONLY FIT CSTM PREP&SPL SHOE MOLD PTS FT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1364","CodeVersion":"2020","CustomName":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4257","CodeVersion":"2020","CustomName":"RELESE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9228","CodeVersion":"2020","CustomName":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5862","CodeVersion":"2020","CustomName":"PRECISION ATTACHMENT BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4467","CodeVersion":"2020","CustomName":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0420","CodeVersion":"2020","CustomName":"DEMURRAGE ON OXY TANK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0029","CodeVersion":"2020","CustomName":"TOB SCN NOT PERF OR TOB CES NOT PRV IN 12 MO NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4623","CodeVersion":"2020","CustomName":"TRACHEOSTOMY INNER CANNULA"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0TFBXZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION IN BLADDER EXTERNAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1002","CodeVersion":"2020","CustomName":"CRANIAL ELECTROTHERAPY STIM SYSTEM ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7308","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMN 20% 1 U DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0513","CodeVersion":"2020","CustomName":"PHRM DISPENSING FEE INHALATION RX; PER 30 DAYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1083","CodeVersion":"2020","CustomName":"HEMI-W\/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3754F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0515","CodeVersion":"2020","CustomName":"INJECTION SERMORELIN ACETATE 1 MICROGRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4380","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/FACEPLATE ATTCH RUBBER EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0183","CodeVersion":"2020","CustomName":"PROCHLORPERAZINE MALEATE ORAL 5MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2603","CodeVersion":"2020","CustomName":"SKN PROTECTION WC SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1170","CodeVersion":"2020","CustomName":"INJECTION HYDROMORPHONE UP TO 4 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2054","CodeVersion":"2020","CustomName":"TRANSPLANTATION OF MULTIVISCERAL ORGANS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6072","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN CAST METAL FPD"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"91754","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"3448","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"22402","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0183","CodeVersion":"2020","CustomName":"Leave Of Absence - Therapeutic Leave"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"144","CodeVersion":"2020","CustomName":"Other circulatory system diagnoses with CC"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83821","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3720F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97239","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0175U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0342U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49206","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0016M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41.05","CodeVersion":"2017","CustomName":"ALLO HEMATOPO STEM CELL TRANSPLT W\/O PURG"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5665","CodeVersion":"2020","CustomName":"ADD LW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9761","CodeVersion":"2020","CustomName":"CS URS&\/PYELOSCPY LITH & VAC ASPIR K COLL SYS&U"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3490","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8946","CodeVersion":"2020","CustomName":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0380","CodeVersion":"2020","CustomName":"BLS MILEAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0271","CodeVersion":"2020","CustomName":"MATTRESS INNER SPRING"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0859","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Other Outpatient CCPD"},{"ServiceGroup":"170","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"12683","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0853","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"11108","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"103730","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"10903","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"62717","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0205U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23","CodeType":"ICD9P","Code":"41.01","CodeVersion":"2017","CustomName":"AUTOL BONE MARROW TRANSPLANT WITHOUT PURGING"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3072F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3760F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0562T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0577T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12597","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0350T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0096U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92360","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0306U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44303","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6925","CodeVersion":"2020","CustomName":"WRST DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7012","CodeVersion":"2020","CustomName":"WATER COLLEC DEV USE W\/LG VOL NEB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2021","CodeVersion":"2020","CustomName":"DAY HABILITATION WAIVER; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0414","CodeVersion":"2020","CustomName":"OPN TX ANT PELV BONE FX &\/ DISLOC UNI\/BIL"},{"ServiceGroup":"73302","CodeType":"HCPCS","Code":"S9152","CodeVersion":"2020","CustomName":"SPEECH THERAPY RE-EVALUATION"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1162","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL"},{"ServiceGroup":"82803","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1768","CodeVersion":"2020","CustomName":"GRAFT VASCULAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1026","CodeVersion":"2020","CustomName":"INTEN MXDISCPLIN SRVC CHILD W\/CMPLX IMPAIR HR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1352","CodeVersion":"2020","CustomName":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5120","CodeVersion":"2020","CustomName":"COMPLETE DENTURE - MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0122","CodeVersion":"2020","CustomName":"INJECTION MENOTROPINS 75 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6011","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING; TO 5 MEV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8662","CodeVersion":"2020","CustomName":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN"},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2469","CodeVersion":"2020","CustomName":"INJECTION PALONOSETRON HCL 25 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9901","CodeVersion":"2020","CustomName":"DME DEL SET UP&\/DISPNS SRVC CMPNT ANOTH HCPCS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2643","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8833","CodeVersion":"2020","CustomName":"PATIENT NOT D\/C HOME POSTOP DAY #2 FOLLOW EVAR"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0294","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Supplies\/Drugs for DME"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"58433","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"30461","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"26775","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75","CodeVersion":"2017","CustomName":"OTHER OBSTETRIC OPERATIONS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0724T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0567T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0694T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46587","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0152U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.3","CodeVersion":"2017","CustomName":"HIGH FORCEPS OPERATION"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65403","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9946","CodeVersion":"2020","CustomName":"BP NOT MSR BY VAS W\/I 3 MOS PREOP & AT 1 YR P\/O"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2005","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION; STRETCHER VAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0860","CodeVersion":"2020","CustomName":"TRACTION EQUIPMENT OVERDOOR CERVICAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9898","CodeVersion":"2020","CustomName":"PT 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DA MSR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7182","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7612","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6611","CodeVersion":"2020","CustomName":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5248","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL CIC"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2079","CodeVersion":"2020","CustomName":"LAP ESOPHAGOMYOTOMY HELLER TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2400","CodeVersion":"2020","CustomName":"INJECTION CHLOROPROCAINE HCL PER 30 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1889","CodeVersion":"2020","CustomName":"IMPLANTABLE\/INSERTABLE DEVICE NOT OTRW CLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3485","CodeVersion":"2020","CustomName":"INJECTION ZIDOVUDINE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1556","CodeVersion":"2020","CustomName":"REMOVAL OF FIXED UNI SPACE MAINTAINER - PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9165","CodeVersion":"2020","CustomName":"INJECTION DIETHYLSTILBESTROL DIPHOSPHATE 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9949","CodeVersion":"2020","CustomName":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2024","CodeVersion":"2020","CustomName":"SUPPORTED EMPLOYMENT PER DIEM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2049","CodeVersion":"2020","CustomName":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2141","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 3 MNT PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1459","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0832","CodeVersion":"2020","CustomName":"LOW DOSE CT LUNG SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0026","CodeVersion":"2020","CustomName":"ALCOHL&\/RX PREVENTION PROCESS SERVICE CMTY-BASED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5622","CodeVersion":"2020","CustomName":"REPAIR CAST PARTIAL FRAMEWORK MAXILLARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9051","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5100","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4266","CodeVersion":"2020","CustomName":"DIAPHRAGM FOR CONTRACEPTIVE USE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3265","CodeVersion":"2020","CustomName":"INJECTION TORSEMIDE 10 MG\/ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9597","CodeVersion":"2020","CustomName":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0300","CodeVersion":"2020","CustomName":"Laboratory - General Classifiaction"},{"ServiceGroup":"3165","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0993","CodeVersion":"2020","CustomName":"Patient Convenience Items - Telephone\/Telecom"},{"ServiceGroup":"83857","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0520","CodeVersion":"2020","CustomName":"Free-Standing Clinic - General Classification"},{"ServiceGroup":"66563","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"433","CodeVersion":"2020","CustomName":"Alcohol\/Drug abuse or dependence, left against medical advice"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91027","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0251U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104260","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3755F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3700F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0271U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0373T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"0312U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0645T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0091U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0450","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6950","CodeVersion":"2020","CustomName":"ABVE ELB OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1354","CodeVersion":"2020","CustomName":"APPLICATION CARIES ARREST MEDICAMENT - PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0222","CodeVersion":"2020","CustomName":"INJECTION PATISIRAN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4595","CodeVersion":"2020","CustomName":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7191","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR PROCINE PER IU"},{"ServiceGroup":"59839","CodeType":"HCPCS","Code":"J2993","CodeVersion":"2020","CustomName":"INJECTION RETEPLASE 18.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8664","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE < 0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0020","CodeVersion":"2020","CustomName":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4535","CodeVersion":"2020","CustomName":"DISPBL LINER\/SHIELD\/GUARD\/PAD\/UNDGRMNT INCONT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4533","CodeVersion":"2020","CustomName":"YOUTH SIZED DISPBL INCONT PRODUCT BRF\/DIAPER EA"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6444","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4250","CodeVersion":"2020","CustomName":"URINE TEST OR REAGENT STRIPS OR TABLETS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2638","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED IODINE-125 PER SOURCE"},{"ServiceGroup":"913","CodeType":"ICD10P","Code":"GZB1ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY UNILAT-MULTIPL SEIZURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0480","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7523","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SHOWER PROTECTOR EACH"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9286","CodeVersion":"2020","CustomName":"HYGIENIC ITEM\/DEVC DISPBL\/NON-DISPBL ANY TYPE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3243","CodeVersion":"2020","CustomName":"INJECTION TIGECYCLINE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5668","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9370","CodeVersion":"2020","CustomName":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX;"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9190","CodeVersion":"2020","CustomName":"INJECTION FLUOROURACIL 500 MG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4407","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/BUILT-IN CONVXITY 4X4 IN\/< EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0452","CodeVersion":"2020","CustomName":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8474","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB TX NOT PRSC RSNS DOC BY CLIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6228","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL >16 SQ NO ADHES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4121","CodeVersion":"2020","CustomName":"THERASKIN PER SQ CM"},{"ServiceGroup":"82222","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9660","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON COLONOSCOPY PERF PT>\/=86 YOA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3501","CodeVersion":"2020","CustomName":"SURG EXP OF RS W\/O APICOECTOMY\/REPR RR - ANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5052","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7296","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7198","CodeVersion":"2020","CustomName":"ANTI-INHIBITOR PER IU"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0692","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - HOURLY CHARGE"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"177","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"50907","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"796","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/ CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"411","CodeVersion":"2020","CustomName":"History of malignancy without endoscopy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95103","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88154","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3317F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"16036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115426","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0012A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0024A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5060","CodeVersion":"2020","CustomName":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0570","CodeVersion":"2020","CustomName":"BUPRENORPHINE IMPLANT 74.2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9357","CodeVersion":"2020","CustomName":"HOME INFUSION TX ENZYME REPL IV TX; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7300","CodeVersion":"2020","CustomName":"REMOVAL OF TEMPORARY ANCHORAGE DEVICE W\/O FLAP"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6250","CodeVersion":"2020","CustomName":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6454","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH >\/= 3 & < 5 IN PER YD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3030","CodeVersion":"2020","CustomName":"INJECTION SUMATRIPTAN SUCCINATE 6 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2037","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC SINGLE UPRIGHT CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0410","CodeVersion":"2020","CustomName":"GRP PSYCHOTX NOT MX FAM GRP PART HOS 45-50 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4157","CodeVersion":"2020","CustomName":"REVITALON PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4141","CodeVersion":"2020","CustomName":"ALLOSKIN AC PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5630","CodeVersion":"2020","CustomName":"REPAIR OR REPLACE BROKEN CLASP - PER TOOTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4211","CodeVersion":"2020","CustomName":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9228","CodeVersion":"2020","CustomName":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5999","CodeVersion":"2020","CustomName":"UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8470","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1719","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED NON-HD IRIDIUM-192 PER SRC"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0245","CodeVersion":"2020","CustomName":"INJECTION BAMLANIVIMAB AND ETESEVIMAB 2100 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3650F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0398","CodeVersion":"2020","CustomName":"ALS ROUTINE DISPOSABLE SUPPLIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2786","CodeVersion":"2020","CustomName":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2090","CodeVersion":"2020","CustomName":"HKAFO UNI TORSION CABLE BALL BEAR CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9895","CodeVersion":"2020","CustomName":"DOC M RSN NOT RX\/ADM AD TX COMB EXT BEAM RT PROS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1109","CodeVersion":"2020","CustomName":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2152","CodeVersion":"2020","CustomName":"SOLID ORGAN; TRANSPLANTATION & RELATED COMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4210","CodeVersion":"2020","CustomName":"NEEDLE-FREE INJECTION DEVICE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"14187","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"13131","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0670","CodeVersion":"2020","CustomName":"Outpatient Special Residence Charges - General Classification"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"37542","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0196U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81904","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90398","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0312U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9661","CodeVersion":"2020","CustomName":"PT >\/=86 YOA WHO RECEIVED COLONOSCOPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3808","CodeVersion":"2020","CustomName":"WRIST HAND FINGER ORTHOSIS RIGID W\/O JNT; CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1110","CodeVersion":"2020","CustomName":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4376","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/FACEPLATE ATTCH RUBR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8501","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SPEAKING VALVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9071","CodeVersion":"2020","CustomName":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5104","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5090","CodeVersion":"2020","CustomName":"DISPENSING FEE UNSPECIFIED HEARING AID"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2387","CodeVersion":"2020","CustomName":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5795","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1600","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5985","CodeVersion":"2020","CustomName":"RADIATION CONE LOCATOR"},{"ServiceGroup":"33486","CodeType":"ICD10P","Code":"GZB2ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY BILAT-SINGLE SEIZURE"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9295","CodeVersion":"2020","CustomName":"INJECTION NECITUMUMAB 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8562","CodeVersion":"2020","CustomName":"FLUDARABINE PHOSPHATE ORAL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8602","CodeVersion":"2020","CustomName":"IV TPA NOT INIT W\/I 3 HRS TIME KNOWN RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5261","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL BTE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2500","CodeVersion":"2020","CustomName":"SPEECH GEN DEVC DIGITIZED <\/= 8 MINS REC TIME"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7352","CodeVersion":"2020","CustomName":"AFAMELANOTIDE IMPLANT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0696","CodeVersion":"2020","CustomName":"INJECTION CEFTRIAXONE SODIUM PER 250 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64795","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3675","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS VEST ABDUCT RESTRAINER PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8705","CodeVersion":"2020","CustomName":"TOPOTECAN ORAL 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4235","CodeVersion":"2020","CustomName":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5071","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0871","CodeVersion":"2020","CustomName":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4013","CodeVersion":"2020","CustomName":"CMPL CYCLE GAMETE INTRAFALLOPIAN TRNSF CASE RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0621","CodeVersion":"2020","CustomName":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3475","CodeVersion":"2020","CustomName":"INJECTION MAGNESIUM SULPHATE PER 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0730","CodeVersion":"2020","CustomName":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0276","CodeVersion":"2020","CustomName":"PILD\/PLACEBO CONTROL CLIN TR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0430","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"9937","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"19610","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"11577","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"22407","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"33269","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"61817","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"33269","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"34557","CodeType":"DRG","Code":"897","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy without MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101820","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0583F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.72","CodeVersion":"2017","CustomName":"ENDOVASCULAR TOTAL EMBOLIZ\/OCCL HEAD & NECK VES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3288F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0503T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0167T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111946","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0914","CodeVersion":"2020","CustomName":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4330","CodeVersion":"2020","CustomName":"PERIANAL FECAL COLLECTION POUCH W\/ADHESIVE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9188","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9064","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2120","CodeVersion":"2020","CustomName":"LDL APHERES HEPARN-INDUCD XTRACORP LDL PRECIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0384","CodeVersion":"2020","CustomName":"BLS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5081","CodeVersion":"2020","CustomName":"STOMA PLUG OR SEAL ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1727","CodeVersion":"2020","CustomName":"CATHETER BALLOON TISSUE DISSECTOR NON-VASCULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9942","CodeVersion":"2020","CustomName":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY\/LAMI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3332","CodeVersion":"2020","CustomName":"INCMPL ENDO TX;INOP UNRSTR\/FX TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4042","CodeVersion":"2020","CustomName":"MANAGEMENT OF OVULATION INDUCTION PER CYCLE"},{"ServiceGroup":"37007","CodeType":"ICD10P","Code":"5A1935Z","CodeVersion":"2020","CustomName":"RESPIRATORY VENTILATION < 24 CONSECUTIVE HOURS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4180","CodeVersion":"2020","CustomName":"REVITA PER SQUARE CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1391","CodeVersion":"2020","CustomName":"O2 CONC 2 DEL PORT 85%\/>O2 CONC PRSC FLW RATE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6217","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL >16 <\/=48 SQ W\/O ADHES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9150","CodeVersion":"2020","CustomName":"NONPRESCRIPTION DRUG"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8096","CodeVersion":"2020","CustomName":"PORTABLE PEAK FLOW METER"},{"ServiceGroup":"113615","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4379","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/FACEPLATE ATTCH PLSTC EA"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6610","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST HIGH NOBLE METAL 2 SURFACES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4415","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/O BUILT-IN CONVXITY >4X4 IN EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5866","CodeVersion":"2020","CustomName":"OVERDENTURE - PARTIAL MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1955","CodeVersion":"2020","CustomName":"INJECTION LEVOCARNITINE PER 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7600","CodeVersion":"2020","CustomName":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0245","CodeVersion":"2020","CustomName":"TUB STOOL OR BENCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2788","CodeVersion":"2020","CustomName":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3660","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0233","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - ICU"},{"ServiceGroup":"592","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"72162","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"12019","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"68185","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26234","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.31","CodeVersion":"2017","CustomName":"LAPAROSCOPIC UNILATERAL OOPHORECTOMY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0667T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3573F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0084U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0215T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44247","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0476T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1032F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0693T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1010","CodeVersion":"2020","CustomName":"MEALS FOR IND REC ALCOHOL&\/SUBSTANCE ABUSE SRVC"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9593","CodeVersion":"2020","CustomName":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0972","CodeVersion":"2020","CustomName":"LSO CORSET FRONT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4301","CodeVersion":"2020","CustomName":"IMPLANTABLE ACCESS TOTAL CATHETER PORT\/RESERVOIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7921","CodeVersion":"2020","CustomName":"COLLECTION & APPLIC AUTO BLOOD CONCENTRATE PROD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7328","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG"},{"ServiceGroup":"59838","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2730","CodeVersion":"2020","CustomName":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0620","CodeVersion":"2020","CustomName":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3671","CodeVersion":"2020","CustomName":"SHOULDER ORTHOTIC JOINT DESIGN W\/O JNTS CUSTOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0885","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6885","CodeVersion":"2020","CustomName":"REPL SOCKET SD\/INTERSCAPULAR THOR MOLD PT MODEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8431","CodeVersion":"2020","CustomName":"SCR CLIN DEPR DOC POS & F\/U PLAN IS DOCUMENTED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3285F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9692","CodeVersion":"2020","CustomName":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR"},{"ServiceGroup":"37406","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3973","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2797","CodeVersion":"2020","CustomName":"VISN SPL ACSS &\/ SRVC CMPNT ANOTHER HCPCS CODE"},{"ServiceGroup":"38695","CodeType":"HCPCS","Code":"S9470","CodeVersion":"2020","CustomName":"NUTRITIONAL COUNSELING DIETITIAN VISIT"},{"ServiceGroup":"82307","CodeType":"HCPCS","Code":"G0105","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4248","CodeVersion":"2020","CustomName":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7677","CodeVersion":"2020","CustomName":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"40222","CodeType":"REV","Code":"873","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Storage and Processing After Receipt of Cells from Manufacturer"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0830","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"11919","CodeType":"REV","Code":"0812","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Cadaver Donor"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92193","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0084A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76603","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26432","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0217T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4215","CodeVersion":"2020","CustomName":"NEEDLE STERILE ANY SIZE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2524","CodeVersion":"2020","CustomName":"CONTACT LENS HPI SPH PC ADDITIVE PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5070","CodeVersion":"2020","CustomName":"GLASSES AIR CONDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2096","CodeVersion":"2020","CustomName":"ACE INHIB\/ARB\/ARNI TH WAS NOT PRSC RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9406","CodeVersion":"2020","CustomName":"CLIN DOC RSN PT NOT CMPL 7 DAY F\/U AC INPT D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1943","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2384","CodeVersion":"2020","CustomName":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5111","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9032","CodeVersion":"2020","CustomName":"INJECTION BELINOSTAT 10 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1352","CodeVersion":"2020","CustomName":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2362","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 24 NON-SEALED LEAD ACID BATT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0273","CodeVersion":"2020","CustomName":"BED BOARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2510","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR QUADRI-LAT BRIM MOLD PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9309","CodeVersion":"2020","CustomName":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0436","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2780","CodeVersion":"2020","CustomName":"INJECTION RANITIDINE HYDROCHLORIDE 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9190","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0003","CodeVersion":"2020","CustomName":"ALCOHL &\/ RX SCR; LAB ANALY PRESENC ALCOHL &\/ RX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1754","CodeVersion":"2020","CustomName":"CATHETER INTRADISCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0431","CodeVersion":"2020","CustomName":"PRTBLE GASEOUS O2 SYS RENT; FLWMTR HUMIDFR&MASK"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0483","CodeVersion":"2020","CustomName":"INDIRECT IMMUNOFLUORESCENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3204","CodeVersion":"2020","CustomName":"ORTHOPED SHOE HIGHTOP W\/SUPINATOR\/PRONATOR INFNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1210","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LATERAL THORACIC EXTENSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5269","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8431","CodeVersion":"2020","CustomName":"SCR CLIN DEPR DOC POS & F\/U PLAN IS DOCUMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5215","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC\/BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1590","CodeVersion":"2020","CustomName":"HEMODIALYSIS MACHINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9830","CodeVersion":"2020","CustomName":"HER2\/NEU POSITIVE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7636","CodeVersion":"2020","CustomName":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG"},{"ServiceGroup":"82222","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9503","CodeVersion":"2020","CustomName":"HIT ANTIBIOTC ANTIVIRAL\/ANTIFUNGAL; Q6 HRS; DIEM"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0548","CodeVersion":"2020","CustomName":"Ambulance - EKG Transmission"},{"ServiceGroup":"36415","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"808","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASC PROC W\/AMI, HF OR SHOCK-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103592","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.67","CodeVersion":"2017","CustomName":"OTHER SPEC OSTEOPATHIC MANIPULATIVE TREATMENT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22661","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0587T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61559","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0497T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0017U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104120","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0338U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9043","CodeVersion":"2020","CustomName":"INJECTION CABAZITAXEL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9462","CodeVersion":"2020","CustomName":"MEDCR_RVU"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1250","CodeVersion":"2020","CustomName":"INJECTION DOBUTAMINE HCI PER 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9999","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0306","CodeVersion":"2020","CustomName":"COMPLETE CBC AUTOMATED&AUTOMATED WBC DIFF COUNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3204","CodeVersion":"2020","CustomName":"ORTHOPED SHOE HIGHTOP W\/SUPINATOR\/PRONATOR INFNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7330","CodeVersion":"2020","CustomName":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6960","CodeVersion":"2020","CustomName":"SHLDR DISARTIC OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6256","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL > 48 SQ ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2376","CodeVersion":"2020","CustomName":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9606","CodeVersion":"2020","CustomName":"PERQ TL REV AC TOTAL\/SUBTOTAL OCCLUSION 1 VES"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4624","CodeVersion":"2020","CustomName":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9503","CodeVersion":"2020","CustomName":"HIT ANTIBIOTC ANTIVIRAL\/ANTIFUNGAL; Q6 HRS; DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9693","CodeVersion":"2020","CustomName":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9270","CodeVersion":"2020","CustomName":"INJECTION PLICAMYCIN 2.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1046","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP <37"},{"ServiceGroup":"85538","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0390","CodeVersion":"2020","CustomName":"ROUTINE FOOT CARE; PER VISIT"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6010","CodeVersion":"2020","CustomName":"COLLAGEN BASED WND FILLER DRY FORM STERL PER GM"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0872","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Specialized Biologic Processing and Storage - Prior to Transport"},{"ServiceGroup":"75501","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"14101","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0835","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"22405","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"501","CodeVersion":"2020","CustomName":"Knee procedure with principal diagnosis of infection with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"271","CodeVersion":"2020","CustomName":"Skin ulcers"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"551","CodeVersion":"2020","CustomName":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR CARDIOVASCULAR DIAGNOSIS OR AICD LEAD OR GENERATOR"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"503","CodeVersion":"2020","CustomName":"Knee procedures without principal diagnosis of infection"},{"ServiceGroup":"47250","CodeType":"DRG","Code":"884","CodeVersion":"2020","CustomName":"SPINAL FUSION EXC CERV W CURVATURE OF THE SPINE OR MALIGNANC -NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.6","CodeVersion":"2017","CustomName":"EPISIOTOMY"},{"ServiceGroup":"90367","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0061U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3476F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0083A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59357","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.69","CodeVersion":"2017","CustomName":"REPAIR OF OTHER CURRENT OBSTETRIC LACERATION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1429","CodeVersion":"2020","CustomName":"INJECTION GOLODIRSEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8660","CodeVersion":"2020","CustomName":"PREORTHODONTIC TREATMENT VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9348","CodeVersion":"2020","CustomName":"INJECTION NAXITAMAB-GQGK 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4314","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH 2-WAY LATX W\/COAT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6703","CodeVersion":"2020","CustomName":"TERMINAL DEVICE PASSIVE HND\/MITT ANY MATERIAL SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0366","CodeVersion":"2020","CustomName":"CONE BM CT CAP&INT FD VIEW 1 FULL DENT ARCH-MAX"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5410","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPL RIGD DRESS W\/EA ADD CAST CHG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0650","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1124","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSS PT D\/C EARLY D\/T MED EVENT"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0800","CodeVersion":"2020","CustomName":"INJECTION CORTICOTROPIN UP TO 40 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6252","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS >16 <\/=48 SQ W\/O ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1023","CodeVersion":"2020","CustomName":"DISTL TRANSCT ELC NRV STM STIM PERIPH NRV UP ARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9656","CodeVersion":"2020","CustomName":"PT TRANS DIRECT F ANES LOC TO PACE\/OTH N-ICU LOC"},{"ServiceGroup":"103896","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1032","CodeVersion":"2020","CustomName":"NONPNEU SEQUENTIAL COMPRESSION GARMENT FULL LEG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8598","CodeVersion":"2020","CustomName":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3630","CodeVersion":"2020","CustomName":"EOSINOPHIL COUNT BLOOD DIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8465","CodeVersion":"2020","CustomName":"HIGH\/VERY HIGH RISK RECURRENCE PROSTATE CANCER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7873","CodeVersion":"2020","CustomName":"ARTHROSCOPY: LAVAGE AND LYSIS OF ADHESIONS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0470","CodeVersion":"2020","CustomName":"INJECTION DIMERCAPROL PER 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7070","CodeVersion":"2020","CustomName":"INFUSION D-5-W 1000 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0743","CodeVersion":"2020","CustomName":"SUCTION PUMP HOME MODEL PORTABLE FOR USE WOUNDS"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"9460","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"675","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"45184","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"25695","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0527","CodeVersion":"2020","CustomName":"FS CLINIC - VISITING NURSE SERVICE(S) TO MEMBERS HOME HOME HEALTH SHORTAGE AREA"},{"ServiceGroup":"20297","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"838","CodeVersion":"2020","CustomName":"EXTRACRANIAL PROCEDURES W\/ CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"5060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104851","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84357","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37202","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98326","CodeType":"CPT","Code":"0275T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3341F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82741","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0165U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92409","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91686","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0259T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6457","CodeVersion":"2020","CustomName":"TUBULAR DRSG W\/WO ELASTIC ANY WDTH PER LINEAR YD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3861","CodeVersion":"2020","CustomName":"GENETIC TESTING SCN5A & VARIANTS FOR SUSPCTED BS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1404","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6698","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB LOCK MECH EXCL SCKT INSRT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9613","CodeVersion":"2020","CustomName":"INFILTRATION SUSTAINED RELEASE TX DRUG PER QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0098","CodeVersion":"2020","CustomName":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4005","CodeVersion":"2020","CustomName":"FAMILY MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3520","CodeVersion":"2020","CustomName":"EDETATE DISODIUM PER 150 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9763","CodeVersion":"2020","CustomName":"CMRI MORPHOL & FUNC QUAN SEG DYSFUNC;STRESS IMAG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0835","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J0885","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2182","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9223","CodeVersion":"2020","CustomName":"PCP P PRSC 3 MO CD4+BLW 500 CE\/MM3\/CD4 % BLW 15%"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2150","CodeVersion":"2020","CustomName":"INJECTION MANNITOL 25% IN 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5150","CodeVersion":"2020","CustomName":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6703","CodeVersion":"2020","CustomName":"TERMINAL DEVICE PASSIVE HND\/MITT ANY MATERIAL SZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9830","CodeVersion":"2020","CustomName":"HER2\/NEU POSITIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0382","CodeVersion":"2020","CustomName":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0894","CodeVersion":"2020","CustomName":"INJECTION DECITABINE 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1554","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG"},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3214","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR JUNIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9142","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-MALY BIOSIMILAR 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5814","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8515","CodeVersion":"2020","CustomName":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7366","CodeVersion":"2020","CustomName":"BATTERY CHARGER TWELVE VOLT EACH"},{"ServiceGroup":"411","CodeType":"ICD10P","Code":"4A023N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART PERQ"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0530","CodeVersion":"2020","CustomName":"Osteopathic Services - General Classification"},{"ServiceGroup":"68187","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0529","CodeVersion":"2020","CustomName":"Free-Standing Clinic - Other Free-Standing Clinic"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0923","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Pap Smear"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.91","CodeVersion":"2017","CustomName":"EVAC OBSTETRICAL INCISIONAL HEMATOMA PERINEUM"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.94","CodeVersion":"2017","CustomName":"MANUAL REPLACEMENT OF INVERTED UTERUS"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38582","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10985","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0143U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0658T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0219U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0593T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106226","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35","CodeVersion":"2017","CustomName":"OPERATIONS ON VALVES AND SEPTA OF HEART"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0224T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9498","CodeVersion":"2020","CustomName":"ANTIBIOTIC REGIMEN PRESCRIBED"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9097","CodeVersion":"2020","CustomName":"HOME VISIT FOR WOUND CARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3580","CodeVersion":"2020","CustomName":"ORTHOPED SHOE ADD CONVERT INSTEP VELCRO CLOS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0180","CodeVersion":"2020","CustomName":"DOLASETRON MESYLATE 100 MG ORL NOT >48 HR DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9910","CodeVersion":"2020","CustomName":"PTS 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DA MSR"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4412","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE BARRIER W\/FLNGE W\/O FLTR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0958","CodeVersion":"2020","CustomName":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0TF4XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION LT KIDNEY PELVIS EXTERNAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8940","CodeVersion":"2020","CustomName":"EQUESTRIAN\/HIPPOTHERAPY PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0252","CodeVersion":"2020","CustomName":"PET IMAG INIT DX BREST CA&\/SURG PLAN NOT COV MCR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5677","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3472","CodeVersion":"2020","CustomName":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6006","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 20 ME\/>"},{"ServiceGroup":"78181","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6611","CodeVersion":"2020","CustomName":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5637","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CNTC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0043","CodeVersion":"2020","CustomName":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8905","CodeVersion":"2020","CustomName":"MR IMAG W\/O CONTRST FLWED W\/CONTRST BRST; UNI"},{"ServiceGroup":"104228","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3315","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN PAMOATE 3.75 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9230","CodeVersion":"2020","CustomName":"INJECTION MECHLORETHAMINE HCL 10 MG"},{"ServiceGroup":"9541","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"14562","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"33659","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"29137","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"381","CodeVersion":"2020","CustomName":"Abortion with dilation and curettage, aspiration curettage, or hysterotomy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"378","CodeVersion":"2020","CustomName":"Ectopic pregnancy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4192F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106706","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87059","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77585","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0222T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101521","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4058F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0108U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.59","CodeVersion":"2017","CustomName":"OTHER MANUALLY ASSISTED DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9756","CodeVersion":"2020","CustomName":"INTRAOPERATIVE NIR FLUOR LM OF LYM W\/ADMIN ICG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1068","CodeVersion":"2020","CustomName":"ADULTS WHO ARE NOT AMBULATORY"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C1717","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED HI DOSE IRIDIUM-192 PER SRC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2998","CodeVersion":"2020","CustomName":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9207","CodeVersion":"2020","CustomName":"INJECTION IXABEPILONE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9094","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7401","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0652","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS SEG HOM MDL W\/CALBRTD GRADNT PRSS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7644","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG"},{"ServiceGroup":"3358","CodeType":"ICD10P","Code":"05HP33Z","CodeVersion":"2020","CustomName":"INSERT INFUS DEVICE RT EXT JUG VN PERQ APPRCH"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0028","CodeVersion":"2020","CustomName":"ALCOHL&\/RX PREV PROB ID&REF SRVC NOT W\/ASSESS"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5036","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY REPAIR OF INFUSION DEVICE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7612","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1724","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8301","CodeVersion":"2020","CustomName":"INFECTION CONTROL SUPPLIES NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9381","CodeVersion":"2020","CustomName":"DEL\/SRVC HI RISK REQ ESCORT\/EXTRA PROTECT VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9593","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD10P","Code":"3E053KZ","CodeVersion":"2020","CustomName":"INTRODUCTION OTH DX SUBSTANCE PERIPH ART PERQ"},{"ServiceGroup":"80285","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8875","CodeVersion":"2020","CustomName":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1782","CodeVersion":"2020","CustomName":"MORCELLATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0439","CodeVersion":"2020","CustomName":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0607","CodeVersion":"2020","CustomName":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA"},{"ServiceGroup":"29","CodeType":"ICD10P","Code":"3E053KZ","CodeVersion":"2020","CustomName":"INTRODUCTION OTH DX SUBSTANCE PERIPH ART PERQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5710","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1090","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS LUMBAR SLING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7400","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS BELOW ELB\/WD ULTRALIGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9604","CodeVersion":"2020","CustomName":"PATIENT SURVEY RESULTS NOT AVAILABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4233","CodeVersion":"2020","CustomName":"SURFACTOR OR NUDYN PER 0.5 CC"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1573","CodeVersion":"2020","CustomName":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"73482","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"13724","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"43986","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106709","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0421T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4163F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93749","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0014A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92412","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32607","CodeType":"ICD9P","Code":"81.52","CodeVersion":"2017","CustomName":"PARTIAL HIP REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"43785","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9087","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; M1 MET W\/CURR EVIDENCE DZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3070","CodeVersion":"2020","CustomName":"INJECTION PENTAZOCINE 30 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0969","CodeVersion":"2020","CustomName":"NARROWING DEVICE WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6539","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9279","CodeVersion":"2020","CustomName":"MONITOR FEATURE\/DEVC STAND-ALONE\/INTEGRATED NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6502","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1190","CodeVersion":"2020","CustomName":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9390","CodeVersion":"2020","CustomName":"INJECTION VINORELBINE TARTRATE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0260","CodeVersion":"2020","CustomName":"HISTORY AND PHYSICAL RELATED TO SURGICAL PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5080","CodeVersion":"2020","CustomName":"GLASSES BONE CONDUCTION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7191","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR PROCINE PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0483","CodeVersion":"2020","CustomName":"INDIRECT IMMUNOFLUORESCENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0750","CodeVersion":"2020","CustomName":"IMPLANTABLE ELECTRICAL NERVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9338","CodeVersion":"2020","CustomName":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0472","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR HYPREXT RIGD ANT&LAT FRME PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2626","CodeVersion":"2020","CustomName":"REDUCTION OF OCULAR PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3206","CodeVersion":"2020","CustomName":"ORTHOPED SHOE HIGHTOP W\/SUPINATOR\/PRONATOR CHILD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3294F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9203","CodeVersion":"2020","CustomName":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0054U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0236U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3288F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8451","CodeVersion":"2020","CustomName":"BETA-BLOCKER TX LVEF <40% NOT PRSCR RSN DOC CLIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0175","CodeVersion":"2020","CustomName":"FOOT REST FOR USE WITH COMMODE CHAIR EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2028","CodeVersion":"2020","CustomName":"SEXUAL OFFENDER TREATMENT SERVICE PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1580","CodeVersion":"2020","CustomName":"UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5126","CodeVersion":"2020","CustomName":"ATTENDANT CARE SERVICES; PER DIEM"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1108","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0137","CodeVersion":"2020","CustomName":"DIDANOSINE 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2004","CodeVersion":"2020","CustomName":"NON-EMERG TRNSPRT; COMMERCIAL CARRIER MULTI-PASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0045","CodeVersion":"2020","CustomName":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9311","CodeVersion":"2020","CustomName":"NO SURGICAL SITE INFECTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4651","CodeVersion":"2020","CustomName":"CALIBRATED MICROCAPILLARY TUBE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0120","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT: MINI-BUS MTN AREA\/OTH SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9884","CodeVersion":"2020","CustomName":"2 MDPP ONGO MS ATD MDPP BNF MO 19-21 UND MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1706","CodeVersion":"2020","CustomName":"ASTRAZENECA COVID-19 VACC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1897","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR TEST KIT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9212","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFACON-1 RECOMBINANT 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1084","CodeVersion":"2020","CustomName":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK\/FULL LEGRESTS"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5962","CodeVersion":"2020","CustomName":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1894","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH NOT GUID INTRACARD EP NON-LASR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7605","CodeVersion":"2020","CustomName":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2037","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLUVIRIN"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0088","CodeVersion":"2020","CustomName":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5321","CodeVersion":"2020","CustomName":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0156","CodeVersion":"2020","CustomName":"EXEMESTANE 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4362","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1971","CodeVersion":"2020","CustomName":"ANK FT ORTHOS PLSTC\/OTH MATL W\/ANK JNT PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6645","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1527","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - REMOVABLE - BILATERAL, MANDIB"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"73284","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0409","CodeVersion":"2020","CustomName":"Other Imaging Services - Other Imaging Services"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"30275","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"17075","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"9793","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"36663","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"80260","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"26205","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0987","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - HOSPITAL VISIT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0531","CodeVersion":"2020","CustomName":"Osteopathic Services - Osteopathic Therapy"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"882","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV < 96 HRS -NYDRG"},{"ServiceGroup":"39871","CodeType":"DRG","Code":"620","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W NORMAL NEWB DIAG-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"410","CodeVersion":"2020","CustomName":"Chemotherapy without acute leukemia as secondary diagnosis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99067","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2387","CodeVersion":"2020","CustomName":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9598","CodeVersion":"2020","CustomName":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT\/MIN DIA AX CT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5165","CodeVersion":"2020","CustomName":"HOME MODIFICATIONS; PER SERVICE"},{"ServiceGroup":"91","CodeType":"ICD10P","Code":"0TS00ZZ","CodeVersion":"2020","CustomName":"REPOSITION RIGHT KIDNEY OPEN APPROACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4183","CodeVersion":"2020","CustomName":"SURGIGRAFT PER SQ CM"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11791","CodeType":"HCPCS","Code":"S9504","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL; Q4 HRS; PER DIEM"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9600","CodeVersion":"2020","CustomName":"INJECTION PORFIMER SODIUM 75 MG"},{"ServiceGroup":"76528","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5580","CodeVersion":"2020","CustomName":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC\/=MOLD MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1201","CodeVersion":"2020","CustomName":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9706","CodeVersion":"2020","CustomName":"LOW RISK OF RECURRENCE PROSTATE CANCER"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4184","CodeVersion":"2020","CustomName":"CELLESTA OR CELLESTA DUO PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0595","CodeVersion":"2020","CustomName":"INJECTION BUTORPHANOL TARTRATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2213","CodeVersion":"2020","CustomName":"INIT MEDICATION TX OPIOID USE D\/O ED SETTING"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"30089","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"3208","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"28623","CodeType":"REV","Code":"0344","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic Radiopharmaceuticals"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"74581","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"44264","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"38607","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0512","CodeVersion":"2020","CustomName":"Clinic - Dental Clinic"},{"ServiceGroup":"40222","CodeType":"REV","Code":"699","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - OTHER PRE-HOSPICE\/PALLIATIVE CARE SERVICES"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"9795","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"181","CodeVersion":"2020","CustomName":"Gastrointestinal obstruction without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.5","CodeVersion":"2017","CustomName":"BREECH EXTRACTION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53745","CodeType":"CPT","Code":"90658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92019","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"37.23","CodeVersion":"2017","CustomName":"COMBINED RIGHT&LEFT HEART CARD CATHETERIZATION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35261","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0316U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38364","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9898","CodeVersion":"2020","CustomName":"PT 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DA MSR"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0215","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE, ALS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1231","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W\/SEAT SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0379","CodeVersion":"2020","CustomName":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2195","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: OCC HEADACHE CHILDREN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9145","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9786","CodeVersion":"2020","CustomName":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W\/I 7 D"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0225","CodeVersion":"2020","CustomName":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3355","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - INITIAL VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9755","CodeVersion":"2020","CustomName":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3730","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/CUFF EXT\/FLX ASST CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7415","CodeVersion":"2020","CustomName":"EXCISION MALIG LESION COMPLICATED"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5280","CodeVersion":"2020","CustomName":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9976","CodeVersion":"2020","CustomName":"DOC PT RSN FOR NOT PRFRM A DILATED MACULAR EXAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0245","CodeVersion":"2020","CustomName":"INITIAL PHYS E&M DIABETIC NEUROPATHY W\/LOPS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0900","CodeVersion":"2020","CustomName":"TRACTION STAND FREESTANDING PELVIC TRACTION"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8660","CodeVersion":"2020","CustomName":"PREORTHODONTIC TREATMENT VISIT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3912","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6600","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1634","CodeVersion":"2020","CustomName":"PERITONEAL DIALYSIS CLAMPS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9759","CodeVersion":"2020","CustomName":"TRANSCATHETER IO BLOOD VESSEL MICROINFUSION TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6210","CodeVersion":"2020","CustomName":"FOAM DRESS > 16 BUT <\/= 48 SQ W\/O ADHES BORDR EA"},{"ServiceGroup":"14508","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"29985","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"977","CodeType":"REV","Code":"0341","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic"},{"ServiceGroup":"9444","CodeType":"REV","Code":"0549","CodeVersion":"2020","CustomName":"Ambulance - Other Ambulance"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"475","CodeVersion":"2020","CustomName":"Respiratory system diagnosis with ventilator support"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.51","CodeVersion":"2017","CustomName":"PART BREECH EXTRAC W\/FORCEPS AFTERCOMING HEAD"},{"ServiceGroup":"91438","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37592","CodeType":"ICD9P","Code":"41.03","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT W\/O PURGING"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0043A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106226","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1071F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0167U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0082A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7521","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE CUFFD PVC SILICONE\/= EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1007","CodeVersion":"2020","CustomName":">=50% OF TOT NUMBER OF A PT O\/P RA ENC ASSESSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6012","CodeVersion":"2020","CustomName":"SURG PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9613","CodeVersion":"2020","CustomName":"INFILTRATION SUSTAINED RELEASE TX DRUG PER QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8702","CodeVersion":"2020","CustomName":"REPAIR FIXED RETAINER INCL REATTACHMENT - MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0085","CodeVersion":"2020","CustomName":"CHEMOTHAPY ADMN BOTH INFUS TECH&OTH TECHIQUE-VST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4538","CodeVersion":"2020","CustomName":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1016","CodeVersion":"2020","CustomName":"CASE MANAGEMENT EACH 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1625","CodeVersion":"2020","CustomName":"WATER SOFTENING SYSTEM FOR HEMODIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7007","CodeVersion":"2020","CustomName":"ELECTRIC HAND SWITCH\/MYOELECTRIC CONTROL ADULT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0390","CodeVersion":"2020","CustomName":"TRAUMA RESPONSE TEAM ASSOC W\/HOSP CC SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9961","CodeVersion":"2020","CustomName":"AMB SERVICE AIR NONEMERGENCY 1 WAY ROTARY WING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9204","CodeVersion":"2020","CustomName":"INJECTION MOGAMULIZUMAB-KPKC 1 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9353","CodeVersion":"2020","CustomName":"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE CM"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8694","CodeVersion":"2020","CustomName":"AUD OSSEOINTEG DEVC TRANSDUCER\/ACTR REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0631","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3111","CodeVersion":"2020","CustomName":"INJECTION ROMOSOZUMAB-AQQG 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1631","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL DECANOATE PER 50 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6102","CodeVersion":"2020","CustomName":"DEBR&OSS CNTR PERIIMPL DFCT;SURF&FLAP ENTRY&CLOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0273","CodeVersion":"2020","CustomName":"BITEWINGS - THREE RADIOGRAPHIC IMAGES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3900","CodeVersion":"2020","CustomName":"WHFO DYN FLEXOR HINGE WRST\/FNGR DRIVEN CSTM FAB"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0985","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EKG"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"33268","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"73360","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"713","CodeVersion":"2020","CustomName":"HIV W SIGNIFICANT RELATED DIAGNOSIS, DISCHARGED AMA-NYDRG"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"547","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38007","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115363","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76092","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0059T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0339U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110677","CodeType":"CPT","Code":"57120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93025","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.25","CodeVersion":"2017","CustomName":"BIOPSY OF HEART"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4177F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0484T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9067","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0084","CodeVersion":"2020","CustomName":"COMPREHENSIVE CARE MGMT HOME VISIT FOR XST PT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0520","CodeVersion":"2020","CustomName":"INJ BETHANCHOL CHLORID MYTONCHOL\/URECHOLN UP 5MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0196","CodeVersion":"2020","CustomName":"GEL PRESSURE MATTRESS"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9608","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL; EA ADD CA CA BR\/BP GFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4044","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2180","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE&PROMETHAZINE HCL TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0140","CodeVersion":"2020","CustomName":"LTD ORAL EVALUATION - PROBLEM FOCUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9011","CodeVersion":"2020","CustomName":"BLOOD SPLIT UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0946","CodeVersion":"2020","CustomName":"FRACTURE FRAME DUAL W\/CROSS BARS ATTACHED TO BED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8530","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE ORAL 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9242","CodeVersion":"2020","CustomName":"DOC VIRAL LOAD =\/> 200 COPIES\/ML\/VL NOT PRFRM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9351","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0574","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NLX ORAL >6 MG BUT <\/=TO 10 MG BPN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4327","CodeVersion":"2020","CustomName":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9830","CodeVersion":"2020","CustomName":"HER2\/NEU POSITIVE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9217","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE 7.5 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11212","CodeType":"ICD9P","Code":"00.66","CodeVersion":"2017","CustomName":"PERQ TRANSLUMINAL CORONARY ANGIOPLASTY PTCA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7505","CodeVersion":"2020","CustomName":"HOUSING REUSABL W\/O ADHES EXCHG SYS&\/ VALV EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5258","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL CIC"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0351","CodeVersion":"2020","CustomName":"3D PHOTOGRAPHIC IMAGE"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1330","CodeVersion":"2020","CustomName":"INJECTION ERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0404","CodeVersion":"2020","CustomName":"Other Imaging Services - Positron Emission Tomography"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"17621","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0825","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0882","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Home Dialysis Aid Visit"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0472T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98003","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0260T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0620T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85778","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0038U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0042A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0574T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5981","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM\/EQUAL"},{"ServiceGroup":"106595","CodeType":"HCPCS","Code":"V5244","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6895","CodeVersion":"2020","CustomName":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9562","CodeVersion":"2020","CustomName":"HOM INJ TX PALIVIZUMAB W\/ADMN PHRM CARE-PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0210","CodeVersion":"2020","CustomName":"INJECTION METHYLDOPATE HCL UP TO 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4101","CodeVersion":"2020","CustomName":"APLIGRAF PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9344","CodeVersion":"2020","CustomName":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9089","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3730","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/CUFF EXT\/FLX ASST CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5113","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0894","CodeVersion":"2020","CustomName":"INJECTION DECITABINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5696","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE\/KNEE DISARTIC PELV JNT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2515","CodeVersion":"2020","CustomName":"INJECTION PENTOBARBITAL SODIUM PER 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0202","CodeVersion":"2020","CustomName":"PHOTOTHERAPY LIGHT WITH PHOTOMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0423","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D2390","CodeVersion":"2020","CustomName":"RESIN COMPOS CROWN ANTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1897","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR TEST KIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0247","CodeVersion":"2020","CustomName":"INTRAVENOUS INF SOTROVIMAB INC INF & P ADM MON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0282","CodeVersion":"2020","CustomName":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4306","CodeVersion":"2020","CustomName":"DISPOSABL DRUG DEL SYS FLOW RATE <50 ML PER HOUR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3465","CodeVersion":"2020","CustomName":"INJECTION VORICONAZOLE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7516","CodeVersion":"2020","CustomName":"CYCLOSPORINE PARENTERAL 250 MG"},{"ServiceGroup":"28624","CodeType":"HCPCS","Code":"J9206","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN 20 MG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1778","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2120","CodeVersion":"2020","CustomName":"LDL APHERES HEPARN-INDUCD XTRACORP LDL PRECIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2303","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0320","CodeVersion":"2020","CustomName":"TMJ ARTHROGRAM INCLUDING INJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8659","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC=0\/>0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3430","CodeVersion":"2020","CustomName":"RETROGRADE FILLING - PER ROOT"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"13368","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0903","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Play Therapy"},{"ServiceGroup":"70134","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"38439","CodeType":"REV","Code":"0918","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Testing"},{"ServiceGroup":"9793","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"24714","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"13297","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89942","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0528T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0668T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113775","CodeType":"CPT","Code":"0449T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0638T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2072","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPLANT I & R; WEEKLY BUNDLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8080","CodeVersion":"2020","CustomName":"COMP ORTHODONT TX ADOLES DENTITION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4338","CodeVersion":"2020","CustomName":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W\/COAT EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4200","CodeVersion":"2020","CustomName":"SKINTE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4250","CodeVersion":"2020","CustomName":"AMNIOAMP-MP PER SQ CM"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4673","CodeVersion":"2020","CustomName":"EXT LINE W\/EASY LOCK CONNECTORS USED W\/DIALYSIS"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4326","CodeVersion":"2020","CustomName":"MALE EXT CATH W\/INTEGRAL CLCT CHAMB ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7648","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4187","CodeVersion":"2020","CustomName":"EPICORD PER SQ CM"},{"ServiceGroup":"103610","CodeType":"HCPCS","Code":"S9455","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1034","CodeVersion":"2020","CustomName":"ARTIF PANCREAS DEVC SYS THAT CMNCT W\/ALL DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1436","CodeVersion":"2020","CustomName":"INJECTION ETIDRONATE DISODIUM PER 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9930","CodeVersion":"2020","CustomName":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8699","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND FIXED RETAINER - MANDIBUL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4215","CodeVersion":"2020","CustomName":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4361","CodeVersion":"2020","CustomName":"OSTOMY FACEPLATE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9347","CodeVersion":"2020","CustomName":"HIT UNINTRPED LNG-TERM CNTRL RATE IV\/SUBQ;-DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2093","CodeVersion":"2020","CustomName":"DOC MED REASN NO PRSC ACE INHIB\/ARB\/ARNI TH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9349","CodeVersion":"2020","CustomName":"INJECTION TAFASITAMAB-CXIX 2 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0186","CodeVersion":"2020","CustomName":"DESTRUC LOC LES CHOROID; PHOTOCOAG FDER VES TECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4301","CodeVersion":"2020","CustomName":"IMPLANTABLE ACCESS TOTAL CATHETER PORT\/RESERVOIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1036","CodeVersion":"2020","CustomName":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP >7 D"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0017","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH; RES W\/O ROOM&BOARD PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7643","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0698","CodeVersion":"2020","CustomName":"CEFOTAXIME SODIUM PER G"},{"ServiceGroup":"73842","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"13715","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"113580","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"13476","CodeType":"REV","Code":"0689","CodeVersion":"2020","CustomName":"Trauma Response - Other Trauma Response"},{"ServiceGroup":"16536","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"464","CodeVersion":"2020","CustomName":"Signs and symptoms without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"391","CodeVersion":"2020","CustomName":"Normal newborn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"261","CodeVersion":"2020","CustomName":"Breast procedure for non-malignancy except biopsy and local excision"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0068U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"98927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3752F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68048","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0052U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97461","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93073","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81560","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"ICD9P","Code":"92.32","CodeVersion":"2017","CustomName":"MULTI-SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73495","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9113","CodeVersion":"2020","CustomName":"ONC;STATUS;OVARIAN CA; ST IA-B GR 1 NO PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6026","CodeVersion":"2020","CustomName":"TRANSCARPAL\/MC\/PART HAND DISARTICULATION PROS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0190","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-RECIP"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0445","CodeVersion":"2020","CustomName":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4118","CodeVersion":"2020","CustomName":"MATRISTEM MICROMATRIX 1 MG"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1575","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN\/HYALURONIDASE 100 MG IG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7509","CodeVersion":"2020","CustomName":"METHYLPREDNISOLONE ORAL PER 4 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4246","CodeVersion":"2020","CustomName":"CORETEXT OR PROTEXT PER CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7674","CodeVersion":"2020","CustomName":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1819","CodeVersion":"2020","CustomName":"SURGICAL TISSUE LOCALIZATION AND EXCISION DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9529","CodeVersion":"2020","CustomName":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2357","CodeVersion":"2020","CustomName":"INJECTION OMALIZUMAB 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9277","CodeVersion":"2020","CustomName":"TRANSMITTER; EXT INTERSTITIAL CONT GLU MON SYS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7313","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0739","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0189","CodeVersion":"2020","CustomName":"TESTOSTERONE PELLET 75 MG"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7032","CodeVersion":"2020","CustomName":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3502","CodeVersion":"2020","CustomName":"SURG EXP RS W\/O APICOECTOMY\/REPR OF RR - PM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9465","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3910","CodeVersion":"2020","CustomName":"SURG PROC ISOLAT TOOTH W\/RUBBER DAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0622","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED"},{"ServiceGroup":"51322","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"68186","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"606","CodeVersion":"2020","CustomName":"NEONATE, BWT 1000-1499G, W SIG OR PROC, DISCH ALIVE-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38016","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57596","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34874","CodeType":"ICD9P","Code":"20.97","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT COCHLEAR PROSTH DEVICE 1 CHANNEL"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3776F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.81","CodeVersion":"2017","CustomName":"INIT INSRTION 1-CHAMB DEVC NOT RATE RESPONSIVE"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0025U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0598T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0431T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0107U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0730T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0417T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0110T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0145","CodeVersion":"2020","CustomName":"ORAL EVAL PT UND 3 YR AGE CNSL W\/PRIM CAREGIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6945","CodeVersion":"2020","CustomName":"ELB DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0812","CodeVersion":"2020","CustomName":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2610","CodeVersion":"2020","CustomName":"WHEELCHAIR SEAT CUSHION POWERED"},{"ServiceGroup":"86919","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0832","CodeVersion":"2020","CustomName":"LOW DOSE CT LUNG SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2599","CodeVersion":"2020","CustomName":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0655","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS HALF ARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0197","CodeVersion":"2020","CustomName":"PRENATAL VITAMINS 30-DAY SUPPLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4314","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH 2-WAY LATX W\/COAT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5120","CodeVersion":"2020","CustomName":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0982","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1014","CodeVersion":"2020","CustomName":"ADD ENDOSK KN-SHIN SYS 4 BAR LINK\/MXAXIAL FL SW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5071","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH"},{"ServiceGroup":"71087","CodeType":"HCPCS","Code":"V2787","CodeVersion":"2020","CustomName":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0032","CodeVersion":"2020","CustomName":"2< ANTIPSY RX DX SCZ OR BP DIS 1\/1 YR RX ANTIPSY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33087","CodeType":"ICD9P","Code":"17.42","CodeVersion":"2017","CustomName":"LAPAROSCOPIC ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2120","CodeVersion":"2020","CustomName":"LDL APHERES HEPARN-INDUCD XTRACORP LDL PRECIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0100","CodeVersion":"2020","CustomName":"INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1600","CodeVersion":"2020","CustomName":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6110","CodeVersion":"2020","CustomName":"BELOW ELBOW MOLDED SOCKET"},{"ServiceGroup":"29294","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"58455","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"976","CodeVersion":"2020","CustomName":"HIV with Major Related Condition without CC\/MCC"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3776F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.38","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTROENTEROSTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88419","CodeType":"CPT","Code":"94799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.17","CodeVersion":"2017","CustomName":"PLACENTAL SCAN"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4481F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4355","CodeVersion":"2020","CustomName":"FULL M DEBRID ENBL COMP OR EVAL & DX SUBQ VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3806","CodeVersion":"2020","CustomName":"WHFO CUSTOM FABRICATED INCL FITTING & ADJUSTMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0013","CodeVersion":"2020","CustomName":"CUSTOM MOTORIZED\/POWER WHEELCHAIR BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3300","CodeVersion":"2020","CustomName":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2049","CodeVersion":"2020","CustomName":"NON-EMERG TRNSPRT; STRETCHER VAN MILEAGE; MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5718","CodeVersion":"2020","CustomName":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0110","CodeVersion":"2020","CustomName":"CRTCHS FORARM VARIOUS MATL PAIR W\/TIPS&HNDGRIPS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7657","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"53144","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0395","CodeVersion":"2020","CustomName":"INJECTION ARBUTAMINE HCL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4351","CodeVersion":"2020","CustomName":"INTERMIT URIN CATH; STRAIGHT TIP W\/WO COAT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9474","CodeVersion":"2020","CustomName":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0656","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLIANCE USE W\/PNEUMAT COMPRS TRUNK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0280","CodeVersion":"2020","CustomName":"MEDICAL HOME PROG COMP CARE COORD INITIAL PLAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2307","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4249","CodeVersion":"2020","CustomName":"CLINICAL CROWN LENGTHENING - HARD TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3070","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT NONREMV ATTCH SHOE LNGTUDNL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9883","CodeVersion":"2020","CustomName":"2 MDPP ONGO MS ATD MDPP BNF MO 16-18 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1832","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6256","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL > 48 SQ ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9949","CodeVersion":"2020","CustomName":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8090","CodeVersion":"2020","CustomName":"COMP ORTHODONTIC TX ADULT DENTITION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0061","CodeVersion":"2020","CustomName":"ANESTHESIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0832","CodeVersion":"2020","CustomName":"LOW DOSE CT LUNG SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4774","CodeVersion":"2020","CustomName":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9665","CodeVersion":"2020","CustomName":"PT NOT CURR STATIN TX USERS\/NO ORDER STATIN TX"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69689","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2196","CodeVersion":"2020","CustomName":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5585","CodeVersion":"2020","CustomName":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4673","CodeVersion":"2020","CustomName":"EXT LINE W\/EASY LOCK CONNECTORS USED W\/DIALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9447","CodeVersion":"2020","CustomName":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"25282","CodeType":"HCPCS","Code":"A0433","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT LEVEL 2"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9100","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9101","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRC CA; R1\/R2 RESECT NO PRGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0424","CodeVersion":"2020","CustomName":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2020","CodeVersion":"2020","CustomName":"FRAMES PURCHASES"},{"ServiceGroup":"15788","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"33826","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"70047","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0976","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RESPIRATORY THERAPY"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"20299","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104618","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1267","CodeType":"ICD9P","Code":"41.04","CodeVersion":"2017","CustomName":"AUTOL HEMATOPOIETIC STEM CELL TPLNT W\/O PURGING"},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0133U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0079U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0714T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0688T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0080T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0263U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2623","CodeVersion":"2020","CustomName":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN\/> ANY DEPTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9780","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6709","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0149","CodeVersion":"2020","CustomName":"WALKER HEAVY DUTY WHEELED RIGID\/FOLD ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9007","CodeVersion":"2020","CustomName":"ULTRAFILTRATION MONITOR"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7633","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9090","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9245","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN HCI NOS 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8912","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST LOWER EXTREMITY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2690","CodeVersion":"2020","CustomName":"INJECTION PROCAINAMIDE HCL UP TO 1 GM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0625","CodeVersion":"2020","CustomName":"PATIENT LIFT BATHROOM OR TOILET NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4680","CodeVersion":"2020","CustomName":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3846","CodeVersion":"2020","CustomName":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5684","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9991","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE EXT-RLSE <\/= TO 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"35419","CodeType":"HCPCS","Code":"A0431","CodeVersion":"2020","CustomName":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9012","CodeVersion":"2020","CustomName":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0884","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO &=300 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7050","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 250 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8420","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE&GLOVE CUSTOM MADE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1004","CodeVersion":"2020","CustomName":"SERVICES QUALIFIED NURSING AIDE UP TO 15 MINUTES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48381","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0461","CodeVersion":"2020","CustomName":"INJECTION ATROPINE SULFATE 0.01 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7527","CodeVersion":"2020","CustomName":"EVEROLIMUS ORAL 0. 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4028","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4251","CodeVersion":"2020","CustomName":"VIM PER SQ CM"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"E0749","CodeVersion":"2020","CustomName":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5728","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN FLUID SWING&STANCE CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9353","CodeVersion":"2020","CustomName":"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1030","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 40 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9490","CodeVersion":"2020","CustomName":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"33265","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"12163","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"33827","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"61916","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"31038","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38016","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50202","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3573F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7189","CodeVersion":"2020","CustomName":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9320","CodeVersion":"2020","CustomName":"INJECTION STREPTOZOCIN 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5692","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0410","CodeVersion":"2020","CustomName":"GRP PSYCHOTX NOT MX FAM GRP PART HOS 45-50 MIN"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7272","CodeVersion":"2020","CustomName":"TOOTH TRANSPLANTATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6407","CodeVersion":"2020","CustomName":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5630","CodeVersion":"2020","CustomName":"REPAIR OR REPLACE BROKEN CLASP - PER TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2082","CodeVersion":"2020","CustomName":"OFF\/OTH OP E&M EST PT PROV 56 MG ESKETAMINE N SA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2617","CodeVersion":"2020","CustomName":"STENT NON-COR TEMPORARY WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7441","CodeVersion":"2020","CustomName":"EXC MALIG TUMOR\/LES > 1.25CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0386","CodeVersion":"2020","CustomName":"MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0861","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO &=300 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0404","CodeVersion":"2020","CustomName":"ECG RTN ECG W\/12 LEADS TRACING ONLY W\/O I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1599","CodeVersion":"2020","CustomName":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8451","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED WRIST OR ANKLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1024","CodeVersion":"2020","CustomName":"CLINIC DEC SUPP MECH RADRITE DEF MC APP USE CRIT"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3243","CodeVersion":"2020","CustomName":"INJECTION TIGECYCLINE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2002","CodeVersion":"2020","CustomName":"LIMITED 30 MINUTES IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6545","CodeVersion":"2020","CustomName":"GRADIENT COMPRS WRAP NONELAST BK 30-50 MM HG EA"},{"ServiceGroup":"113551","CodeType":"HCPCS","Code":"U0003","CodeVersion":"2020","CustomName":"INF AGT DET DNA\/RNA;SARS-COV-2 COVID-19 AMP P T"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4245","CodeVersion":"2020","CustomName":"ALCOHOL WIPES PER BOX"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0313","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/Q HCP VAC NA SAME DOS A<21 16-30 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2220","CodeVersion":"2020","CustomName":"ADD LW EXTRM DORSIFLX&PLANTR ASST\/RSIST EA JNT"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5954","CodeVersion":"2020","CustomName":"PALATAL AUGMENTATION PROSTHESIS"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"68189","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0309","CodeVersion":"2020","CustomName":"Laboratory - Other Laboratory"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"33823","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0981","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EMERGENCY ROOM SERVICES"},{"ServiceGroup":"3208","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0198U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98401","CodeType":"CPT","Code":"21230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3472F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0182U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"0312T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91041","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1950","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG"},{"ServiceGroup":"90101","CodeType":"HCPCS","Code":"S9982","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE PER PAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9273","CodeVersion":"2020","CustomName":"COLD\/HOT FL BTL ICE CAP\/C HEAT &\/ COLD WRAP ANY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1627","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6588","CodeVersion":"2020","CustomName":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0565","CodeVersion":"2020","CustomName":"INJECTION BEZLOTOXUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8661","CodeVersion":"2020","CustomName":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9946","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8521","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1405","CodeVersion":"2020","CustomName":"OXYGEN&WATER VAPOR ENRICHING SYS W\/HEATED DELIV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8404","CodeVersion":"2020","CustomName":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED&DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1823","CodeVersion":"2020","CustomName":"GENERATR NEUROSTIM NON-RECHRGABL TV S&STIM LEADS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1008","CodeVersion":"2020","CustomName":"<50% OF TOT NUMBER OF A PT O\/P RA ENC ASSESSED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9058","CodeVersion":"2020","CustomName":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1557","CodeVersion":"2020","CustomName":"REMOVAL OF FIXED BILATERAL SPACE MNTNR - MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5672","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE REMV MED BRIM SUSP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7676","CodeVersion":"2020","CustomName":"PENTANUDUBE ISETGUIBATE I SOL CP PROD U D 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7680","CodeVersion":"2020","CustomName":"FCE BNS-COMP RDUC FIX&MX APPRCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1324","CodeVersion":"2020","CustomName":"INJECTION ENFUVIRTIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2199","CodeVersion":"2020","CustomName":"PT NOT SCR UH ALC USE USING SYS SCR METH NO RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0601","CodeVersion":"2020","CustomName":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1790","CodeVersion":"2020","CustomName":"INJECTION DROPERIDOL UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1626","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0350","CodeVersion":"2020","CustomName":"INJECTION ANISTREPLASE PER 30 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0321","CodeVersion":"2020","CustomName":"OTHER TMJ RADIOGRAPHIC IMAGES BY REPORT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3219F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93338","CodeType":"CPT","Code":"97803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1013","CodeVersion":"2020","CustomName":"SIGN LANGUAGE\/ORAL INTEPR SERVICES PER 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1821","CodeVersion":"2020","CustomName":"REPL SFT INTERFCE MATL\/CUFF BI-DIR STAT DEVC"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4414","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/O BUILT-IN CONVXITY 4X4 IN\/\/= 20 IN & < 24 IN"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1330","CodeVersion":"2020","CustomName":"INJECTION ERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9144","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG & HYALURONIDASE-FIHJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7999","CodeVersion":"2020","CustomName":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9056","CodeVersion":"2020","CustomName":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1300","CodeVersion":"2020","CustomName":"WHIRLPOOL PORTABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1265","CodeVersion":"2020","CustomName":"INJECTION DOPAMINE HCL 40 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1770","CodeVersion":"2020","CustomName":"IMAGING COIL MAGNETIC RESONANCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5933","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS MODIFICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5200","CodeVersion":"2020","CustomName":"ABVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9035","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6241","CodeVersion":"2020","CustomName":"PONTIC-PORCLN FUSD PREDOM BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2929","CodeVersion":"2020","CustomName":"PREFAB PORCELAIN\/CERAMIC CROWN - PRIMARY TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0936","CodeVersion":"2020","CustomName":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1568","CodeVersion":"2020","CustomName":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0175","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0248","CodeVersion":"2020","CustomName":"TRNSF BENCH HEVY DUTY TUB\/TOILET W\/WO COMMODE OP"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2215","CodeVersion":"2020","CustomName":"TAKE HM SPLY NSL NLX 2PK LST SEP ADD CD PRIM PCR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2955","CodeVersion":"2020","CustomName":"POST REMOVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2019","CodeVersion":"2020","CustomName":"HABILITATION SUPP EMPLOYMENT WAIVER; PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2038","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLUZONE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4154","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2375","CodeVersion":"2020","CustomName":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2542","CodeVersion":"2020","CustomName":"ONLAY - METALLIC - TWO SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8499","CodeVersion":"2020","CustomName":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14254","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0511","CodeVersion":"2020","CustomName":"PHRM FEE O ANTI-CA ANTI-EMET\/IS RX; 1 PRSC 30-DA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7899","CodeVersion":"2020","CustomName":"UNSPECIFIED TMD THERAPY BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0802","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5121","CodeVersion":"2020","CustomName":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2782","CodeVersion":"2020","CustomName":"LENS INDX 1.54-1.65 PLSTC\/1.60-1.79 GLASS LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9805","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9367","CodeVersion":"2020","CustomName":"SKIN SUBST ENDOFORM DERM TEMPLATE PER SQUARE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7525","CodeVersion":"2020","CustomName":"TACROLIMUS PARENTERAL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0483","CodeVersion":"2020","CustomName":"MONITOR\/DISPLAY MODULE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"26036","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"109","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"12214","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"876","CodeVersion":"2020","CustomName":"CHEMO W ACUTE LEUK AS SDX OR W USE OF HIGH DOSE CHEMO AGENT-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27311","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28098","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9298","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB & RELATLIMAB-RMBW 3 MG\/1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1834","CodeVersion":"2020","CustomName":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3207","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE HIGHTOP W\/SUPINATOR\/PRONATOR JR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9039","CodeVersion":"2020","CustomName":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0145","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG SCR AUTO&MNL RSCR PHYS"},{"ServiceGroup":"75399","CodeType":"HCPCS","Code":"S9982","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE PER PAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9704","CodeVersion":"2020","CustomName":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4123","CodeVersion":"2020","CustomName":"ALLOSKIN RT PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8460","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER ABOVE KNEE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5642","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET"},{"ServiceGroup":"87040","CodeType":"ICD10P","Code":"10D00Z1","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION LOW OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4390","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE W\/EXT BARRIER W\/CONVXITY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5052","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7684","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9813","CodeVersion":"2020","CustomName":"PT DID NOT DIE W\/I 30 DA OF PROC\/DUR INDEX HOSP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9130","CodeVersion":"2020","CustomName":"TMJ DYSFUNCTION - NON-INVASIVE PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0670","CodeVersion":"2020","CustomName":"INJECTION MEPIVACAINE HCL PER 10 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1439","CodeVersion":"2020","CustomName":"INJECTION FERRIC CARBOXYMALTOSE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4270","CodeVersion":"2020","CustomName":"DISPOSABLE ENDOSCOPE SHEATH EACH"},{"ServiceGroup":"44106","CodeType":"HCPCS","Code":"G0129","CodeVersion":"2020","CustomName":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4433","CodeVersion":"2020","CustomName":"OST POUCH URIN; FOR BARR W\/LOCKING FLANGE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0008","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2114","CodeVersion":"2020","CustomName":"SINGLE VISION SPHERE OVER +\/- 12.00D PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0601","CodeVersion":"2020","CustomName":"SCREENING PROCTOSCOPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5653","CodeVersion":"2020","CustomName":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"33824","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"12394","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"108082","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105550","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40403","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15878","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0314T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100288","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.97","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REMV GASTRIC RESTRICTIVE DEVICE(S)"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7037","CodeVersion":"2020","CustomName":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2138","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG 5 PNT\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7187","CodeVersion":"2020","CustomName":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4379","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/FACEPLATE ATTCH PLSTC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2183","CodeVersion":"2020","CustomName":"DOCUMENTATION PT UNABLE TO COM & INF NOT AVAIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0178","CodeVersion":"2020","CustomName":"LOMUSTINE ORAL 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2001","CodeVersion":"2020","CustomName":"INJECTION LIDOCAINE HCL INTRAVENOUS INFUS 10 MG"},{"ServiceGroup":"93147","CodeType":"HCPCS","Code":"S9460","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8010","CodeVersion":"2020","CustomName":"LTD ORTHODONT TX PRIMARY DENTITION"},{"ServiceGroup":"35419","CodeType":"HCPCS","Code":"A0435","CodeVersion":"2020","CustomName":"FIXED WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5265","CodeVersion":"2020","CustomName":"EAR MOLD\/INSERT DISPOSABLE ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8046","CodeVersion":"2020","CustomName":"PARTIAL FACIAL PROSTHESIS PROVIDED NON-PHYSICIAN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9171","CodeVersion":"2020","CustomName":"INJECTION DOCETAXEL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3070","CodeVersion":"2020","CustomName":"INJECTION PENTAZOCINE 30 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2770","CodeVersion":"2020","CustomName":"OCCLUDER LENS PER LENS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1721","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR DUAL CHAMBER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0502","CodeVersion":"2020","CustomName":"OTHER ORAL PATHOLOGY PROC REPORT"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9961","CodeVersion":"2020","CustomName":"SYSTEMIC ANTIMICROBIALS PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2217","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0619","CodeVersion":"2020","CustomName":"APNEA MONITOR WITH RECORDING FEATURE"},{"ServiceGroup":"91647","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1029","CodeVersion":"2020","CustomName":"COMP ENVIR LEAD INVESTIGAT NOT W\/LAB ANALY-DWELL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0829","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY DUTY CAPT CHR PT 601 LBS\/>"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0878","CodeVersion":"2020","CustomName":"INJECTION DAPTOMYCIN 1 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"26179","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0961","CodeVersion":"2020","CustomName":"Professional Fees - Psychiatric"},{"ServiceGroup":"16033","CodeType":"REV","Code":"0343","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic Radiopharmaceuticals"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0316T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.90","CodeVersion":"2017","CustomName":"INSERTION OF LEFT ATRIAL APPENDAGE DEVICE"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4240F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3281F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91013","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0529T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0027U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64377","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.21","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION WITHOUT EXTRACTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0414","CodeVersion":"2020","CustomName":"OPN TX ANT PELV BONE FX &\/ DISLOC UNI\/BIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9268","CodeVersion":"2020","CustomName":"INJECTION PENTOSTATIN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0400","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2197","CodeVersion":"2020","CustomName":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5210","CodeVersion":"2020","CustomName":"ABVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1699","CodeVersion":"2020","CustomName":"DIALYSIS EQUIPMENT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9612","CodeVersion":"2020","CustomName":"TX PARENTERAL DRUGS 2\/> ADMINISTRATIONS DIFF MED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2045","CodeVersion":"2020","CustomName":"HOSPICE GENERAL INPATIENT CARE; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5522","CodeVersion":"2020","CustomName":"HOM INFUS TX INSRTION PICC NRS SRVC ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0785","CodeVersion":"2020","CustomName":"IMPLANTABLE INTRASPINL CATHETER USED W\/PUMP-REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9548","CodeVersion":"2020","CustomName":"FINAL REPORTS IMAG STDY STAT NO F\/U IMAG RECOM"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6601","CodeVersion":"2020","CustomName":"RETAINER INLAY - PORCELAIN\/CERAMIC 3\/MORE SURF"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4435","CodeVersion":"2020","CustomName":"OST POUCH DRAIN HI OP EXT WEAR BARR W\/WO FLTR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9143","CodeVersion":"2020","CustomName":"WARFARIN RSPN TEST GEN TECH ANY METH ANY # SPEC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7008","CodeVersion":"2020","CustomName":"LG VOL NEBULIZR DISPBL PREFIL W\/AROSL COMPRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0065","CodeVersion":"2020","CustomName":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6258","CodeVersion":"2020","CustomName":"TRNSPRT FILM STERL >16 SQ BUT<\/= 48 SQ EA DRESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5610","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4373","CodeVersion":"2020","CustomName":"OST SKN BARR W\/FLNGE W\/BUILT-IN CONVXITY SZ EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8833","CodeVersion":"2020","CustomName":"PATIENT NOT D\/C HOME POSTOP DAY #2 FOLLOW EVAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4372","CodeVersion":"2020","CustomName":"OST SKIN BARR SOL 4X4\/EQUV STD WEAR CONVXITY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2765","CodeVersion":"2020","CustomName":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.93","CodeVersion":"2017","CustomName":"NONMECHANICAL METHODS OF RESUSCITATION"},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5875","CodeVersion":"2020","CustomName":"MOD REMV PROSTH FOLLOW IMPL SURG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4358","CodeVersion":"2020","CustomName":"URINARY LEG BAG; VINYL W\/WO TUBE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9899","CodeVersion":"2020","CustomName":"SCR DX FILM DIGITAL\/DBT MAMMO RESULTS DOC & REV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4164","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; CARBS 50%\/LESS - HOM MIX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5702","CodeVersion":"2020","CustomName":"REPLCMT SOCKT HIP DISARTIC W\/HIP JNT MOLD PT MDL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1701","CodeVersion":"2020","CustomName":"PFIZER-BIONTECH COVID-19"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10A04ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERQ ENDOSCOPIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3995","CodeVersion":"2020","CustomName":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE\/EQUAL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9056","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1716","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED GOLD-198 PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0191","CodeVersion":"2020","CustomName":"HEEL OR ELBOW PROTECTOR EACH"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"30060","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4261F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68102","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0200T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63471","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107656","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0590T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4187F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0288T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0345U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89848","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1815","CodeVersion":"2020","CustomName":"DYN ADJ ANKLE EXT\/FLEX DEVC INCL SOFT INTF MATL"},{"ServiceGroup":"106928","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1882","CodeVersion":"2020","CustomName":"CARDIOVERT-DEFIB OTH THAN SINGLE\/DUAL CHAMB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9055","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3429","CodeVersion":"2020","CustomName":"BONE GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4399","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SUPPLY; CONE\/CATH W\/WO BRUSH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5790","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4910","CodeVersion":"2020","CustomName":"PERIODONTAL MAINTENANCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2643","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAMIC - 3 SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8903","CodeVersion":"2020","CustomName":"MR IMAGING WITH CONTRAST BREAST; UNILATERAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8310","CodeVersion":"2020","CustomName":"TRUSS DOUBLE WITH STANDARD PADS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6360","CodeVersion":"2020","CustomName":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4230","CodeVersion":"2020","CustomName":"COGENEX FLOWABLE AMNION PER 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9293","CodeVersion":"2020","CustomName":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2506","CodeVersion":"2020","CustomName":"SPEECH GEN DEVICE DIGITIZED >40 MINS REC TIME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7039","CodeVersion":"2020","CustomName":"FILTER NON DISPBL USED W\/POS ARWAY PRESS DEVICE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8515","CodeVersion":"2020","CustomName":"CABERGOLINE ORAL 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4081","CodeVersion":"2020","CustomName":"NASOGASTRIC TUBING WITH STYLET"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2004","CodeVersion":"2020","CustomName":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2718","CodeVersion":"2020","CustomName":"PRESS-ON LENS FRESNELL PRISM PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0428","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5136","CodeVersion":"2020","CustomName":"COMPANION CARE ADULT ; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4269","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2108","CodeVersion":"2020","CustomName":"PT 66\/OLDER INST SNP\/RES LTC >90 D DUR MSR PRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5553","CodeVersion":"2020","CustomName":"INSULIN LONG ACTING; 5 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4928","CodeVersion":"2020","CustomName":"SURGICAL MASK PER 20"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93604","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39524","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6586","CodeVersion":"2020","CustomName":"PREP ELB DISRTC\/ABVE ELB 1 WALL SOCKT DIR FORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4259","CodeVersion":"2020","CustomName":"LANCETS PER BOX OF 100"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9919","CodeVersion":"2020","CustomName":"SCREENING PERF & POS & PROVISION RECOMMENDATIONS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"29294","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"36415","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.95","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTRIC RESTRICTIVE PROCEDURE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"290","CodeType":"ICD9P","Code":"51.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY"},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88317","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0516T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106705","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64718","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90377","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4139","CodeVersion":"2020","CustomName":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B9998","CodeVersion":"2020","CustomName":"NOC FOR ENTERAL SUPPLIES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9293","CodeVersion":"2020","CustomName":"INJECTION MITOXANTRONE HCL PER 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8020","CodeVersion":"2020","CustomName":"LTD ORTHODONT TX TRNSITIONL DENTITN"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3977","CodeVersion":"2020","CustomName":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4221","CodeVersion":"2020","CustomName":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9357","CodeVersion":"2020","CustomName":"INJECTION VALRUBICIN INTRAVESICAL 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9960","CodeVersion":"2020","CustomName":"AMB SERVICE AIR NONEMERGENCY 1 WAY FIXED WING"},{"ServiceGroup":"113615","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4190","CodeVersion":"2020","CustomName":"ARTACENT AC PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0558","CodeVersion":"2020","CustomName":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4050","CodeVersion":"2020","CustomName":"CAST SUPPLIES UNLISTED TYPES&MATERIALS OF CASTS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3243","CodeVersion":"2020","CustomName":"INJECTION TIGECYCLINE 1 MG"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1572","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4013","CodeVersion":"2020","CustomName":"MENTAL\/BEHAVIORAL HEALTH MIPS SPECIALTY SET"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1733","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP NOT COOL-TIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3740","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/CUFF ADJ LOCK W\/ACTV CNTRL CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8510","CodeVersion":"2020","CustomName":"SCREENING DEPRESSION DOC NEG A F\/U PLAN NOT RQR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9368","CodeVersion":"2020","CustomName":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0005","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; GROUP CNSL CLINICIAN"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37317","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4152","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9177","CodeVersion":"2020","CustomName":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0285","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2652","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-3\/>SURF"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1594","CodeVersion":"2020","CustomName":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0480","CodeVersion":"2020","CustomName":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP\/REPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4430","CodeVersion":"2020","CustomName":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5781","CodeVersion":"2020","CustomName":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1451","CodeVersion":"2020","CustomName":"INJECTION FOMEPIZOLE 15 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0458","CodeVersion":"2020","CustomName":"LOW DOSE RATE PROSTATE BRACHYTX SRVC COMPOS RATE"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"22818","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0229","CodeVersion":"2020","CustomName":"Special Charges - Other Special Charges"},{"ServiceGroup":"32539","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"842","CodeVersion":"2020","CustomName":"Lymphoma and Nonacute Leukemia without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.97","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REMV GASTRIC RESTRICTIVE DEVICE(S)"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"37.22","CodeVersion":"2017","CustomName":"LEFT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0740","CodeVersion":"2020","CustomName":"REPR\/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0840","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9357","CodeVersion":"2020","CustomName":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9612","CodeVersion":"2020","CustomName":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1094","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE ACETATE 1 MG"},{"ServiceGroup":"13127","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"11442","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"69044","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"13368","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"70939","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0349","CodeVersion":"2020","CustomName":"Nuclear Medicine - Other Nuclear Medicine"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"9879","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"107749","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"709","CodeVersion":"2020","CustomName":"HIV W MAJOR RELATED DIAG W MULT MAJOR OR SIGN DIAG W TB-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"88.55","CodeVersion":"2017","CustomName":"CORONARY ARTERIOGRAPHY USING SINGLE CATHETER"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104760","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10986","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0255U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87448","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9911","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3354F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3343F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0218T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88101","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0124T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6073","CodeVersion":"2020","CustomName":"ABUT RETN CAST METL FPD BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6013","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING;11-19 MEV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9157","CodeVersion":"2020","CustomName":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3208","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH INFANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0170","CodeVersion":"2020","CustomName":"ANASTROZOLE ORAL 1 MG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0636","CodeVersion":"2020","CustomName":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5875","CodeVersion":"2020","CustomName":"MOD REMV PROSTH FOLLOW IMPL SURG"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0191","CodeVersion":"2020","CustomName":"HEEL OR ELBOW PROTECTOR EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7200","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX RIXUBIS PER IU"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4500","CodeVersion":"2020","CustomName":"SURGICAL STOCKING BELOW KNEE LENGTH EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6250","CodeVersion":"2020","CustomName":"PONTIC - RESIN W\/HIGH NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0622","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1436","CodeVersion":"2020","CustomName":"INJECTION ETIDRONATE DISODIUM PER 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9214","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3511F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2840","CodeVersion":"2020","CustomName":"INJECTION SEBELIPASE ALFA 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0242","CodeVersion":"2020","CustomName":"BATHTUB RAIL FLOOR BASE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0272","CodeVersion":"2020","CustomName":"BITEWINGS - TWO RADIOGRAPHIC IMAGES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4105","CodeVersion":"2020","CustomName":"INTEGRA DRT\/INTEGRA OMNIGR DRML RGN MTX P SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2795","CodeVersion":"2020","CustomName":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1092","CodeVersion":"2020","CustomName":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0785","CodeVersion":"2020","CustomName":"IMPLANTABLE INTRASPINL CATHETER USED W\/PUMP-REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9140","CodeVersion":"2020","CustomName":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2175","CodeVersion":"2020","CustomName":"EPIS PT COMRBD CND DUR 12 M PRIOR TO\/ON EPIS DT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2627","CodeVersion":"2020","CustomName":"CATHETER SUPRAPUBIC\/CYSTOSCOPIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0433","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2278","CodeVersion":"2020","CustomName":"INJECTION ZICONOTIDE 1 MICROGRAM"},{"ServiceGroup":"68190","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"495","CodeVersion":"2020","CustomName":"Lung transplant"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4248F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108769","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0476T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0253T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88101","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104743","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0626T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0084A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0157T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100269","CodeType":"CPT","Code":"90632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33662","CodeType":"HCPCS","Code":"G0339","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1650","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL STAT ADJ PRFAB-FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9230","CodeVersion":"2020","CustomName":"INJECTION MECHLORETHAMINE HCL 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7038","CodeVersion":"2020","CustomName":"FILTER DISPBL USED W\/POS ARWAY PRESSURE DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9680","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES W\/CHF BILLD SID-BENEF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4212","CodeVersion":"2020","CustomName":"ALLOGEN PER CC"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0638","CodeVersion":"2020","CustomName":"INJECTION CANAKINUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4172","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID 5.5 THRU 7%-HOM MIX"},{"ServiceGroup":"68259","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0812","CodeVersion":"2020","CustomName":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1240","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LUMBAR DEROTATION PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5629","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0158","CodeVersion":"2020","CustomName":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0640","CodeVersion":"2020","CustomName":"INJECTION LEUCOVORIN CALCIUM PER 50 MG"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0910","CodeVersion":"2020","CustomName":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W\/GRAB BAR"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2628","CodeVersion":"2020","CustomName":"CATHETER OCCLUSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0480","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/O INTERFCE LINER CSTM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7210","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII AFSTYLA 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1014","CodeVersion":"2020","CustomName":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4036","CodeVersion":"2020","CustomName":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7501","CodeVersion":"2020","CustomName":"AZATHIOPRINE PARENTERAL100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2606","CodeVersion":"2020","CustomName":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4032","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9501","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q12 HRS DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9092","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1734","CodeVersion":"2020","CustomName":"ORTHOPEDIC\/DEVC\/DX MATRIX OPP BTB\/SFT TISS-TO BN"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113693","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1722","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR SINGLE CHAMBER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4346","CodeVersion":"2020","CustomName":"SCALING PRESENCE GEN MOD\/SEV GINGIVAL INFLAMM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0311","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/OTH Q HCP VAC NA SAME DOS 16-30 MM"},{"ServiceGroup":"78045","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0032","CodeVersion":"2020","CustomName":"2< ANTIPSY RX DX SCZ OR BP DIS 1\/1 YR RX ANTIPSY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0443","CodeVersion":"2020","CustomName":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9090","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0044","CodeVersion":"2020","CustomName":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9144","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG & HYALURONIDASE-FIHJ"},{"ServiceGroup":"64203","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"31505","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0845","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"61818","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"58508","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"21358","CodeType":"DRG","Code":"259","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35683","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103606","CodeType":"CPT","Code":"99463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83901","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4145F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24805","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109151","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0982","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - OUTPATIENT SERVICES"},{"ServiceGroup":"23850","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"33311","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"73501","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.62","CodeVersion":"2017","CustomName":"REPR CURRNT OBSTETRIC LAC RECT&SPHNCTR ANI"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107656","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52954","CodeType":"CPT","Code":"90862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13294","CodeType":"ICD9P","Code":"88.94","CodeVersion":"2017","CustomName":"MR IMAGING OF MUSCULOSKELETAL STRUCTURES"},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0071T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83960","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0182","CodeVersion":"2020","CustomName":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4253","CodeVersion":"2020","CustomName":"BLD GLU TEST\/REAGT STRIPS HOME BLD GLU MON-50"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0190","CodeVersion":"2020","CustomName":"INJECTION BIPERIDEN LACTATE PER 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9860","CodeVersion":"2020","CustomName":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4017","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6935","CodeVersion":"2020","CustomName":"BELW ELB OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9444","CodeVersion":"2020","CustomName":"PARENTING CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2607","CodeVersion":"2020","CustomName":"SKN PROTECT&PSTN WC SEAT CUSHN WDTH <22 IN DEPTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H1002","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0649","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1040","CodeVersion":"2020","CustomName":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6097","CodeVersion":"2020","CustomName":"ABUTMENT SUPP CROWN - PORCELAIN FU TI & TI ALLOY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5321","CodeVersion":"2020","CustomName":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9854","CodeVersion":"2020","CustomName":"PATIENT WAS NOT ADM TO ICU IN LAST 30 DA OF LIFE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0171","CodeVersion":"2020","CustomName":"RE-EVALUATION - POST-OPERATIVE OFFICE VISIT"},{"ServiceGroup":"106598","CodeType":"HCPCS","Code":"V5253","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A8001","CodeVersion":"2020","CustomName":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8047","CodeVersion":"2020","CustomName":"NASAL SEPTAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7291","CodeVersion":"2020","CustomName":"TRNSSEPTL\/SUPRA CRESTAL FIBEROT RPT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4035","CodeVersion":"2020","CustomName":"STIM INTRAUTERINE INSEMINATION CASE RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9320","CodeVersion":"2020","CustomName":"INJECTION STREPTOZOCIN 1 G"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"07DR3ZZ","CodeVersion":"2020","CustomName":"EXTRACTION OF ILIAC BONE MARROW PERCUTANEOUS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9920","CodeVersion":"2020","CustomName":"SCREENING PERFORMED AND NEGATIVE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7612","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0472","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/BACKUP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0471","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/BACK-UP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5701","CodeVersion":"2020","CustomName":"REPL SOCKT ABVE KNEE\/KNEE DISARTIC W\/ATTCH PLAT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2151","CodeVersion":"2020","CustomName":"DOC PT DX DEGEN NEURO CND DX ANY TM EPIS CARE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0542","CodeVersion":"2020","CustomName":"Ambulance - Medical Transport"},{"ServiceGroup":"34343","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"70041","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0261","CodeVersion":"2020","CustomName":"IV Therapy - Infusion Pump"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"480","CodeVersion":"2020","CustomName":"Liver Transplant and\/or Intestinal Transplant"},{"ServiceGroup":"53152","CodeType":"DRG","Code":"259","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0173U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3218F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3272F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34875","CodeType":"ICD9P","Code":"20.96","CodeVersion":"2017","CustomName":"IMPL\/REPLACEMENT COCHLEAR PROSTHETIC DEVICE NOS"},{"ServiceGroup":"47593","CodeType":"ICD9P","Code":"74.2","CodeVersion":"2017","CustomName":"EXTRAPERITONEAL CESAREAN SECTION"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4189F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98564","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88613","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95440","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2030","CodeVersion":"2020","CustomName":"ASSISTED LIVING WAIVER; PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2631","CodeVersion":"2020","CustomName":"WC ACCESS ADD MOBILE ARM SUPPORT ELEV PROX ARM"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9488","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 25 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7645","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7560","CodeVersion":"2020","CustomName":"MAXIL SINUSOT REMV TOOTH FRAG\/FB"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0621","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"41406","CodeType":"ICD10P","Code":"4A020N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSUR LT HEART OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7140","CodeVersion":"2020","CustomName":"EXTRAC ERUPTED TOOTH\/EXPOSED ROOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0702","CodeVersion":"2020","CustomName":"INJ BETAMETHASONE ACETATE & PHOSPHATE 3 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7645","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3170","CodeVersion":"2020","CustomName":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9149","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5312","CodeVersion":"2020","CustomName":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0503","CodeVersion":"2020","CustomName":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8937","CodeVersion":"2020","CustomName":"CLIN DID NOT PRSC ACE INHIB\/ARB TX RSN NOT GIVEN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91048","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3300","CodeVersion":"2020","CustomName":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4273","CodeVersion":"2020","CustomName":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7648","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E04316","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C CENTRL VEIN PERQ APPR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8752","CodeVersion":"2020","CustomName":"MOST RECENT SYSTOLIC BLOOD PRESSURE < 140MM HG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4047","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1627","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0513","CodeVersion":"2020","CustomName":"Clinic - Psychiatric Clinic"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"33263","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"36770","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0672","CodeVersion":"2020","CustomName":"Outpatient Special Residence Charges - Contracted"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"61577","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"73485","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"30222","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"482","CodeVersion":"2020","CustomName":"Tracheostomy for face, mouth and neck diagnoses"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0204T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14834","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0656T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105489","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3316F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0252U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8121","CodeVersion":"2020","CustomName":"OXYGEN CONTENTS LIQUID 1 UNIT EQUALS 1 POUND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5924","CodeVersion":"2020","CustomName":"CRANIAL PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6093","CodeVersion":"2020","CustomName":"RECEMENT IMPL\/ABUTMNT SUPPORTED FIX PART DENTURE"},{"ServiceGroup":"106594","CodeType":"HCPCS","Code":"V5248","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL CIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3031","CodeVersion":"2020","CustomName":"INJECTION FREMANEZUMAB-VFRM 1 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1786","CodeVersion":"2020","CustomName":"INJECTION IMIGLUCERASE 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1016","CodeVersion":"2020","CustomName":"CASE MANAGEMENT EACH 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9384","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"299","CodeType":"ICD9P","Code":"92.33","CodeVersion":"2017","CustomName":"PARTICULATE RADIOSURGERY"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5728","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN FLUID SWING&STANCE CNTRL"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1630","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL UP TO 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8878","CodeVersion":"2020","CustomName":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4870","CodeVersion":"2020","CustomName":"PLUMBING &OR ELEC WORK HOME HEMODIAL EQUIPMENT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9065","CodeVersion":"2020","CustomName":"INJECTION CLADRIBINE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5511","CodeVersion":"2020","CustomName":"REPAIR BROKEN COMPLETE DENTURE BASE MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q3028","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4363","CodeVersion":"2020","CustomName":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0032","CodeVersion":"2020","CustomName":"MENTAL HEALTH SERVICE PLAN DVLP NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0660","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL LEG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8510","CodeVersion":"2020","CustomName":"BUSULFAN ORAL 2 MG"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0289","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0850","CodeVersion":"2020","CustomName":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6242","CodeVersion":"2020","CustomName":"PONTIC - PORCELN FUSED NOBLE METAL"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0739","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0231","CodeVersion":"2020","CustomName":"NON-CNTC WND WARMING DEVC W\/WARMING CARD&COVR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9486","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 10 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4277","CodeVersion":"2020","CustomName":"FREE SFT TSS GFT PROC 1ST T\/EDNTULS T PSTN GFT"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3221","CodeVersion":"2020","CustomName":"PULPAL DEBRID PRIMARY&PERM TEETH"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0783","CodeVersion":"2020","CustomName":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE"},{"ServiceGroup":"113615","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9630","CodeVersion":"2020","CustomName":"DRUGS\/MEDICAMENTS DISPENSED OFFICE FOR HOME USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6246","CodeVersion":"2020","CustomName":"HYDROGEL DRESS > 16 SQ BUT <\/= 48 SQ W\/ADHES EA"},{"ServiceGroup":"93736","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5050","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL IN THE EAR"},{"ServiceGroup":"439","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"37260","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"104746","CodeType":"REV","Code":"0658","CodeVersion":"2020","CustomName":"Hospice Service - Hospice Room and Board - Nursing Facility"},{"ServiceGroup":"73604","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0823","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"500","CodeVersion":"2020","CustomName":"Back and neck procedures except spinal fusion without CC"},{"ServiceGroup":"58519","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"578","CodeVersion":"2020","CustomName":"Infectious and Parasitic Diseases with O.R. Procedure"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76207","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106065","CodeType":"CPT","Code":"90868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79699","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62260","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0480T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105249","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0430T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8962","CodeVersion":"2020","CustomName":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5228","CodeVersion":"2020","CustomName":"IMMEDIATE MANDIBULAR PARTIAL DENTURE - FLEX BASE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0710","CodeVersion":"2020","CustomName":"RESTRAINT ANY TYPE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1094","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE ACETATE 1 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9591","CodeVersion":"2020","CustomName":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8189","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SUPPLY NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8699","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND FIXED RETAINER - MANDIBUL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7331","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE SYNOJOYNT IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0401","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"U0001","CodeVersion":"2020","CustomName":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2469","CodeVersion":"2020","CustomName":"INJECTION PALONOSETRON HCL 25 MCG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5914","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1372","CodeVersion":"2020","CustomName":"IMMERSION EXTERNAL HEATER FOR NEBULIZER"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9312","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0138","CodeVersion":"2020","CustomName":"FINASTERIDE 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5181","CodeVersion":"2020","CustomName":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3452F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11043","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0157","CodeVersion":"2020","CustomName":"CRUTCH ATTACHMENT WALKER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1832","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9737","CodeVersion":"2020","CustomName":"PT UN COMPL ELBO\/WRST\/H FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5617","CodeVersion":"2020","CustomName":"ADD LW EXTRM QUICK CHG SLF-ALIGN U AK\/BK EA"},{"ServiceGroup":"68185","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"33659","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"29146","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"588","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"51672","CodeType":"DRG","Code":"287","CodeVersion":"2020","CustomName":"Skin grafts and wound debridement for endocrine, nutritional, and metabolic disorders"},{"ServiceGroup":"29340","CodeType":"DRG","Code":"262","CodeVersion":"2020","CustomName":"Breast biopsy and local excision for non-malignancy"},{"ServiceGroup":"21040","CodeType":"DRG","Code":"652","CodeVersion":"2020","CustomName":"HIGH RISK VAGINAL DELIVERY W STERILIZATION AND\/OR D-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34343","CodeType":"ICD9P","Code":"55.04","CodeVersion":"2017","CustomName":"PERCUTANEOUS NEPHROSTOMY WITH FRAGMENTATION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12413","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0258T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64795","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3475F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90429","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81567","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72041","CodeType":"CPT","Code":"99245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0110U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1815","CodeVersion":"2020","CustomName":"PROSTHESIS URINARY SPHINCTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0333","CodeVersion":"2020","CustomName":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0180","CodeVersion":"2020","CustomName":"INJECTION AGALSIDASE BETA 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2215","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS BIFOCAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1062","CodeVersion":"2020","CustomName":"VITRECTOMY MECH PP APP SR INJ PHRMACL\/BIOL AGENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4612","CodeVersion":"2020","CustomName":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2000","CodeVersion":"2020","CustomName":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8850","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2405","CodeVersion":"2020","CustomName":"ADDITION TO KNEE JOINT DROP LOCK EACH"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4255","CodeVersion":"2020","CustomName":"REGUARD FOR TOPICAL USE ONLY PER SQ CM"},{"ServiceGroup":"113574","CodeType":"HCPCS","Code":"A0431","CodeVersion":"2020","CustomName":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2430","CodeVersion":"2020","CustomName":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2357","CodeVersion":"2020","CustomName":"INJECTION OMALIZUMAB 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9794","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN\/OTH AP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5512","CodeVersion":"2020","CustomName":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1602","CodeVersion":"2020","CustomName":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5646","CodeVersion":"2020","CustomName":"ADD LOW EXT BELOW KNEE AIR FL GEL\/= CUSHN SOCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2042","CodeVersion":"2020","CustomName":"TISAGENLECLEUCEL TO 600 M CAR-POS VI T CE PER TD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5959","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTH MODIFICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0439","CodeVersion":"2020","CustomName":"STATION LQD O2 SYS RENT; FLWMTR HUMIDFR NEBULIZR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4262","CodeVersion":"2020","CustomName":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2106","CodeVersion":"2020","CustomName":"AFO FX ORTHOS TIB FX CAST THERMOPLSTC CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8578","CodeVersion":"2020","CustomName":"REOP NOT REQ MEDIAST BLEED GFT OCCL\/OTH REASN"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5284","CodeVersion":"2020","CustomName":"ASSIST LIST DEVICE PERS FM\/DM EAR LEVEL RECEIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9483","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 30 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9551","CodeVersion":"2020","CustomName":"FINAL RPT IMAG STDY W\/O INCIDENTAL FND LES NOTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5120","CodeVersion":"2020","CustomName":"SKIN BARRIER WIPES OR SWABS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9754","CodeVersion":"2020","CustomName":"A FINDING OF AN INCIDENTAL PULMONARY NODULE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3460","CodeVersion":"2020","CustomName":"HEEL NEW RUBBER STANDARD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1165","CodeVersion":"2020","CustomName":"INJECTION PHENYTOIN SODIUM PER 50 MG"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"82884","CodeType":"REV","Code":"0900","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - General Classification"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0385","CodeVersion":"2020","CustomName":"Blood and Blood Components - Leukocytes"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"10411","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.22","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION WITH EXTRACTION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91586","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0270T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111777","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0313U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2107","CodeVersion":"2020","CustomName":"PT 66 &>CLM FRLTY & 1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8849","CodeVersion":"2020","CustomName":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5211","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/ITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4387","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED W\/BARR BUILT-IN CONVEXITY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8785","CodeVersion":"2020","CustomName":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9509","CodeVersion":"2020","CustomName":"ADULT 18 YR\/OLDER MD\/DYSTHYMIA REMISS AT 12 MO"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1520","CodeVersion":"2020","CustomName":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5552","CodeVersion":"2020","CustomName":"INSULIN INTERMEDIATE ACTING; 5 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1500","CodeVersion":"2020","CustomName":"CENTRIFUGE FOR DIALYSIS"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0331","CodeVersion":"2020","CustomName":"PET IMAGING RESTAGING OVARIAN"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8700","CodeVersion":"2020","CustomName":"TEMOZOLOMIDE ORAL 5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1850","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 75 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2512","CodeVersion":"2020","CustomName":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9046","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 25% 20 ML"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1364","CodeVersion":"2020","CustomName":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9762","CodeVersion":"2020","CustomName":"CMRI MORPHOL & FUNC QUAN SEG DYSFUNC;STRAIN IMAG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81571","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4177","CodeVersion":"2020","CustomName":"FLOWERAMNIOFLO 0.1 CC"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4394","CodeVersion":"2020","CustomName":"REPLACE SOFT INTERFACE MATERIAL FOOT DROP SPLINT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4236","CodeVersion":"2020","CustomName":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"33825","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0602","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply <1 LPM"},{"ServiceGroup":"9916","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"9537","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"70045","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0399","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS-OTH BLOOD HANDLING"},{"ServiceGroup":"33813","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"61818","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"16","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"115","CodeVersion":"2020","CustomName":"Permanent cardiac pacemaker implant with acute MI, heart failure, or shock or AICD lead or general procedure"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69700","CodeType":"ICD9P","Code":"86.94","CodeVersion":"2017","CustomName":"INSRT\/REPL 1 ARRAY NEUROSTIM GEN NS RECHRGABLE"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14892","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0146U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78097","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44423","CodeType":"HCPCS","Code":"T1021","CodeVersion":"2020","CustomName":"HOME HEALTH AIDE\/CERTIFIED NURSE ASST PER VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1823","CodeVersion":"2020","CustomName":"INJECTION INEBILIZUMAB-CDON 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2225","CodeVersion":"2020","CustomName":"MYRINGOTOMY LASER-ASSISTED"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1427","CodeVersion":"2020","CustomName":"INJECTION VILTOLARSEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2050","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6110","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8511","CodeVersion":"2020","CustomName":"INSRT INDWLL TRACHEOESOPH PROS W\/WO VALV REPLCMT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6885","CodeVersion":"2020","CustomName":"REPL SOCKET SD\/INTERSCAPULAR THOR MOLD PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2009","CodeVersion":"2020","CustomName":"SYMPHONY PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9311","CodeVersion":"2020","CustomName":"CONSULTATION W\/MEDICAL HEALTH CARE PROFESSIONAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1007","CodeVersion":"2020","CustomName":">=50% OF TOT NUMBER OF A PT O\/P RA ENC ASSESSED"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4154","CodeVersion":"2020","CustomName":"BIOVANCE PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9275","CodeVersion":"2020","CustomName":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5925","CodeVersion":"2020","CustomName":"FACIAL AUGMENTATION IMPLANT PROSTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7040","CodeVersion":"2020","CustomName":"PREHENSILE ACTUATOR SWITCH CONTROLLED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0485","CodeVersion":"2020","CustomName":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2212","CodeVersion":"2020","CustomName":"PROLONG OFC\/OP E&M BYND REQ TIME; EA ADD 15 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1027","CodeVersion":"2020","CustomName":"ORAL DEV\/APPL RED U AW COL WO F MCH HNG CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5073","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; USE BARRIER W\/FLANGE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5660","CodeVersion":"2020","CustomName":"ADD CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9431","CodeVersion":"2020","CustomName":"PATH RPRT NO PT CAT & STM THK ULCER & MITOTIC RA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4275","CodeVersion":"2020","CustomName":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT"},{"ServiceGroup":"87317","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"188","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0931","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Half Day"},{"ServiceGroup":"61817","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"15386","CodeType":"REV","Code":"0510","CodeVersion":"2020","CustomName":"Clinic - General Classification"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0380","CodeVersion":"2020","CustomName":"Blood and Blood Components - General Classification"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28550","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105245","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.91","CodeVersion":"2017","CustomName":"EVAC OBSTETRICAL INCISIONAL HEMATOMA PERINEUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0323U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0023A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4086F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4240F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92196","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90427","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3390F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0169U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.93","CodeVersion":"2017","CustomName":"NONMECHANICAL METHODS OF RESUSCITATION"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3763F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.77","CodeVersion":"2017","CustomName":"TEMPORARY PARTIAL TX ENDOVASCULAR OCCLUSION VESS"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9605","CodeVersion":"2020","CustomName":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9047","CodeVersion":"2020","CustomName":"INJECTION CARFILZOMIB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9759","CodeVersion":"2020","CustomName":"TRANSCATHETER IO BLOOD VESSEL MICROINFUSION TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9500","CodeVersion":"2020","CustomName":"RAD EXP INDICES\/EXP TM & NUMB FLUORO IMAGES DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5976","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8857","CodeVersion":"2020","CustomName":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4192","CodeVersion":"2020","CustomName":"RESTORIGIN 1 CC"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2543","CodeVersion":"2020","CustomName":"INJ PIPERACILLIN SOD\/TAZOBACTAM SOD 1 G\/0.125 G"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5500","CodeVersion":"2020","CustomName":"INIT BELW KNEE PTB SOCKT NON-ALIGN DIR FORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2202","CodeVersion":"2020","CustomName":"ECHOSCLEROTHERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1520","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - REMOVABLE UNI - PER QUADRANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2000","CodeVersion":"2020","CustomName":"GASTR SUCTION PUMP HOM MODEL PRTBLE\/STATION ELEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T5001","CodeVersion":"2020","CustomName":"POSITIONING SEAT PERSON SPECIAL\/ORTHOPEDIC NEED"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5126","CodeVersion":"2020","CustomName":"ATTENDANT CARE SERVICES; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4195","CodeVersion":"2020","CustomName":"PURAPLY PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1725","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER"},{"ServiceGroup":"34872","CodeType":"ICD10P","Code":"08RJ3JZ","CodeVersion":"2020","CustomName":"REPLACEMENT RIGHT LENS SYNTHETIC SUBSTITUTE PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0371","CodeVersion":"2020","CustomName":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN&WDTH"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8431","CodeVersion":"2020","CustomName":"COMPRESSION BANDAGE ROLL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7345","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMIN 10% GEL 10 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2052","CodeVersion":"2020","CustomName":"SERVICES SUPPLIES IN HOME MEDICARE IVIG DEM"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0630","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB"},{"ServiceGroup":"74860","CodeType":"HCPCS","Code":"G0158","CodeVersion":"2020","CustomName":"SERVICE OT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9065","CodeVersion":"2020","CustomName":"INJECTION CLADRIBINE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2206","CodeVersion":"2020","CustomName":"PT RECEIVED ADJ TX COURSE CHEMO & HER2-TGT TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8040","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0602","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING MOD RISK"},{"ServiceGroup":"22407","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"73806","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0509","CodeVersion":"2020","CustomName":"Outpatient Services - Other Outpatient"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0853","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"56603","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"64838","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"295","CodeVersion":"2020","CustomName":"Diabetes, age 0-35"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"47.11","CodeVersion":"2017","CustomName":"LAPAROSCOPIC INCIDENTAL APPENDECTOMY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0262U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0669T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0201U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68055","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74.1","CodeVersion":"2017","CustomName":"LOW CERVICAL CESAREAN SECTION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3492F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0315T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104724","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0437T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3393","CodeType":"CPT","Code":"90807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44884","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0326U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32994","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5250","CodeVersion":"2020","CustomName":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4390","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE W\/EXT BARRIER W\/CONVXITY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7045","CodeVersion":"2020","CustomName":"ELEC HOOK SWITCH\/MYOELECTRIC CONTOL PEDIATRIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2634","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRAND IODINE-125 >1.01 MCI PER SRC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4194","CodeVersion":"2020","CustomName":"NOVACHOR PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0157","CodeVersion":"2020","CustomName":"CRUTCH ATTACHMENT WALKER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0219","CodeVersion":"2020","CustomName":"PET IMAG WHOLE BODY; MELANOMA NON-COVR INDICATS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7412","CodeVersion":"2020","CustomName":"EXCISION BENIGN LESION COMPLICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9982","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 60 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0636","CodeVersion":"2020","CustomName":"INJECTION CALCITRIOL 0.1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9990","CodeVersion":"2020","CustomName":"SERVICES PROVIDED AS PART PHASE II CLIN TRIAL"},{"ServiceGroup":"36137","CodeType":"ICD10P","Code":"3E030U0","CodeVersion":"2020","CustomName":"INTRODUCTION AUTO PANC ISLET CELL PERIPH VN OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0864","CodeVersion":"2020","CustomName":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1028","CodeVersion":"2020","CustomName":"PS & CTRL ELEC U O DVC\/APPL NM ELEC STIM TNG M"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3471","CodeVersion":"2020","CustomName":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3411","CodeVersion":"2020","CustomName":"INJECTION THIAMINE HCL 100 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5580","CodeVersion":"2020","CustomName":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC\/=MOLD MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1062","CodeVersion":"2020","CustomName":"VITRECTOMY MECH PP APP SR INJ PHRMACL\/BIOL AGENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1575","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN\/HYALURONIDASE 100 MG IG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7202","CodeVersion":"2020","CustomName":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0604","CodeVersion":"2020","CustomName":"CINACALCET ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0430","CodeVersion":"2020","CustomName":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69689","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4002","CodeVersion":"2020","CustomName":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5262","CodeVersion":"2020","CustomName":"HEARING AID DISPOSABLE ANY TYPE MONAURAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4155","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITIONALLY INCMPL\/MODULAR NUTRIENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2280","CodeVersion":"2020","CustomName":"INJECTION MOXIFLOXACIN 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9453","CodeVersion":"2020","CustomName":"DOC PT RSN FOR NOT RECV 1-TIME SCR FOR HCV INF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7001","CodeVersion":"2020","CustomName":"CANISTER NON-DISPOSABLE USED W\/SUCTION PUMP EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9778","CodeVersion":"2020","CustomName":"COLPOPEXY VAGINAL; MI EXTRAPERITONEAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0553","CodeVersion":"2020","CustomName":"SUPPLY ALLOW FOR TX CGM1 MO SPL = 1 U OF SERVICE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9454","CodeVersion":"2020","CustomName":"STRESS MGMT CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7657","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9042","CodeVersion":"2020","CustomName":"INJECTION BRENTUXIMAB VEDOTIN 1 MG"},{"ServiceGroup":"70043","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"51543","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"68189","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0802","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)"},{"ServiceGroup":"108081","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"1942","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"9937","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"12031","CodeType":"REV","Code":"0292","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Purchase of New DME"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1071F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91478","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"5010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0004M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32994","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3370F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27252","CodeType":"CPT","Code":"90810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87845","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.66","CodeVersion":"2017","CustomName":"OTHER EXCISION OF ABDOMINAL ARTERIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0498T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89944","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0345T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0288U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87448","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6970","CodeVersion":"2020","CustomName":"INTERSCAP-THOR OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9395","CodeVersion":"2020","CustomName":"INJECTION FULVESTRANT 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0102","CodeVersion":"2020","CustomName":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0836","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7012","CodeVersion":"2020","CustomName":"WATER COLLEC DEV USE W\/LG VOL NEB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1088","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2680","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2040","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2610","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS\/THRUST BEAR LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1660","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1205","CodeVersion":"2020","CustomName":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0494","CodeVersion":"2020","CustomName":"SKILLED SRVC LPN OBS & ASMT PT COND EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0386","CodeVersion":"2020","CustomName":"MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0750","CodeVersion":"2020","CustomName":"IMPLANTABLE ELECTRICAL NERVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0155","CodeVersion":"2020","CustomName":"STERILE DILUTANT FOR EPOPROSTENOL 50 ML"},{"ServiceGroup":"70241","CodeType":"HCPCS","Code":"C2640","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED PALLADIUM-103 PER SOURCE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4135","CodeVersion":"2020","CustomName":"MEDISKIN PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1406","CodeVersion":"2020","CustomName":"OXYGEN&WATR VAPOR ENRICHING SYS W\/O HEATED DELIV"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3590","CodeVersion":"2020","CustomName":"UNCLASSIFIED BIOLOGICS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0088","CodeVersion":"2020","CustomName":"IMATINIB 100 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9410","CodeVersion":"2020","CustomName":"PT ADM WI 180 DAYS POST CIED W\/INF RQR DEVC REMV"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9964","CodeVersion":"2020","CustomName":"PT RECV AT LEAST 1 WCV W\/PCP DUR PRFRM PERIOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3222","CodeVersion":"2020","CustomName":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8903","CodeVersion":"2020","CustomName":"MR IMAGING WITH CONTRAST BREAST; UNILATERAL"},{"ServiceGroup":"90477","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2920","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 40 MG"},{"ServiceGroup":"977","CodeType":"REV","Code":"0340","CodeVersion":"2020","CustomName":"Nuclear Medicine - General Classification"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0986","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EEG"},{"ServiceGroup":"33270","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"147","CodeType":"REV","Code":"0602","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply <1 LPM"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"694","CodeVersion":"2020","CustomName":"Urinary Stones without ESW Lithotripsy without MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"472","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3273F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81568","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104254","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10985","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0590T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0585T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0120U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37516","CodeType":"ICD9P","Code":"93.9","CodeVersion":"2017","CustomName":"RESPIRATORY THERAPY"},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.54","CodeVersion":"2017","CustomName":"REPL\/REPR OTH IMPL CMPNT TOT REPL HEART SYS"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9605","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG; EA ADD BR SUBTEND BP GFT"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9358","CodeVersion":"2020","CustomName":"DERM SUBST NAT NONDNTR COL FET BOV PER 0.5 SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8080","CodeVersion":"2020","CustomName":"SCINTIMAMMOGRAPHY UNI INCL SUPPLY RADIOPHARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2002","CodeVersion":"2020","CustomName":"MIRRAGEN ADVANCED WOUND M"},{"ServiceGroup":"104021","CodeType":"HCPCS","Code":"C9739","CodeVersion":"2020","CustomName":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 1-3 IMPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5535","CodeVersion":"2020","CustomName":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0650","CodeVersion":"2020","CustomName":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0113","CodeVersion":"2020","CustomName":"PINWORM EXAMINATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9155","CodeVersion":"2020","CustomName":"ARTFICIAL SALIVA 30 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0172","CodeVersion":"2020","CustomName":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9144","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG & HYALURONIDASE-FIHJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1553","CodeVersion":"2020","CustomName":"RE-CEMENT\/RE-BOND UNI SPACE MAINTAINR - PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0293","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT HI-LO W\/O SIDE RAIL NO MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3332","CodeVersion":"2020","CustomName":"INCMPL ENDO TX;INOP UNRSTR\/FX TOOTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J3490","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9212","CodeVersion":"2020","CustomName":"TRIGEMINAL DIVISION BLOCK ANES"},{"ServiceGroup":"24290","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9019","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE ERWINAZE 1000 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5122","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2115","CodeVersion":"2020","CustomName":"PT 66-80 Y CLM FRLTY & DISP MED DEMENT MP\/YR MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0492","CodeVersion":"2020","CustomName":"DIALYSIS 1 EVAL PHYSICIAN AC KID INJ W\/O ESRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0073","CodeVersion":"2020","CustomName":"INJECTION AZTREONAM 500 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3762F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107190","CodeType":"CPT","Code":"69450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9517","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5916","CodeVersion":"2020","CustomName":"OCULAR PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2607","CodeVersion":"2020","CustomName":"SKN PROTECT&PSTN WC SEAT CUSHN WDTH <22 IN DEPTH"},{"ServiceGroup":"188","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0842","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"30275","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0302","CodeVersion":"2020","CustomName":"Laboratory - Immunology"},{"ServiceGroup":"12184","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"688","CodeVersion":"2020","CustomName":"Kidney and Urinary Tract Neoplasms without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"5250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0042A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0094U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88030","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96380","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0171U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88594","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9282","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RPT HIST TYP\/NSCLC-NOS CLASS W\/E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0137","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5570","CodeVersion":"2020","CustomName":"INSULIN DELIV DEVICE DISPOSABLE PEN; 1.5 ML SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5109","CodeVersion":"2020","CustomName":"HOME CARE TRAINING HOME CARE CLIENT PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5624","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1730","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19\/<"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8911","CodeVersion":"2020","CustomName":"MR ANGIO WITHOUT CONTRST FOLLOWED W\/CONTRST CHST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9596","CodeVersion":"2020","CustomName":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9713","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0475","CodeVersion":"2020","CustomName":"DECALCIFICATION PROCEDURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1225","CodeVersion":"2020","CustomName":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2108","CodeVersion":"2020","CustomName":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0064","CodeVersion":"2020","CustomName":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2076","CodeVersion":"2020","CustomName":"INTK ACT INCL INT MED EX CMPL DOC P EVL&INT ASMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4193","CodeVersion":"2020","CustomName":"COLL-E-DERM PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0185","CodeVersion":"2020","CustomName":"INJECTION APREPITANT 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7180","CodeVersion":"2020","CustomName":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB&TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7523","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SHOWER PROTECTOR EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6588","CodeVersion":"2020","CustomName":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4256","CodeVersion":"2020","CustomName":"MLG-COMPLETE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7507","CodeVersion":"2020","CustomName":"FLTR HLDR&INTGR FLTR W\/O ADHES TRACHEOSTMA EXCHG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0888","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9993","CodeVersion":"2020","CustomName":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9600","CodeVersion":"2020","CustomName":"INJECTION PORFIMER SODIUM 75 MG"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"61817","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0875","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Injection of Modified Cells"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"50942","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"201","CodeVersion":"2020","CustomName":"Other hepatobiliary or pancreas operating room procedures"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"483","CodeVersion":"2020","CustomName":"Tracheostomy with mechanical ventillation 96 or more hours or principal diagnosis except face, mouth and neck"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"799","CodeVersion":"2020","CustomName":"TUBERCULOSIS LEFT AGAINST MEDICAL ADVICE-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104851","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4086F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104736","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112112","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39604","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3492F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0727T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0630T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0432T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0540T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0672T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0013M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"47.01","CodeVersion":"2017","CustomName":"LAPAROSCOPIC APPENDECTOMY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6081","CodeVersion":"2020","CustomName":"SCAL&DEBR PRES INF\/MUCOSIT 1 IMPL NO F ENT&CLOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0638","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2630","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAM - 3\/MORE SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8092","CodeVersion":"2020","CustomName":"ELECTRON BEAM COMPUTED TOMOGRAPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6257","CodeVersion":"2020","CustomName":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4130","CodeVersion":"2020","CustomName":"REPLACE PRETIBIAL SHELL"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2760","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2065","CodeVersion":"2020","CustomName":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8733","CodeVersion":"2020","CustomName":"ELDER MALTX SCR DOC POSITIVE & F\/U PLAN IS DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2082","CodeVersion":"2020","CustomName":"OFF\/OTH OP E&M EST PT PROV 56 MG ESKETAMINE N SA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2650","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-1 SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5200","CodeVersion":"2020","CustomName":"PERCUT CATH\/TUBE ANCHR DEVICE ADHES SKIN ATTCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3203","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE OXFORD W\/SUPINATOR\/PRONATOR JR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1714","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY DIRECTIONAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3471F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4169F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0014","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; AMB DETOXIFICATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4433","CodeVersion":"2020","CustomName":"OST POUCH URIN; FOR BARR W\/LOCKING FLANGE EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0321","CodeVersion":"2020","CustomName":"OTHER TMJ RADIOGRAPHIC IMAGES BY REPORT"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0224","CodeVersion":"2020","CustomName":"Special Charges - Late Discharge, Medically Necessary"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"62537","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"73360","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"51323","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.33","CodeVersion":"2017","CustomName":"FETAL BLOOD SAMPLING AND BIOPSY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83901","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3380F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107747","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0259U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113972","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0609T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0095T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.33","CodeVersion":"2017","CustomName":"ENDOSCOPIC TRANSMYOCARDIAL REVASCULARIZATION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3333","CodeVersion":"2020","CustomName":"INTRL ROOT REPAIR PERFORATION DEFEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2522","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9055","CodeVersion":"2020","CustomName":"PROCUREN\/OTH GROWTH FCT PREP PROMOTE WND HEALING"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0779","CodeVersion":"2020","CustomName":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS\/GT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9497","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q3 HRS DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9351","CodeVersion":"2020","CustomName":"INJECTION TOPOTECAN 0.1 MG"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0744","CodeVersion":"2020","CustomName":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6712","CodeVersion":"2020","CustomName":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0502","CodeVersion":"2020","CustomName":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4023","CodeVersion":"2020","CustomName":"PATHOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1627","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0200","CodeVersion":"2020","CustomName":"INJECTION ALATROFLOXACIN MESYLATE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2017","CodeVersion":"2020","CustomName":"HABILITATION RESIDENTIAL WAIVER; PER 15 MINUTES"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7635","CodeVersion":"2020","CustomName":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"87968","CodeType":"ICD10P","Code":"0DB63ZZ","CodeVersion":"2020","CustomName":"EXCISION \/ OF STOMACH \/ PERCUTANEOUS \/ APPROACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0239","CodeVersion":"2020","CustomName":"TX PROC IMPRV RESP FUNCT\/INCR RESP MUSC 2\/> IND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8427","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE READY MADE"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9110","CodeVersion":"2020","CustomName":"PALLIATVE TX DENTAL PAIN-MINOR PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6233","CodeVersion":"2020","CustomName":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL>48 SQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6198","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GELL DRESS WND PAD > 48 SQ EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7340","CodeVersion":"2020","CustomName":"VESTIBULOPLASTY-RIDGE EXT 2ND EPITH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5621","CodeVersion":"2020","CustomName":"REPAIR CAST PARTIAL FRAMEWORK MANDIBULAR"},{"ServiceGroup":"106668","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1001","CodeVersion":"2020","CustomName":"ELECTRONIC POSIT OBSTRUCTIVE SLEEP APNEA TX SENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0341","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; 2ND\/3RD QTR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9151","CodeVersion":"2020","CustomName":"INJ DAUNORUBICIN CITRATE LIPOSOMAL FORM 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2170","CodeVersion":"2020","CustomName":"PERQ AVF DIR SITE TISS APP TR E&SEC PROC RDR BF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5690","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD&LINED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9319","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7622","CodeVersion":"2020","CustomName":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG"},{"ServiceGroup":"100950","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"10425","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"68190","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"12359","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0542","CodeVersion":"2020","CustomName":"Ambulance - Medical Transport"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"8968","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76602","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90373","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53703","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30654","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107055","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.99","CodeVersion":"2017","CustomName":"OTHER PUNCTURE OF VEIN"},{"ServiceGroup":"91567","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110060","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0112A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.13","CodeVersion":"2017","CustomName":"ENDARTERECTOMY OF UPPER LIMB VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99165","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93030","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5692","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2206","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"9053","CodeType":"ICD10P","Code":"0D1607A","CodeVersion":"2020","CustomName":"BYPASS STOMACH TO JEJUNUM AUTO TISSUE SUBST OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9483","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 30 MINUTES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9177","CodeVersion":"2020","CustomName":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9211","CodeVersion":"2020","CustomName":"INJECTION IDARUBICIN HCL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2139","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4285","CodeVersion":"2020","CustomName":"POLYCARBONATE BOTTLE USE W\/BREAST PUMP REPL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4156","CodeVersion":"2020","CustomName":"NEOX 100 OR CLARIX 100 PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5061","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; W\/BARRIER ATTACHED EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9512","CodeVersion":"2020","CustomName":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9803","CodeVersion":"2020","CustomName":"H O\/P CLI SPEC CLCT SARS-COV-2 COVID-19 ANY SRC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0172","CodeVersion":"2020","CustomName":"INJECTION, ADUCANUMAB-AVWA 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1724","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5716","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9560","CodeVersion":"2020","CustomName":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3455F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86234","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6102F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4037","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7637","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5988","CodeVersion":"2020","CustomName":"SURGICAL SPLINT"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4404","CodeVersion":"2020","CustomName":"OSTOMY RING EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9042","CodeVersion":"2020","CustomName":"INJECTION BRENTUXIMAB VEDOTIN 1 MG"},{"ServiceGroup":"12674","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0963","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (MD)"},{"ServiceGroup":"26205","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0400","CodeVersion":"2020","CustomName":"HST W\/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2389","CodeVersion":"2020","CustomName":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9728","CodeVersion":"2020","CustomName":"PLCMT INTERSTITIAL DEV NOT ABD PELV PROS RP THOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4105","CodeVersion":"2020","CustomName":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6655","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6810","CodeVersion":"2020","CustomName":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8916","CodeVersion":"2020","CustomName":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2861","CodeVersion":"2020","CustomName":"ADD LOW EXT JOINT KNEE\/ANK CSTM FAB ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7189","CodeVersion":"2020","CustomName":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG"},{"ServiceGroup":"95360","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"43428","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"69681","CodeType":"DRG","Code":"515","CodeVersion":"2020","CustomName":"Cardiac defibrillator implant without cardiac catheterization"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"650","CodeVersion":"2020","CustomName":"HIGH RISK CESAREAN SECTION W CC-NYDRG"},{"ServiceGroup":"10059","CodeType":"DRG","Code":"124","CodeVersion":"2020","CustomName":"Circulatory disorders except acute MI, with cardiac catheterization and complex diagnosis"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"003","CodeVersion":"2020","CustomName":"Craniotomy, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4064F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0439T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12197","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0327T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105243","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91032","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0297U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0555T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.06","CodeVersion":"2017","CustomName":"INCISION OF ABDOMINAL ARTERIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"16020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4171","CodeVersion":"2020","CustomName":"INTERFYL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0626","CodeVersion":"2020","CustomName":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0162","CodeVersion":"2020","CustomName":"ONDANSETRON 1 MG ORL NOT EXCEED 48 HR DOSE REG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2411","CodeVersion":"2020","CustomName":"FETOSCOPIC LASER TX FOR TREATMENT-TTTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1630","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL HIP JNT SEMI-FLEX CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2092","CodeVersion":"2020","CustomName":"ACE INHIB\/ARB\/ARNI TH PRSC\/CURRENTLY BEING TAKEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9021","CodeVersion":"2020","CustomName":"RED BLOOD CELLS EACH UNIT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5560","CodeVersion":"2020","CustomName":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1205","CodeVersion":"2020","CustomName":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9267","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL 1 MG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98471","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3380F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109966","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0677T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0116U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0646T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1116F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2750","CodeVersion":"2020","CustomName":"CROWN - PORCELN FUSED HI NOBLE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0605","CodeVersion":"2020","CustomName":"VAPORIZER ROOM TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3255","CodeVersion":"2020","CustomName":"NONSTANDARD SIZE OR LENGTH"},{"ServiceGroup":"99981","CodeType":"HCPCS","Code":"S2079","CodeVersion":"2020","CustomName":"LAP ESOPHAGOMYOTOMY HELLER TYPE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6687","CodeVersion":"2020","CustomName":"UP EXTRM ADD FRME TYPE SCKT BELW ELB\/WRST DISRTC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4025","CodeVersion":"2020","CustomName":"PHYSICAL MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1726","CodeVersion":"2020","CustomName":"CATHETER BALLOON DILATATION NON-VASCULAR"},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10D00Z0","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION HIGH OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9051","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0059","CodeVersion":"2020","CustomName":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9713","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0427","CodeVersion":"2020","CustomName":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2626","CodeVersion":"2020","CustomName":"REDUCTION OF OCULAR PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4168","CodeVersion":"2020","CustomName":"AMNIOBAND 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7402","CodeVersion":"2020","CustomName":"ADD UP EXT PROS SD\/INTRSCAPULR THOR ULTRALT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1727","CodeVersion":"2020","CustomName":"CATHETER BALLOON TISSUE DISSECTOR NON-VASCULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1750","CodeVersion":"2020","CustomName":"CATHETER HEMODIAL\/PERITONEAL LONG-TERM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7041","CodeVersion":"2020","CustomName":"WATER SEAL DRAINAGE CONTAINER & TUBING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7415","CodeVersion":"2020","CustomName":"EXCISION MALIG LESION COMPLICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2009","CodeVersion":"2020","CustomName":"COMP 60 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69689","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9702","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2368","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4028","CodeVersion":"2020","CustomName":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0424","CodeVersion":"2020","CustomName":"STATION COMPRS GASOUS O2 SYS RENT;FLWMTR HUMIDFR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8049","CodeVersion":"2020","CustomName":"REP\/MOD MAXLOFCE PROSTH LABR EA 15 MIN NON-MD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0012","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG OP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0690","CodeVersion":"2020","CustomName":"INJECTION CEFAZOLIN SODIUM 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2621","CodeVersion":"2020","CustomName":"PROSTHETIC,EYE,PLASTIC,STOCK"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1745","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0874","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Infusion of Modified Cells"},{"ServiceGroup":"9510","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"3069","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0335","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - IV"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85570","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90373","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0395T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82298","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0432T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3762F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0527T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"61880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0084U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9432","CodeVersion":"2020","CustomName":"ASTHMA WELL-CNTRL ACT C-ACT ACQ\/ATAQ SC RSLT DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6794","CodeVersion":"2020","CustomName":"RETAINER CROWN - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1059","CodeVersion":"2020","CustomName":"PATIENT HSPC\/REC PALLIAT C ANY TIME DUR PERF PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9470","CodeVersion":"2020","CustomName":"PT NOT RECV CS >\/= 10 MG\/D PDN EQ 60\/GT CONS D"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4463","CodeVersion":"2020","CustomName":"SURGICAL DRESSING HOLDER REUSABLE EACH"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1894","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH NOT GUID INTRACARD EP NON-LASR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5150","CodeVersion":"2020","CustomName":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3351","CodeVersion":"2020","CustomName":"APEXIFICATION\/RECALCIFICATION INITIAL VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9603","CodeVersion":"2020","CustomName":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORAT ACTL MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9364","CodeVersion":"2020","CustomName":"PORCINE IMPLANT PERMACOL PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0371","CodeVersion":"2020","CustomName":"SIALOENDOSCOPY CAPTURE AND INTERPRETATION"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9155","CodeVersion":"2020","CustomName":"ARTFICIAL SALIVA 30 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5631","CodeVersion":"2020","CustomName":"ADD LW EXT ABVE KNEE\/KNEE DISARTIC ACRYLC SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0603","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP ALKALINE 1.5 VOLT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2212","CodeVersion":"2020","CustomName":"PROLONG OFC\/OP E&M BYND REQ TIME; EA ADD 15 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7316","CodeVersion":"2020","CustomName":"INJECTION OCRIPLASMIN 0.125 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9630","CodeVersion":"2020","CustomName":"DRUGS\/MEDICAMENTS DISPENSED OFFICE FOR HOME USE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7202","CodeVersion":"2020","CustomName":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3420","CodeVersion":"2020","CustomName":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4168F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4021","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0999","CodeVersion":"2020","CustomName":"ADDITION TO SPINAL ORTHOSIS NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7400","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS BELOW ELB\/WD ULTRALIGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8510","CodeVersion":"2020","CustomName":"BUSULFAN ORAL 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2315","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS TRIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0637","CodeVersion":"2020","CustomName":"COMB SIT STAND FRAME\/TABLE SYS SEATLIFT FEATURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2915","CodeVersion":"2020","CustomName":"RECEMENT CAST OR PREFABRICATED POST AND CORE"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"10927","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"945","CodeVersion":"2020","CustomName":"Rehabilitation with CC\/MCC"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"895","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence with Rehabilitation Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"802","CodeVersion":"2020","CustomName":"PNEUMOCYSTOSIS-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.3","CodeVersion":"2017","CustomName":"FAILED FORCEPS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44132","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0273U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107115","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9353","CodeType":"ICD9P","Code":"00.11","CodeVersion":"2017","CustomName":"INFUSION OF DROTRECOGIN ALFA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0101T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9216","CodeVersion":"2020","CustomName":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1729","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8507","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8513","CodeVersion":"2020","CustomName":"CLEANING DEVC USED W\/TRACHEOESOPH VOICE PROS PIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9910","CodeVersion":"2020","CustomName":"PTS 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DA MSR"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1789","CodeVersion":"2020","CustomName":"PROSTHESIS BREAST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9460","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2211","CodeVersion":"2020","CustomName":"VISIT CPLX INHERENT E&M ASSOC WITH MED CARE SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0049","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0288","CodeVersion":"2020","CustomName":"INJ AMPHOTERICIN B CHOLESTRYL SULFAT CMPLX 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3310","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY ANTERIOR TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0281","CodeVersion":"2020","CustomName":"E-STIM 1\/> AREAS CHRONIC STAGE III&IV ULCERS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0598","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4406","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1573","CodeVersion":"2020","CustomName":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8500","CodeVersion":"2020","CustomName":"ARTIFICIAL LARYNX ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0475","CodeVersion":"2020","CustomName":"HIV ANTIGEN\/ANTIBODY COMBINATION ASSAY SCREENING"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48393","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6456","CodeVersion":"2020","CustomName":"ZINC PASTE IMPREGNTD BANDGE WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5642","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2640","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED PALLADIUM-103 PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2351","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1085","CodeVersion":"2020","CustomName":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0398","CodeVersion":"2020","CustomName":"HST W\/TYPE II PRTBLE MON UNATTENDED MIN 7 CH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9504","CodeVersion":"2020","CustomName":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0012","CodeVersion":"2020","CustomName":"LIGHTWEIGHT PORTABLE MOTORIZED\/POWER WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2043","CodeVersion":"2020","CustomName":"SIPULEUCEL-T AUTO CD54+"},{"ServiceGroup":"93919","CodeType":"HCPCS","Code":"H0019","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9379","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"3277","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"50362","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"17083","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"26742","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99158","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12523","CodeType":"ICD9P","Code":"92.33","CodeVersion":"2017","CustomName":"PARTICULATE RADIOSURGERY"},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3403","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.01","CodeVersion":"2017","CustomName":"LAPAROSCOPIC OOPHOROTOMY"},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113815","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107187","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0120U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0286U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.11","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY AORTIC VALV WITHOUT REPLCMT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106266","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37202","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.59","CodeVersion":"2017","CustomName":"LIGATION&STRIPPING OF LOWER LIMB VARICOSE VEINS"},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20305","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8270","CodeVersion":"2020","CustomName":"ENURESIS ALARM AUDITORY BUZZER &\/ VIBRATION DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4527","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR\/PULLON LG EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6684","CodeVersion":"2020","CustomName":"UP EXTRM ADD TST SCKT SHLDR DISRTC\/INTRSCAP THOR"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1007","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT TILT&RECLINE MECH SHEAR RDUC"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1990","CodeVersion":"2020","CustomName":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4238","CodeVersion":"2020","CustomName":"DERM-MAXX PER SQ CM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1566","CodeVersion":"2020","CustomName":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2640","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM PELV CONTROL BAND & BELT BIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9312","CodeVersion":"2020","CustomName":"SURGICAL SITE INFECTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9994","CodeVersion":"2020","CustomName":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4189","CodeVersion":"2020","CustomName":"ARTACENT AC 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0470","CodeVersion":"2020","CustomName":"FED QUAL HEALTH CNTR VST MENTAL HEALTH ESTAB PT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7508","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1834","CodeVersion":"2020","CustomName":"PRESSURE SNSR SYS INTRAMUSC EXCLUD MOB SW APP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8797","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9531","CodeVersion":"2020","CustomName":"PT DOC VENT SHUNT MXSYS TR\/CURR TAKING AP MED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7188","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4262","CodeVersion":"2020","CustomName":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2511","CodeVersion":"2020","CustomName":"SPEECH GEN SOFTWARE PROG PC\/PERS DIGITAL ASSIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4216","CodeVersion":"2020","CustomName":"ARTACENT CORD PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2321","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS TRIFOCAL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9130","CodeVersion":"2020","CustomName":"DACARBAZINE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0422","CodeVersion":"2020","CustomName":"AMB OXYGEN&O2 SUPPLIES LIFE SUSTAINING SITUATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80784","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0625","CodeVersion":"2020","CustomName":"PATIENT LIFT BATHROOM OR TOILET NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0636","CodeVersion":"2020","CustomName":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1510","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4455","CodeVersion":"2020","CustomName":"ADHESIVE REMOVER OR SOLVENT PER OUNCE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7186","CodeVersion":"2020","CustomName":"INJ AHF\/ VWF CMPLX PER FACTOR VIIII IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0172","CodeVersion":"2020","CustomName":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0199","CodeVersion":"2020","CustomName":"DRY PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"74930","CodeType":"REV","Code":"0659","CodeVersion":"2020","CustomName":"Hospice Service - Other Hospice Service"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"12394","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"16777","CodeType":"REV","Code":"0813","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unknown Donor"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"094","CodeVersion":"2020","CustomName":"Pneumothorax with CC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"271","CodeVersion":"2020","CustomName":"Skin ulcers"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113759","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.81","CodeVersion":"2017","CustomName":"LAPAROSCPIC LYSIS ADHESIONS OVARY&FALLOPIAN TUBE"},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3775F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4047F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0177U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0700T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4067F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110063","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98406","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.52","CodeVersion":"2017","CustomName":"REPAIR CURRENT OBSTETRIC LACERATION CORPUS UTERI"},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0180","CodeVersion":"2020","CustomName":"DOLASETRON MESYLATE 100 MG ORL NOT >48 HR DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4246","CodeVersion":"2020","CustomName":"CORETEXT OR PROTEXT PER CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9628","CodeVersion":"2020","CustomName":"PT SUSTN BOWEL INJ SURG\/DISC SUBSEQ 30D PST SRG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7110","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 75500 ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1267","CodeVersion":"2020","CustomName":"INJECTION DORIPENEM 10 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4550","CodeVersion":"2020","CustomName":"SURGICAL TRAYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1502","CodeVersion":"2020","CustomName":"ADMIN ORL IM&\/SUBQ MED HLTH CARE AGCY\/PROF-VISIT"},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10A00ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3866","CodeVersion":"2020","CustomName":"GENETIC ANALY GENE MUTAT HCM INDIV KNOWN HCM FAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9901","CodeVersion":"2020","CustomName":"PT 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DAYS MSR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9037","CodeVersion":"2020","CustomName":"SRVC PROV BY REHABILITATION TEACHER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5251","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7506","CodeVersion":"2020","CustomName":"ADHES DISC EXCHG SYS &\/ W\/TRACHEOSTOMA VALV EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6532","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 40-50 MMHG EA"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10D00Z0","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION HIGH OPEN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6975","CodeVersion":"2020","CustomName":"INTERSCAP-THOR OTTO BOCK\/=MYOELEC CNTRL TERM DVC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7205","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU"},{"ServiceGroup":"106596","CodeType":"HCPCS","Code":"V5247","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3360","CodeVersion":"2020","CustomName":"SOLE WEDGE OUTSIDE SOLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1019","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM LOGICNETS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2354","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ\/IV INJ 25 MCG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1895","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL DUAL COIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8705","CodeVersion":"2020","CustomName":"TOPOTECAN ORAL 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9775","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/P TIB\/PA;IVASC LITH&TL STNT PL&ATH"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"C1767","CodeVersion":"2020","CustomName":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"42782","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"13551","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"27536","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"757","CodeVersion":"2020","CustomName":"BACK \"&\" NECK PROCEDURES EXCEPT SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"20299","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"576","CodeVersion":"2020","CustomName":"Septicemia without Mechanical Ventilation 96+ Hours, Age Greater than 17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"510","CodeVersion":"2020","CustomName":"Non-extensive burns with CC or significant trauma"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.0","CodeVersion":"2017","CustomName":"ARTIFICIAL RUPTURE OF MEMBRANES"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0102A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26279","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62260","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0444T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0493T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104123","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0175T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0134A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104249","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0245U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0513T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2020","CodeVersion":"2020","CustomName":"KAFO DBL UPRT SOLID STIRUP THI&CALF CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1300","CodeVersion":"2020","CustomName":"INJECTION ECULIZUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6003","CodeVersion":"2020","CustomName":"RAD TX DEL 2 TX AREA PORT\/PL OPP PORTS:TO 5 MEV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4802","CodeVersion":"2020","CustomName":"PROTAMINE SULFATE FOR HEMODIALYSIS PER 50 MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"106317","CodeType":"HCPCS","Code":"A0434","CodeVersion":"2020","CustomName":"SPECIALTY CARE TRANSPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9560","CodeVersion":"2020","CustomName":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9884","CodeVersion":"2020","CustomName":"2 MDPP ONGO MS ATD MDPP BNF MO 19-21 UND MDPP EM"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1892","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH INTRCARD EP FIX-CURVE PEEL-AWAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0315","CodeVersion":"2020","CustomName":"IM CNSL PHYS\/OTH Q HCP COVID-19 AGE <21 5-15 MIN"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9133","CodeVersion":"2020","CustomName":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS\/M1"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0177","CodeVersion":"2020","CustomName":"LEVAMISOLE HYDROCHLORIDE ORAL 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3213","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR CHILD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1011","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9030","CodeVersion":"2020","CustomName":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0271","CodeVersion":"2020","CustomName":"MATTRESS INNER SPRING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6012","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING; 6-10 MEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7208","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2950","CodeVersion":"2020","CustomName":"INJECTION PROMAZINE HCL UP TO 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9139","CodeVersion":"2020","CustomName":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4108","CodeVersion":"2020","CustomName":"INTEGRA MATRIX PER SQ CM"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"9529","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"46903","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"14508","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"68287","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"76947","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"68362","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"44392","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"70439","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"63381","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3382F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59292","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0294U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2182","CodeVersion":"2020","CustomName":"PATIENT RECV FRST-TM BIOL DZ MOD ANTIRHEUM DX TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7029","CodeVersion":"2020","CustomName":"NASAL PILLOWS COMB ORAL\/NASL MASK REPL ONLY PAIR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4013","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4211","CodeVersion":"2020","CustomName":"GINGIVECT\/PLSTY 1-3 CNTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9974","CodeVersion":"2020","CustomName":"INTERNAL BLEACHING - PER TOOTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6915","CodeVersion":"2020","CustomName":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1448","CodeVersion":"2020","CustomName":"INJECTION TRILACICLIB 1MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8470","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1007","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT TILT&RECLINE MECH SHEAR RDUC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5422","CodeVersion":"2020","CustomName":"ADJUST PARTIAL DENTURE - MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6110","CodeVersion":"2020","CustomName":"BELOW ELBOW MOLDED SOCKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1052","CodeVersion":"2020","CustomName":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1033","CodeVersion":"2020","CustomName":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0725","CodeVersion":"2020","CustomName":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS"},{"ServiceGroup":"88436","CodeType":"HCPCS","Code":"J0585","CodeVersion":"2020","CustomName":"BOTULINUM TOXIN TYPE A PER UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P2031","CodeVersion":"2020","CustomName":"HAIR ANALYSIS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1874","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITH DELIVERY SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0705","CodeVersion":"2020","CustomName":"TRANSER DEVICE ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9517","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0477","CodeVersion":"2020","CustomName":"PWR MODULE PT CABLE ELEC\/PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9765","CodeVersion":"2020","CustomName":"REV EVAR LE AA;IV LITHOTRIPSY & TL STENT PLCMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9996","CodeVersion":"2020","CustomName":"MEALS CLIN TRIAL PRTCP&ONE CAREGIVER\/COMPANION"},{"ServiceGroup":"13249","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"73604","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"58456","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"58454","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"336","CodeVersion":"2020","CustomName":"Transurethral prostatectomy with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0269U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82807","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4196F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.3","CodeVersion":"2017","CustomName":"RESECTION OF VESSEL WITH ANASTOMOSIS"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9475","CodeVersion":"2020","CustomName":"AMB SET SUBSTANCE ABS TX\/DTOXFICATION SRVC-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7604","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"103947","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5840","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN 4-BAR LINK\/MX-AXIAL PNEUMAT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0194","CodeVersion":"2020","CustomName":"AIR FLUIDIZED BED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9751","CodeVersion":"2020","CustomName":"BRONCHOSCOPY RIGID\/FLEXIBLE TRANSBRON ABL LESION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5613","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK-DISARTIC 4-BAR W\/HYDRAULIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7440","CodeVersion":"2020","CustomName":"EXC MALIG TUMR - UP 1.25 CM SEE CPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0131","CodeVersion":"2020","CustomName":"INJECTION ACETAMINOPHEN 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8478","CodeVersion":"2020","CustomName":"BLOOD PRESSURE MSR NOT PERF\/DOC REASON NOT GIVEN"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2147","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0140","CodeVersion":"2020","CustomName":"LTD ORAL EVALUATION - PROBLEM FOCUS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3105","CodeVersion":"2020","CustomName":"INJECTION TERBUTALINE SULFATE UP TO 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0498","CodeVersion":"2020","CustomName":"CHEMOTX ADM IV INF TECH; INI INF OFFICE\/CLIN SET"},{"ServiceGroup":"33152","CodeType":"ICD10P","Code":"D020DZZ","CodeVersion":"2020","CustomName":"STEREOTACTIC OTHER PHOTON RADIOSURGERY OF BRAIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6300","CodeVersion":"2020","CustomName":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1592","CodeVersion":"2020","CustomName":"AUTO INTERMITTENT PERITONEAL DIALYSIS SYSTEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5629","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6665","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION TEFLON\/EQUAL CABLE LINING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9295","CodeVersion":"2020","CustomName":"INJECTION NECITUMUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1590","CodeVersion":"2020","CustomName":"HEMODIALYSIS MACHINE"},{"ServiceGroup":"78537","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"27249","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"35964","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"3205","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"12886","CodeType":"REV","Code":"0657","CodeVersion":"2020","CustomName":"Hospice Service - Physician Services"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"124","CodeVersion":"2020","CustomName":"Circulatory disorders except acute MI, with cardiac catheterization and complex diagnosis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0509F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0398T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5430","CodeVersion":"2020","CustomName":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9108","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7604","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4249","CodeVersion":"2020","CustomName":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM"},{"ServiceGroup":"111927","CodeType":"HCPCS","Code":"U0002","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/2019-NCOV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2310","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER OVR 6.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7858","CodeVersion":"2020","CustomName":"JOINT RECONSTRUCTION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1600","CodeVersion":"2020","CustomName":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0135","CodeVersion":"2020","CustomName":"INJECTION ADALIMUMAB 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6112","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7007","CodeVersion":"2020","CustomName":"ELECTRIC HAND SWITCH\/MYOELECTRIC CONTROL ADULT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9945","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - SOFT APPLIANCE, FULL ARCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0864","CodeVersion":"2020","CustomName":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9773","CodeVersion":"2020","CustomName":"RVSC EVAR OPEN\/PC TIBIAL\/PA;IVASC LITH & TL SP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4047F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0508","CodeVersion":"2020","CustomName":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT & PROV"},{"ServiceGroup":"76847","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0395","CodeVersion":"2020","CustomName":"INJECTION ARBUTAMINE HCL 1 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9681","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES COPD\/AS BILL SID-BNEF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0951","CodeVersion":"2020","CustomName":"HEEL LOOP\/HOLDER TYPE W\/WO ANKLE STRAP EACH"},{"ServiceGroup":"104838","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3978","CodeVersion":"2020","CustomName":"SEWHFO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"350","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"50842","CodeType":"REV","Code":"875","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Injection of Modified Cells"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0483","CodeVersion":"2020","CustomName":"Cardiology - Echocardiology"},{"ServiceGroup":"44564","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"884","CodeVersion":"2020","CustomName":"SPINAL FUSION EXC CERV W CURVATURE OF THE SPINE OR MALIGNANC -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"697","CodeVersion":"2020","CustomName":"Urethral Stricture"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0216U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97461","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87201","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"0314T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4408","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/BUILT-IN CONVXITY > 4X4 IN EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7403","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS BE\/WRIST DISART ACRYLIC MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1130","CodeVersion":"2020","CustomName":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4249","CodeVersion":"2020","CustomName":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2341","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9100","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5057","CodeVersion":"2020","CustomName":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6081","CodeVersion":"2020","CustomName":"SCAL&DEBR PRES INF\/MUCOSIT 1 IMPL NO F ENT&CLOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6632","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6388","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/EARLY FIT APPLIC RIGID DRESS ONLY"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5252","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE"},{"ServiceGroup":"33486","CodeType":"ICD10P","Code":"GZB0ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY UNILAT-SINGLE SEIZURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4480","CodeVersion":"2020","CustomName":"VABRA ASPIRATOR"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4991","CodeVersion":"2020","CustomName":"NICOTINE PATCHES NON-LEGEND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1453","CodeVersion":"2020","CustomName":"INJECTION FOSAPREPITANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4929","CodeVersion":"2020","CustomName":"TOURNIQUET FOR DIALYSIS EACH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7201","CodeVersion":"2020","CustomName":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0148","CodeVersion":"2020","CustomName":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91048","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2055","CodeVersion":"2020","CustomName":"IDECABTAGENE VICL 460MIL AUTO BCMA CAR+T LEUKAPH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B9006","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION INFUSION PUMP STATIONARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1121","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8431","CodeVersion":"2020","CustomName":"COMPRESSION BANDAGE ROLL"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5257","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL BTE"},{"ServiceGroup":"106601","CodeType":"HCPCS","Code":"V5258","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL CIC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5624","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE"},{"ServiceGroup":"3102","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"62718","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"26742","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"12834","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"23259","CodeType":"DRG","Code":"791","CodeVersion":"2020","CustomName":"WOUND DEBRIDEMENTS FOR OPEN WOUND INJURIES-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"801","CodeVersion":"2020","CustomName":"TUBERCULOSIS W\/O CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"9004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111804","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61557","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29098","CodeType":"ICD9P","Code":"92.32","CodeVersion":"2017","CustomName":"MULTI-SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47593","CodeType":"ICD9P","Code":"74.0","CodeVersion":"2017","CustomName":"CLASSICAL CESAREAN SECTION"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3345F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90601","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11669","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0101T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0654T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24954","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.1","CodeVersion":"2017","CustomName":"CARDIOTOMY AND PERICARDIOTOMY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0378T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26276","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0278T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1817","CodeVersion":"2020","CustomName":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9901","CodeVersion":"2020","CustomName":"SERVICES BY A JOURNAL-LISTED CS NURSE PER HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2111","CodeVersion":"2020","CustomName":"1 VISN +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8610","CodeVersion":"2020","CustomName":"METHOTREXATE ORAL 2.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6051","CodeVersion":"2020","CustomName":"INTERIM IMPLANT ABUTMENT PLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2206","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4256","CodeVersion":"2020","CustomName":"MLG-COMPLETE PER SQ CM"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9474","CodeVersion":"2020","CustomName":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E03316","CodeVersion":"2020","CustomName":"INTRODUCE RECMB PROTEIN C PERIPHERAL VEIN PERQ"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9370","CodeVersion":"2020","CustomName":"VINCRISTINE SULFATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8265","CodeVersion":"2020","CustomName":"HABERMAN FEEDER FOR CLEFT LIP\/PALATE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3465","CodeVersion":"2020","CustomName":"HEEL THOMAS WITH WEDGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6753","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELN FUSED TIT & TIT ALLOYS"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9088","CodeVersion":"2020","CustomName":"SERVICES PROVIDED IN AN URGENT CARE CENTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1645","CodeVersion":"2020","CustomName":"INJECTION DALTEPARIN SODIUM PER 2500 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0565","CodeVersion":"2020","CustomName":"INJECTION BEZLOTOXUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9531","CodeVersion":"2020","CustomName":"PT DOC VENT SHUNT MXSYS TR\/CURR TAKING AP MED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7315","CodeVersion":"2020","CustomName":"MITOMYCIN OPTHALMIC 0. 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4268","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1290","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LATERAL TROCHANTERIC PAD"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0435","CodeVersion":"2020","CustomName":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1\/-2 SCR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9993","CodeVersion":"2020","CustomName":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0913","CodeVersion":"2020","CustomName":"IMPROV VISUAL FUNCT ACHV W\/I 90 DAY FLW CAT SURG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1109","CodeVersion":"2020","CustomName":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0484","CodeVersion":"2020","CustomName":"MONITOR FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0040","CodeVersion":"2020","CustomName":"ADJUSTABLE ANGLE FOOTPLATE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4177","CodeVersion":"2020","CustomName":"FLOWERAMNIOFLO 0.1 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0476","CodeVersion":"2020","CustomName":"INF AGT DETECT DNA\/RNA; HPV PERF ADD TO PAP TEST"},{"ServiceGroup":"30275","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"44107","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"26742","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"10400","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"17075","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"30274","CodeType":"REV","Code":"0391","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS - ADMIN (E.G., TRANSFUS)"},{"ServiceGroup":"57322","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"186","CodeVersion":"2020","CustomName":"Dental and oral disease except extractions and restorations, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"067","CodeVersion":"2020","CustomName":"Epiglottitis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"208","CodeVersion":"2020","CustomName":"Disorders of the biliary tract without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109079","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0310T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0187U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0214U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104845","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87421","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0098T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0449T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0284T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34874","CodeType":"ICD9P","Code":"20.96","CodeVersion":"2017","CustomName":"IMPL\/REPLACEMENT COCHLEAR PROSTHETIC DEVICE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2175","CodeVersion":"2020","CustomName":"EPIS PT COMRBD CND DUR 12 M PRIOR TO\/ON EPIS DT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1816","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5551","CodeVersion":"2020","CustomName":"INSULIN MOST RAPID ONSET; 5 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6205","CodeVersion":"2020","CustomName":"ELB DISARTC MOLD SCKT W\/XPND INTRFCE LOCK FORARM"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2014","CodeVersion":"2020","CustomName":"OMEZA COLLAGEN MATRIX PER 100 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8048","CodeVersion":"2020","CustomName":"UNS MAXILLOFCE PROSTH BR PROVIDED NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1016","CodeVersion":"2020","CustomName":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9728","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1751","CodeVersion":"2020","CustomName":"CATHETER INFUS INSRT PERIPHERALLY CNTRLLY\/MIDLN"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9445","CodeVersion":"2020","CustomName":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9774","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE HAD A HYSTERECTOMY"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9002","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE MAINTENANCE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2118","CodeVersion":"2020","CustomName":"PT 81 YOA &>AL 1 CLM\/ENC FRAILTY DUR MSR PERIOD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2101","CodeVersion":"2020","CustomName":"BLD GLU MONITOR W\/INTEGRATED LANCING\/BLD SAMPLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6004","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 6-10 MEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1390","CodeVersion":"2020","CustomName":"O2 CONC 1 DEL PORT 85%\/>02 CONC AT PRSC FLW RATE"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7288","CodeVersion":"2020","CustomName":"BRUSH BX TRANSEPITH SAMPLE CLCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0444","CodeVersion":"2020","CustomName":"ANNUAL DEPRESSION SCREENING 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9453","CodeVersion":"2020","CustomName":"DOC PT RSN FOR NOT RECV 1-TIME SCR FOR HCV INF"},{"ServiceGroup":"103604","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"3078","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"10425","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"90318","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50904","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"12079","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"86.83","CodeVersion":"2017","CustomName":"SIZE REDUCTION PLASTIC OPERATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77585","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46030","CodeType":"ICD9P","Code":"43.89","CodeVersion":"2017","CustomName":"OPEN AND OTHER PARTIAL GASTRECTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0272T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15403","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103081","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98464","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7201","CodeVersion":"2020","CustomName":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9725","CodeVersion":"2020","CustomName":"PLCMT ENDORECT INTRACAV APPLIC HI INTNS BRACHYTX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0810","CodeVersion":"2020","CustomName":"PHOTOREFRACTIVE KERATECTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9541","CodeVersion":"2020","CustomName":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5926","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0417","CodeVersion":"2020","CustomName":"CLCT & PREP SALIVA SAMPLE FOR LAB DX TESTING"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1610","CodeVersion":"2020","CustomName":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG"},{"ServiceGroup":"33486","CodeType":"ICD10P","Code":"GZB4ZZZ","CodeVersion":"2020","CustomName":"OTHER ELECTROCONVULSIVE THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5828","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN FL SWING&STANCE PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0112","CodeVersion":"2020","CustomName":"ALL POTASSIUM HYDROXIDE PREPARATIONS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4081","CodeVersion":"2020","CustomName":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0612","CodeVersion":"2020","CustomName":"ANNUAL GYNECOLOGICAL EXAMINATION EST PATIENT"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9200","CodeVersion":"2020","CustomName":"INJECTION FLOXURIDINE 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1060","CodeVersion":"2020","CustomName":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4074","CodeVersion":"2020","CustomName":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7501","CodeVersion":"2020","CustomName":"AZATHIOPRINE PARENTERAL100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0036","CodeVersion":"2020","CustomName":"CMTY PSYC SUPPORTIVE TX FCE-TO-FCE PER 15 MIN"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4262","CodeVersion":"2020","CustomName":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9764","CodeVersion":"2020","CustomName":"REV EVAR OPN\/PERQ LE AA; NO TIB\/PR;IV LITHOTRIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0080","CodeVersion":"2020","CustomName":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR NEW PT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4195F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92839","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1721","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR DUAL CHAMBER"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0961","CodeVersion":"2020","CustomName":"Professional Fees - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0693","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - EVALUATION"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"14006","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"29702","CodeType":"DRG","Code":"261","CodeVersion":"2020","CustomName":"Breast procedure for non-malignancy except biopsy and local excision"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"550","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.93","CodeVersion":"2017","CustomName":"SURGICAL CORRECTION OF INVERTED UTERUS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102725","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0436T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0532T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0284U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0507T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105250","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0237U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112112","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4663","CodeVersion":"2020","CustomName":"BLOOD PRESSURE CUFF ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0046","CodeVersion":"2020","CustomName":"MENTAL HEALTH SERVICES NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0172","CodeVersion":"2020","CustomName":"SEAT LIFT MECH PLACED OVER\/TOP TOILET ANY TYPE"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2949","CodeVersion":"2020","CustomName":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5000","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG GENERIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5688","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE WAIST BELT WEBBING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9202","CodeVersion":"2020","CustomName":"GOSERELIN ACETATE IMPLANT PER 3.6 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9206","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN 20 MG"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8696","CodeVersion":"2020","CustomName":"ANTENNA FOR USE W\/IMPL DIA\/PN ST DEV REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8430","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9916","CodeVersion":"2020","CustomName":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2786","CodeVersion":"2020","CustomName":"INJECTION RESLIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4100","CodeVersion":"2020","CustomName":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9243","CodeVersion":"2020","CustomName":"INTRAVENOUS MOD SED\/ANAL-EA SUBSQT 15 MIN INCR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0168","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2036","CodeVersion":"2020","CustomName":"THERAPEUTIC CAMPING OVERNIGHT WAIVER; EA SESSION"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0983","CodeVersion":"2020","CustomName":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2028","CodeVersion":"2020","CustomName":"SPECIALIZED SUPPLY NOT OTH SPECIFIED WAIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8668","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC < 0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9100","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5160","CodeVersion":"2020","CustomName":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9041","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB 0.1 MG"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1562","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN VIVAGLBIN 100 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9316","CodeVersion":"2020","CustomName":"INJ PERTUZUMAB TRASTUZUMAB & HYAL-ZZXF PER 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6014","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING;20 MEV\/>"},{"ServiceGroup":"3982","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0996","CodeVersion":"2020","CustomName":"Patient Convenience Items - Late Discharge"},{"ServiceGroup":"9840","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"977","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3370F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0623T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0281U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0311T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0221U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0519F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7631","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0434","CodeVersion":"2020","CustomName":"PRTBLE LQD O2 SYS RENT; RESRVOR HUMIDFR FLWMTR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6629","CodeVersion":"2020","CustomName":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1325","CodeVersion":"2020","CustomName":"INJECTION EPOPROSTENOL 0.5 MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2405","CodeVersion":"2020","CustomName":"INJECTION ONDANSETRON HCL PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1355","CodeVersion":"2020","CustomName":"CARIES PREVENTIVE MEDICAMENT APPLIC - PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0745","CodeVersion":"2020","CustomName":"INJECTION CODEINE PHOSPHATE PER 30 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9105","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4156","CodeVersion":"2020","CustomName":"NEOX 100 OR CLARIX 100 PER SQUARE CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0144","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG THIN LAY SCR AUTO UND PHYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4388","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE W\/EXT WEAR BARRIER ATTCH EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3080","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT NONREMOVABLE ATTCH SHOE MT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0850","CodeVersion":"2020","CustomName":"TRACTION STAND FREESTANDING CERVICAL TRACTION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7440","CodeVersion":"2020","CustomName":"EXC MALIG TUMR - UP 1.25 CM SEE CPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1357","CodeVersion":"2020","CustomName":"O2 ACCESS BATTRY CHARGER PRTBLE CONC REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6510","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8031","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS SILICONE\/EQUAL W\/NTEGRAL ADHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1951","CodeVersion":"2020","CustomName":"ANK FT ORTHOS SPIRAL PLSTC\/OTH MATL PRFAB W\/FIT"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"701","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"43939","CodeType":"REV","Code":"0920","CodeVersion":"2020","CustomName":"Other Diagnostic Services - General Classification"},{"ServiceGroup":"31145","CodeType":"DRG","Code":"282","CodeVersion":"2020","CustomName":"Trauma to the skin, subcutaneous tissue, and breast, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3284F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49204","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3072F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38818","CodeType":"ICD9P","Code":"17.45","CodeVersion":"2017","CustomName":"THORACOSCOPIC ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74663","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4134","CodeVersion":"2020","CustomName":"HMATRIX PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5140","CodeVersion":"2020","CustomName":"FOSTER CARE ADULT; PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7686","CodeVersion":"2020","CustomName":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9228","CodeVersion":"2020","CustomName":"INJECTION IPILIMUMAB 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6205","CodeVersion":"2020","CustomName":"ELB DISARTC MOLD SCKT W\/XPND INTRFCE LOCK FORARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3354","CodeVersion":"2020","CustomName":"PUPAL REGENERATION; NOT INCL FINAL RESTORATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0849","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO & = 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5964","CodeVersion":"2020","CustomName":"ADD ENDOSKEL AK FLXIBLE PROTVE OUTR SURF COVR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3240","CodeVersion":"2020","CustomName":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5671","CodeVersion":"2020","CustomName":"ADD LW EXTRM BELW\/ABVE KNEE SUSP LOCK MECH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2327","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1050","CodeVersion":"2020","CustomName":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG"},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J1260","CodeVersion":"2020","CustomName":"INJECTION DOLASETRON MESYLATE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C5274","CodeVersion":"2020","CustomName":"APPL SG TRNK ARM LEG AREA>\/=100 CM;EA ADD 100 CM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73700","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9223","CodeVersion":"2020","CustomName":"INJECTION LURBINECTEDIN 0.1 MG"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0FF6XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION LT HEPATIC DUCT EXTERNAL APPROACH"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6451","CodeVersion":"2020","CustomName":"MOD COMPRS BANDGE LOAD RESIST WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7955","CodeVersion":"2020","CustomName":"REPR MAXLOFACL SOFT&\/HARD TISS DFCT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9219","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE IMPLANT 65 MG"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0590","CodeVersion":"2020","CustomName":"Home Health (HH) Units of Service - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0269","CodeVersion":"2020","CustomName":"IV Therapy - Other IV Therapy"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"9506","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"496","CodeVersion":"2020","CustomName":"Combined anterior\/posterior spinal fusion"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107545","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"16030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"70.31","CodeVersion":"2017","CustomName":"HYMENECTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0516T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0493T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3225","CodeVersion":"2020","CustomName":"ORTHOPED FOOTWEAR MAN SHOE OXFRD PART BRACE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0241","CodeVersion":"2020","CustomName":"IVI\/SCI CASIRIV&IMDEVIMB& P\/ADM H\/RES SBQ RPT DS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9768","CodeVersion":"2020","CustomName":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2786","CodeVersion":"2020","CustomName":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2356","CodeVersion":"2020","CustomName":"INJECTION TEZEPELUMAB-EKKO 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5642","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4536","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDWEAR\/PULLON REUSBL SIZE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2526","CodeVersion":"2020","CustomName":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5222","CodeVersion":"2020","CustomName":"IMMEDIATE MANDIBULAR PRTL DENTURE - RESIN BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1404","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8085","CodeVersion":"2020","CustomName":"F-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0109","CodeVersion":"2020","CustomName":"METHADONE ORAL 5MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2405","CodeVersion":"2020","CustomName":"INJECTION ONDANSETRON HCL PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9722","CodeVersion":"2020","CustomName":"DOC HX RENAL FAILURE\/BASELINE S-CR >=4.0 MG\/DL;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1024","CodeVersion":"2020","CustomName":"CLINIC DEC SUPP MECH RADRITE DEF MC APP USE CRIT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1759","CodeVersion":"2020","CustomName":"CATHETER INTRACARDIAC ECHOCARDIOGRAPHY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9384","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2050","CodeVersion":"2020","CustomName":"FINANCIAL MANAGEMENT SELF-DIRECTED WAIVER; PD"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0427","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 70 MIN\/> PT TELEHELTH"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4452","CodeVersion":"2020","CustomName":"TAPE WATERPROOF PER 18 SQUARE INCHES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10510","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0716","CodeVersion":"2020","CustomName":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4214","CodeVersion":"2020","CustomName":"CELLESTA CORD PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5410","CodeVersion":"2020","CustomName":"ADJUST COMPLETE DENTURE - MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9061","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7005","CodeVersion":"2020","CustomName":"ADMN SET W\/SM VOL NONFILTR NEBULIZR NON-DISPBL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9212","CodeVersion":"2020","CustomName":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"30941","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0974","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - NUCLEAR"},{"ServiceGroup":"85570","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"12155","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"163","CodeVersion":"2020","CustomName":"Hernia procedures, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"036","CodeVersion":"2020","CustomName":"Retinal procedures"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3761F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0442T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0310U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80533","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0088U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2211","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1777","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL SINGLE COIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2387","CodeVersion":"2020","CustomName":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1036","CodeVersion":"2020","CustomName":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP >7 D"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7336","CodeVersion":"2020","CustomName":"CAPSAICIN 8% PATCH PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9098","CodeVersion":"2020","CustomName":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1005","CodeVersion":"2020","CustomName":"RESPITE CARE SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6605","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST PDMT BASE METAL 3\/MORE SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4870","CodeVersion":"2020","CustomName":"PLUMBING &OR ELEC WORK HOME HEMODIAL EQUIPMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5221","CodeVersion":"2020","CustomName":"IMMEDIATE MAXILLARY PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"29092","CodeType":"HCPCS","Code":"A0432","CodeVersion":"2020","CustomName":"PARAMED INTRCPT RURL AMB NO BILL 3 PARTY PAYER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2637","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED YTTERBIUM-169 PER SOURCE"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0986","CodeVersion":"2020","CustomName":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4186","CodeVersion":"2020","CustomName":"EPIFIX PER SQ CM"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"U0005","CodeVersion":"2020","CustomName":"IA DET NA;SEV AC RES SYND SARS-COV-2 COVID-19"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8902","CodeVersion":"2020","CustomName":"MR ANGIO WITHOUT CONTRST FOLLOWED W\/CONTRST ABD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6616","CodeVersion":"2020","CustomName":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1110","CodeVersion":"2020","CustomName":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2208","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 2.12-4.00D CYL-EA"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1897","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR TEST KIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0249","CodeVersion":"2020","CustomName":"INJ TOCILIZUMAB HP PT 2 YRS & > COVID-19 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4155","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITIONALLY INCMPL\/MODULAR NUTRIENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4209","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH"},{"ServiceGroup":"11152","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0601","CodeVersion":"2020","CustomName":"HOME HEALTH (HH) - OXYGEN - OXYGEN - STAT EQUIP\/SUPPLY\/CONTENT"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"68191","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"22092","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"935","CodeVersion":"2020","CustomName":"Nonextensive Burns"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"718","CodeVersion":"2020","CustomName":"Other Male Reproductive System O.R. Procedures Except Malignancy without CC\/MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90360","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106711","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110062","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0106T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3319F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100247","CodeType":"CPT","Code":"90660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0184T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94164","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87818","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37047","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2074","CodeVersion":"2020","CustomName":"MEDICATION ASSIST WEEKLY BUNDLE NOT INCL DRUG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5114","CodeVersion":"2020","CustomName":"LEG STRAP; FOAM\/FABRIC REPLACEMENT ONLY PER SET"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4649","CodeVersion":"2020","CustomName":"SURGICAL SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4230","CodeVersion":"2020","CustomName":"COGENEX FLOWABLE AMNION PER 0.5 CC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5858","CodeVersion":"2020","CustomName":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6221","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"89783","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9444","CodeVersion":"2020","CustomName":"PARENTING CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7510","CodeVersion":"2020","CustomName":"I&D ABSCESS-INTRAORAL SOFT TISS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0177","CodeVersion":"2020","CustomName":"LEVAMISOLE HYDROCHLORIDE ORAL 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7626","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8851","CodeVersion":"2020","CustomName":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0044","CodeVersion":"2020","CustomName":"SUPPORTED HOUSING PER MONTH"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1018","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM INFINX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2010","CodeVersion":"2020","CustomName":"COMPREHENSIVE MEDICATION SERVICES PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1950","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1325","CodeVersion":"2020","CustomName":"INJECTION EPOPROSTENOL 0.5 MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"30955","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2330","CodeVersion":"2020","CustomName":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOS ONLY"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1372","CodeVersion":"2020","CustomName":"IMMERSION EXTERNAL HEATER FOR NEBULIZER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2781","CodeVersion":"2020","CustomName":"PROGRESSIVE LENS PER LENS"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6740","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN\/CERAMIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9356","CodeVersion":"2020","CustomName":"TENDON POROUS MATRIX COLLAGEN & GAG PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9227","CodeVersion":"2020","CustomName":"INJECTION ISATUXIMAB-IRFC 10 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4150","CodeVersion":"2020","CustomName":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1551","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND BIL SPACE MAINTAINER - MAX"},{"ServiceGroup":"1942","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"17071","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"597","CodeVersion":"2020","CustomName":"Malignant Breast Disorders with MCC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"510","CodeVersion":"2020","CustomName":"Non-extensive burns with CC or significant trauma"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0081A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0478T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3386F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3700F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0435T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0201T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2540","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4042","CodeVersion":"2020","CustomName":"MANAGEMENT OF OVULATION INDUCTION PER CYCLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1851","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5960","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS MODIFICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2625","CodeVersion":"2020","CustomName":"STENT NON-CORONARY TEMPORARY W\/DELIVERY SYSTEM"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6455","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH >\/= 5 IN PER YARD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5692","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3330","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY MOLAR TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0197","CodeVersion":"2020","CustomName":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5251","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0895","CodeVersion":"2020","CustomName":"INJECTION DEFEROXAMINE MESYLATE 500 MG"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"9541","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"22077","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"58454","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"28624","CodeType":"REV","Code":"0344","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic Radiopharmaceuticals"},{"ServiceGroup":"405","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0623","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - Surgical Dressings"},{"ServiceGroup":"60856","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"105819","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"47583","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"45882","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"10061","CodeType":"DRG","Code":"125","CodeVersion":"2020","CustomName":"Circulatory disorders except acute MI, with cardiac catheterization without complex diagnosis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3388F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0247T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57222","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0257U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69688","CodeType":"CPT","Code":"93620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98595","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113980","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0043","CodeVersion":"2020","CustomName":"SUPPORTED HOUSING PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9905","CodeVersion":"2020","CustomName":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9205","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN LIPOSOME 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5824","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7044","CodeVersion":"2020","CustomName":"ORAL INTERFACE USED W\/POS ARWAY PRESS DEVICE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8511","CodeVersion":"2020","CustomName":"INSRT INDWLL TRACHEOESOPH PROS W\/WO VALV REPLCMT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1364","CodeVersion":"2020","CustomName":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5683","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM INSRT NO CNGN\/TRAUMAT AMP INIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0139","CodeVersion":"2020","CustomName":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0169","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8032","CodeVersion":"2020","CustomName":"NIPPLE PROSTHESIS PREFAB REUSABLE ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9272","CodeVersion":"2020","CustomName":"INJECTION, DOSTARLIMAB-GXLY 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4110","CodeVersion":"2020","CustomName":"REPLACE LEATHER CUFF KAFO-AFO CALF\/DISTAL THIGH"},{"ServiceGroup":"59839","CodeType":"HCPCS","Code":"J3365","CodeVersion":"2020","CustomName":"INJECTION IV UROKINASE 250000 IU VIAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88142","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3272F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113546","CodeType":"CPT","Code":"99001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3650F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0062A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0210T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"3321F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"70.14","CodeVersion":"2017","CustomName":"OTHER VAGINOTOMY"},{"ServiceGroup":"22379","CodeType":"CPT","Code":"94010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107114","CodeType":"CPT","Code":"40510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101180","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115366","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108771","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2395","CodeVersion":"2020","CustomName":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5611","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W\/FRICT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5936","CodeVersion":"2020","CustomName":"OBTURATOR\/PROSTHESIS INTERIM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0775","CodeVersion":"2020","CustomName":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0110","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT&BUS INTRA-\/INTERSTATE CARRIER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0420","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0240","CodeVersion":"2020","CustomName":"BATH\/SHOWER CHAIR W\/WO WHEELS ANY SIZE"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1875","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4116","CodeVersion":"2020","CustomName":"ALLODERM PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3101","CodeVersion":"2020","CustomName":"INJECTION TENECTEPLASE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1060","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS THORACIC PAD"},{"ServiceGroup":"28623","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1834","CodeVersion":"2020","CustomName":"PRESSURE SNSR SYS INTRAMUSC EXCLUD MOB SW APP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8421","CodeVersion":"2020","CustomName":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN"},{"ServiceGroup":"32189","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0456","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4361","CodeVersion":"2020","CustomName":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0162","CodeVersion":"2020","CustomName":"ONDANSETRON 1 MG ORL NOT EXCEED 48 HR DOSE REG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5040","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9178","CodeVersion":"2020","CustomName":"INJECTION EPIRUBICIN HCL 2 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9274","CodeVersion":"2020","CustomName":"BP SYS=140 DIA=90\/SYS<140 DIA=90\/SYS=140 DIA <90"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1110","CodeVersion":"2020","CustomName":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6790","CodeVersion":"2020","CustomName":"RETAINER CROWN - FULL CAST HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1685","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM"},{"ServiceGroup":"113922","CodeType":"HCPCS","Code":"V2630","CodeVersion":"2020","CustomName":"ANTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2046","CodeVersion":"2020","CustomName":"HOSPICE LONG TERM CARE RM AND BD ONLY PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1126","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0113","CodeVersion":"2020","CustomName":"CRANIAL CERVL ORTHOTIC TORTICOLLIS TYPE PREFAB"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0941","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Recreational Thereapy"},{"ServiceGroup":"10419","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"34342","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"12118","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0900","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - General Classification"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"27160","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"27817","CodeType":"DRG","Code":"282","CodeVersion":"2020","CustomName":"Trauma to the skin, subcutaneous tissue, and breast, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5991","CodeVersion":"2020","CustomName":"VESICULOBULLOUS DISEASE MEDICAMENT CARRIER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4122","CodeVersion":"2020","CustomName":"DERMACLL DERMACLL AWM\/DERMACLL AWM POROUS P SC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1720","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOS TRILAT TACHDIJAN CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0830","CodeVersion":"2020","CustomName":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0282","CodeVersion":"2020","CustomName":"E-STIM 1\/MORE AREAS WND CARE OTH THAN DESC G0281"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9130","CodeVersion":"2020","CustomName":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1020","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6503","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5864","CodeVersion":"2020","CustomName":"OVERDENTURE - PARTIAL MAXILLARY"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1850","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5985","CodeVersion":"2020","CustomName":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN"},{"ServiceGroup":"33828","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0261","CodeVersion":"2020","CustomName":"IV Therapy - Infusion Pump"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"552","CodeVersion":"2020","CustomName":"OTHER PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"055","CodeVersion":"2020","CustomName":"Miscellaneous ear, nose, mouth and throat procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88481","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4043F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25038","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3475F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4172F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.97","CodeVersion":"2017","CustomName":"CENTRAL VENOUS CATHETER PLACEMENT WITH GUIDANCE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88242","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113778","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71779","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4328","CodeVersion":"2020","CustomName":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4050","CodeVersion":"2020","CustomName":"CAST SUPPLIES UNLISTED TYPES&MATERIALS OF CASTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7311","CodeVersion":"2020","CustomName":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH\/SPACES QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3310","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0493","CodeVersion":"2020","CustomName":"EMERG PWR CABLE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6711","CodeVersion":"2020","CustomName":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0191","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9996","CodeVersion":"2020","CustomName":"MEALS CLIN TRIAL PRTCP&ONE CAREGIVER\/COMPANION"},{"ServiceGroup":"74469","CodeType":"HCPCS","Code":"Q0083","CodeVersion":"2020","CustomName":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92193","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"68.51","CodeVersion":"2017","CustomName":"LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0281U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0306T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90438","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0304T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0268U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75639","CodeType":"ICD9P","Code":"94.66","CodeVersion":"2017","CustomName":"DRUG REHABILITATION AND DETOXIFICATION"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9052","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6624","CodeVersion":"2020","CustomName":"RETAINER INLAY - TITANIUM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5120","CodeVersion":"2020","CustomName":"SKIN BARRIER WIPES OR SWABS EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9779","CodeVersion":"2020","CustomName":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0966","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2136","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS RIGD PRFAB W\/FIT & ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4139","CodeVersion":"2020","CustomName":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0770","CodeVersion":"2020","CustomName":"FES TRANSQ STIM NERV&\/MUSC GRP CMPL SYS NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9209","CodeVersion":"2020","CustomName":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1742","CodeVersion":"2020","CustomName":"INJ IBUTILIDE FUMARATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7250","CodeVersion":"2020","CustomName":"REMOVAL OF RESIDUAL TOOTH ROOTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0438","CodeVersion":"2020","CustomName":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5050","CodeVersion":"2020","CustomName":"ANKLE SYMES MOLDED SOCKET SACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9336","CodeVersion":"2020","CustomName":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5061","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; W\/BARRIER ATTACHED EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7516","CodeVersion":"2020","CustomName":"CYCLOSPORINE PARENTERAL 250 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3380","CodeVersion":"2020","CustomName":"INJECTION VEDOLIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0221","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4258","CodeVersion":"2020","CustomName":"SPRING-POWERED DEVICE FOR LANCET EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6452","CodeVersion":"2020","CustomName":"HI COMPRS BANDGE LOAD RESIST WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56453","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9281","CodeVersion":"2020","CustomName":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0188","CodeVersion":"2020","CustomName":"SYNTHETIC SHEEPSKIN PAD"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7190","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0109","CodeVersion":"2020","CustomName":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN"},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10T23ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC PERQ"},{"ServiceGroup":"34346","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"3660","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"31702","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"62287","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"10939","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8564","CodeVersion":"2020","CustomName":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9633","CodeVersion":"2020","CustomName":"PT NOT SUSTN URETER INJ SX\/DISC 30D POST SRG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0153","CodeVersion":"2020","CustomName":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6640","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1458","CodeVersion":"2020","CustomName":"INJECTION GALSULFASE 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2730","CodeVersion":"2020","CustomName":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7261","CodeVersion":"2020","CustomName":"PRIMARY CLOSURE SINUS PERFORATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5696","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE\/KNEE DISARTIC PELV JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2779","CodeVersion":"2020","CustomName":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52247","CodeType":"CPT","Code":"93797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3756F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4336","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA"},{"ServiceGroup":"34146","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5964","CodeVersion":"2020","CustomName":"ADD ENDOSKEL AK FLXIBLE PROTVE OUTR SURF COVR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7401","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4202","CodeVersion":"2020","CustomName":"KEROXX (2.5G\/CC) 1CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8955","CodeVersion":"2020","CustomName":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2500","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA SPHERICAL PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8934","CodeVersion":"2020","CustomName":"LVEF<40%\/DOC MOD\/SEV DPRSD LT VENT SYSTOLIC FCN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9485","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 60 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0514","CodeVersion":"2020","CustomName":"PHRM DISPENSING FEE INHALATION RX; PER 90 DAYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0236","CodeVersion":"2020","CustomName":"PUMP FOR WATER CIRCULATING PAD"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"22461","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"58463","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"3409","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"38444","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"14494","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"17969","CodeType":"REV","Code":"0624","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - FDA Investigational Devices"},{"ServiceGroup":"36093","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"36204","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"998","CodeVersion":"2020","CustomName":"Principal Diagnosis Invalid as Discharge Diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"901","CodeVersion":"2020","CustomName":"Wound Debridements for Injuries with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4131F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.80","CodeVersion":"2017","CustomName":"INSRT PERM PACEMAKER INIT\/REPLCMT-TYPE NOT SPEC"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104119","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79377","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16705","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22819","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34343","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"98925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82289","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3316F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0054U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89721","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38707","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100043","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2637","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED YTTERBIUM-169 PER SOURCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1004","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/MECH SHEAR RDUC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0021","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG TRAINING SERVICE"},{"ServiceGroup":"28623","CodeType":"HCPCS","Code":"J9355","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8521","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0042","CodeVersion":"2020","CustomName":"FOSTER CARE CHILD NON-THERAPEUTIC PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0596","CodeVersion":"2020","CustomName":"PHAKIC INTRAOCULAR LENS CORRECT REFRACTIVE ERROR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0028","CodeVersion":"2020","CustomName":"ALCOHL&\/RX PREV PROB ID&REF SRVC NOT W\/ASSESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9353","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9185","CodeVersion":"2020","CustomName":"INJECTION FLUDARABINE PHOSPHATE 50 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3570","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SPECIAL EXT INSTEP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9331","CodeVersion":"2020","CustomName":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4918","CodeVersion":"2020","CustomName":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0223","CodeVersion":"2020","CustomName":"INJECTION GIVOSIRAN 0.5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1437","CodeVersion":"2020","CustomName":"INJECTION FERRIC DERISOMALTOSE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4273","CodeVersion":"2020","CustomName":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2620","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAMIC - 2 SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2205","CodeVersion":"2020","CustomName":"PATIENTS WITH PREGNANCY DURING ADJUVANT TX CRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1445","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE SOL 0.1 MG IRON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1055","CodeVersion":"2020","CustomName":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0695","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - INPATIENT CARE"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"28783","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"103550","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"13778","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"12659","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"149","CodeVersion":"2020","CustomName":"Major small and large bowel procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0332T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93595","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0083U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3405","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0181T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100282","CodeType":"CPT","Code":"90461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90365","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105551","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4760","CodeVersion":"2020","CustomName":"DIALYSATE SOL TST KIT PERITON DIALYSIS TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4929","CodeVersion":"2020","CustomName":"TOURNIQUET FOR DIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4405","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8855","CodeVersion":"2020","CustomName":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2930","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 125 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6580","CodeVersion":"2020","CustomName":"PREP WRST DISRTC\/BELW ELB 1 WALL PLSTC SCKT MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"R0076","CodeVersion":"2020","CustomName":"TRANSPORTATION PRTBLE EKG FACL\/LOCATION PER PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2169","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9073","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST III; ER&\/PR POS;NO PROGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5111","CodeVersion":"2020","CustomName":"HOME CARE TRAINING FAMILY; PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1028","CodeVersion":"2020","CustomName":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE\/PSTN"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9212","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFACON-1 RECOMBINANT 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9335","CodeVersion":"2020","CustomName":"HOM TX HD; ADMIN PROF PHRM SRVC SPL&EQP PER DIEM"},{"ServiceGroup":"53484","CodeType":"HCPCS","Code":"A4256","CodeVersion":"2020","CustomName":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION\/CHIPS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0001","CodeVersion":"2020","CustomName":"STANDARD WHEELCHAIR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3470","CodeVersion":"2020","CustomName":"HEEL THOMAS EXTENDED TO BALL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2590","CodeVersion":"2020","CustomName":"INJECTION OXYTOCIN UP TO 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1640","CodeVersion":"2020","CustomName":"HIP ORTHOSIS-PELV BAND\/SPRDR BAR THI CUFFS FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9460","CodeVersion":"2020","CustomName":"TOBACCO ASMT\/CESS INTERVEN NOT PRFR RSN NOT GVN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6190","CodeVersion":"2020","CustomName":"RADIOGRAPHIC\/SURG IMPLANT INDX RPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3305","CodeVersion":"2020","CustomName":"INJECTION TRIMETREXATE GLUCORONATE PER 25 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"37260","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"37542","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0833","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"886","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W\/O O.R.PROCEDURE -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"493","CodeVersion":"2020","CustomName":"Laparoscopic cholecystectomy without common duct exploration with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96839","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0064A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4191F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0107U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0297U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0620T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0134A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106799","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34207","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102260","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2210","CodeVersion":"2020","CustomName":"RD CG SC NCK IMPR NO MSR PT NOT CMPL NFS PROM"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7045","CodeVersion":"2020","CustomName":"EXHALATION PORT W\/WO SWIVEL REPLACEMENT ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1030","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 40 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9250","CodeVersion":"2020","CustomName":"DOC PT PAIN BROUGHT COMFORT LVL 48 HRS INIT ASMT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6608","CodeVersion":"2020","CustomName":"RETAINER ONLAY - PORCELAIN\/CERAMIC TWO SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9044","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB NOS 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4344","CodeVersion":"2020","CustomName":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9766","CodeVersion":"2020","CustomName":"REV EVAC LE AA; IV LITHOTRIPSY & ATHERECTOMY"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0968","CodeVersion":"2020","CustomName":"COMMODE SEAT WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5013","CodeVersion":"2020","CustomName":"5% DXTROS\/0.45% NL SALINE KCL&MGSO4 1000 ML"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9262","CodeVersion":"2020","CustomName":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9777","CodeVersion":"2020","CustomName":"ESOPHAGEAL MUCOSAL INTEGR TST ELEC IMPD TO"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4196F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3003","CodeVersion":"2020","CustomName":"FOOT INSERT REMV MOLDED PT MODEL SILICONE GEL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2012","CodeVersion":"2020","CustomName":"BRIEF COMMUNICATION TBS; 5-10 MIN MED DISCUSSION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7208","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0222","CodeVersion":"2020","CustomName":"INTRAVENOUS INJ BEBTELOVIMAB INC INJ & PA MON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4206","CodeVersion":"2020","CustomName":"FLUID FLOW OR FLUID GF 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P3001","CodeVersion":"2020","CustomName":"SCR PAP SMER CERV\/VAG TO 3 SMERS RQR INTEPR PHYS"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"22092","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"977","CodeType":"REV","Code":"0409","CodeVersion":"2020","CustomName":"Other Imaging Services - Other Imaging Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0944","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Drug Rehabilitation"},{"ServiceGroup":"51265","CodeType":"REV","Code":"0907","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Community Behavioral Health Program (Day Treatment)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0522","CodeVersion":"2020","CustomName":"FREE-STANDING CLINIC - HOME VISIT BY RHC\/FQHC PRACTITIONER"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"854","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVAS PROC W\/ DRUG ELUTING STENT W\/O AMI-NYDRG"},{"ServiceGroup":"33789","CodeType":"DRG","Code":"885","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE -NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90436","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4177F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91686","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0069U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113856","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0643T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9912","CodeVersion":"2020","CustomName":"PRE-VISIT PATIENT SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5636","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT"},{"ServiceGroup":"59838","CodeType":"HCPCS","Code":"P9046","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 25% 20 ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8900","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST ABDOMEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2756","CodeVersion":"2020","CustomName":"EYE GLASS CASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2520","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR QUADRI-LAT BRIM CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1889","CodeVersion":"2020","CustomName":"IMPLANTABLE\/INSERTABLE DEVICE NOT OTRW CLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7520","CodeVersion":"2020","CustomName":"I&D ABSC EXTRAORAL SOFT TISS"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9272","CodeVersion":"2020","CustomName":"INJECTION, DOSTARLIMAB-GXLY 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7251","CodeVersion":"2020","CustomName":"CORONECTOMY - INTENTIONAL PARTIAL TOOTH REMOVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2221","CodeVersion":"2020","CustomName":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0708","CodeVersion":"2020","CustomName":"INTRAORAL - BITEWING RAD IMG - IMG CAPTURE ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6999","CodeVersion":"2020","CustomName":"UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0370","CodeVersion":"2020","CustomName":"MAXILLOFACIAL ULTRASOUND CAPTURE&INTERPRETATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9795","CodeVersion":"2020","CustomName":"PATIENT IS NOT CUR ON A DAILY ASPIRIN\/OTH AP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4201F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0130","CodeVersion":"2020","CustomName":"WALKER RIGID ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1820","CodeVersion":"2020","CustomName":"KO ELAST W\/CONDYLR PADS&JNT PRFAB INCL FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6205","CodeVersion":"2020","CustomName":"COMPOS DRESS STERL PAD > 48 SQ W\/ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8666","CodeVersion":"2020","CustomName":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3415","CodeVersion":"2020","CustomName":"INJECTION PYRIDOXINE HCL 100 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5105","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 100 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6915","CodeVersion":"2020","CustomName":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"A4262","CodeVersion":"2020","CustomName":"TEMPORARY ABSORBABLE LACRIMAL DUCT IMPLANT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5101","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG"},{"ServiceGroup":"58508","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"14046","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"104295","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"33266","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"30165","CodeType":"REV","Code":"0383","CodeVersion":"2020","CustomName":"Blood and Blood Components - Plasma"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"715","CodeVersion":"2020","CustomName":"HIV W OTHER RELATED DIAGNOSES-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88492","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0191U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3344F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4013F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89942","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4190F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100255","CodeType":"CPT","Code":"12007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.98","CodeVersion":"2017","CustomName":"OTHER CONTROL ATMOSPHERIC PRESSURE&COMPOSITION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0246","CodeVersion":"2020","CustomName":"TRANSFER TUB RAIL ATTACHMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8650","CodeVersion":"2020","CustomName":"RISK-ADJ FS KNEE IMPAIR NOT MEAS RSN NOT GVN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1176","CodeVersion":"2020","CustomName":"MAMMOTOME HH PROBE W\/VAC SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6535","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 40-50 MMHG EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7648","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3390","CodeVersion":"2020","CustomName":"OUTFLARE WEDGE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7686","CodeVersion":"2020","CustomName":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9191","CodeVersion":"2020","CustomName":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0426","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1886","CodeVersion":"2020","CustomName":"CATH EXTRAVASCULAR TISSUE ABLAT MODAL INSERTABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5257","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL BTE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9975","CodeVersion":"2020","CustomName":"EXT BLEACH HOM APPLIC-ARCH; MATL FAB CSTM TRAYS"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3921","CodeVersion":"2020","CustomName":"HFO INCL 1\/MORE NONTORSION JOINTS CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4103","CodeVersion":"2020","CustomName":"ENTRAL FORMULA PED REPL FLS&LYTES 500 ML = 1 U"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106668","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105255","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87055","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0780","CodeVersion":"2020","CustomName":"INJ PROCHLORPERAZINE TO 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0992","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0516","CodeVersion":"2020","CustomName":"SAFETY EYEGLASS FRAMES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8540","CodeVersion":"2020","CustomName":"FUNC O\/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2781","CodeVersion":"2020","CustomName":"PROGRESSIVE LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4570","CodeVersion":"2020","CustomName":"SPLINTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3410","CodeVersion":"2020","CustomName":"METATARSAL BAR WEDGE BETWEEN SOLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8535","CodeVersion":"2020","CustomName":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6682","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC\/ABVE ELB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0220","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9098","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE LIPOSOME 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4453","CodeVersion":"2020","CustomName":"RECTAL CATH W\/MAN PUMP OPR ENEMA SYS RPCMNT ONLY"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5268","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE"},{"ServiceGroup":"31970","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"9793","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0280","CodeVersion":"2020","CustomName":"Oncology - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87528","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65421","CodeType":"CPT","Code":"99070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4178F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0336T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0113A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7485","CodeVersion":"2020","CustomName":"REDUCTION OF OSSEOUS TUBEROSITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8651","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE =0\/>0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0891","CodeVersion":"2020","CustomName":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO &=125 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2794","CodeVersion":"2020","CustomName":"CROWN - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9175","CodeVersion":"2020","CustomName":"INJECTION ELLIOTTS B SOLUTION 1 ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9992","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE EXTENDED-RELEASE >100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4185","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION SOL NOS 10 GRAMS LIPIDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3850","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR SICKLE CELL ANEMIA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2392","CodeVersion":"2020","CustomName":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6245","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD 16 SQ\/< ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7028","CodeVersion":"2020","CustomName":"ORAL CUSHION COMB ORAL\/NASAL MASK REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5286","CodeVersion":"2020","CustomName":"REMV UNI PART DENTUR - ONE PECE RSN - PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2220","CodeVersion":"2020","CustomName":"BIFOCAL ADD OVER 3.25D"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"87822","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0401","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6721","CodeVersion":"2020","CustomName":"TERM DEVC HOOK\/HND HVY-DUTY MECH VOL OPN ANY SZ"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6588","CodeVersion":"2020","CustomName":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1632","CodeVersion":"2020","CustomName":"INJECTION BREXANOLONE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9530","CodeVersion":"2020","CustomName":"PT PRESNT W\/MIN BLUNT HEAD TRAUMA CT ORD BY ECP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1840","CodeVersion":"2020","CustomName":"DYN ADJUSTBL SHLDR FLX\/ABDCT\/ROT DEVC SFT MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0295","CodeVersion":"2020","CustomName":"ELECMAGNET TX 1\/>AREA WND CARE NOT G0329\/OTH USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9112","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NECK CA; EXTENT OF DZ UNKNOWN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4088","CodeVersion":"2020","CustomName":"GASTROSTOMY\/J-TUBE LOW-PROFILE ANY MAT\/TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2611","CodeVersion":"2020","CustomName":"GEN WC BACK CUSHN WDTH < 22 IN HT MOUNT HARDWARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5510","CodeVersion":"2020","CustomName":"PREP BELW KNEE PTB SOCKT NON-ALIGN MOLD MDL"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"22812","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"9444","CodeType":"REV","Code":"0540","CodeVersion":"2020","CustomName":"Ambulance - General Classification"},{"ServiceGroup":"16526","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"30275","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"9882","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0962","CodeVersion":"2020","CustomName":"Professional Fees - Ophthalmology"},{"ServiceGroup":"70134","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"32108","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.29","CodeVersion":"2017","CustomName":"OTHER MID FORCEPS OPERATION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3378F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113856","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4167F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0132U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0129U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0011U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0122U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44461","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9117","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8931","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY W\/CONTRAST SPINAL CANAL CONTENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5285","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM DIR AUDIO INPUT RECV"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2078","CodeVersion":"2020","CustomName":"TAKE HOME SUP METHADONE; UP TO 7 ADD DAY SUP;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0177","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9026","CodeVersion":"2020","CustomName":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0694","CodeVersion":"2020","CustomName":"INJECTION CEFOXITIN SODIUM 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E8001","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ UPRT SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4114","CodeVersion":"2020","CustomName":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8417","CodeVersion":"2020","CustomName":"BMI DOC ABOVE NORMAL PARAM & F\/U PLAN DOCUMENTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6588","CodeVersion":"2020","CustomName":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD"},{"ServiceGroup":"17574","CodeType":"HCPCS","Code":"S9480","CodeVersion":"2020","CustomName":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM"},{"ServiceGroup":"86582","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0635","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4159","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4100","CodeVersion":"2020","CustomName":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE"},{"ServiceGroup":"22933","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9643","CodeVersion":"2020","CustomName":"ELECTIVE SURGERY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1029","CodeVersion":"2020","CustomName":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0720","CodeVersion":"2020","CustomName":"TENS DEVICE TWO LEAD LOCALIZED STIMULATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3490","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9543","CodeVersion":"2020","CustomName":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI"},{"ServiceGroup":"11312","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0811","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Living Donor"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"105888","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0400","CodeVersion":"2020","CustomName":"Other Imaging Services - General Classification"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0180","CodeVersion":"2020","CustomName":"Leave Of Absence - General Classification"},{"ServiceGroup":"43871","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99467","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85570","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.7","CodeVersion":"2017","CustomName":"VACUUM EXTRACTION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47225","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101320","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3278F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"37.22","CodeVersion":"2017","CustomName":"LEFT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.20","CodeVersion":"2017","CustomName":"OPEN & OTHER REPLACEMENT UNSPECIFIED HEART VALVE"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11223","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0092T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89982","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0117U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91016","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1776","CodeVersion":"2020","CustomName":"JOINT DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1069","CodeVersion":"2020","CustomName":"PATIENT SCREENED FOR FUTURE FALL RISK"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1882","CodeVersion":"2020","CustomName":"CARDIOVERT-DEFIB OTH THAN SINGLE\/DUAL CHAMB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0381","CodeVersion":"2020","CustomName":"CONE BM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2208","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV ADJUVANT TREATMENT COURSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6500","CodeVersion":"2020","CustomName":"ABVE ELB MOLD SCKT ENDOSKEL W\/SFT PROSTH TISS"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9293","CodeVersion":"2020","CustomName":"INJECTION GLUCARPIDASE 10 UNITS"},{"ServiceGroup":"92838","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3595","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION MARCH BAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2208","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 2.12-4.00D CYL-EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2090","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"07DR0ZZ","CodeVersion":"2020","CustomName":"EXTRACTION OF ILIAC BONE MARROW OPEN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0249","CodeVersion":"2020","CustomName":"INJ TOCILIZUMAB HP PT 2 YRS & > COVID-19 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0157","CodeVersion":"2020","CustomName":"BECAPLERMIN GEL 0.01% 0.5 GM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91048","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9320","CodeVersion":"2020","CustomName":"INJECTION STREPTOZOCIN 1 G"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8035","CodeVersion":"2020","CustomName":"CSTM BREAST PROSTH POST MASTECT MOLDED PT MODEL"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"61916","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"22822","CodeType":"REV","Code":"0419","CodeVersion":"2020","CustomName":"Respiratory Services - Other Respiratory Services"},{"ServiceGroup":"3178","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"22820","CodeType":"REV","Code":"875","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Injection of Modified Cells"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"57322","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33977","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74.99","CodeVersion":"2017","CustomName":"OTHER CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15403","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96780","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"47.11","CodeVersion":"2017","CustomName":"LAPAROSCOPIC INCIDENTAL APPENDECTOMY"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105283","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0349U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0598T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0584T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0034U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89721","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46032","CodeType":"ICD9P","Code":"44.95","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTRIC RESTRICTIVE PROCEDURE"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.97","CodeVersion":"2017","CustomName":"DECOMPRESSION CHAMBER"},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105253","CodeType":"CPT","Code":"23440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107274","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7340","CodeVersion":"2020","CustomName":"VESTIBULOPLASTY-RIDGE EXT 2ND EPITH"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4235","CodeVersion":"2020","CustomName":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9370","CodeVersion":"2020","CustomName":"VINCRISTINE SULFATE 1 MG"},{"ServiceGroup":"66343","CodeType":"HCPCS","Code":"G0340","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9098","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE LIPOSOME 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9442","CodeVersion":"2020","CustomName":"BIRTHING CLASSES NON-PHYSICIAN PROVIDER-SESSION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9281","CodeVersion":"2020","CustomName":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2012","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH DAY TREATMENT PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0470","CodeVersion":"2020","CustomName":"DIAGNOSTIC CASTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6198","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GELL DRESS WND PAD > 48 SQ EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9417","CodeVersion":"2020","CustomName":"PATIENT NO 1 TET DT & TDAP ON\/BTW PT 10 & 13 BD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0479","CodeVersion":"2020","CustomName":"TISS INSITU HYBRIDIZATION W\/INTEPR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7295","CodeVersion":"2020","CustomName":"HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7600","CodeVersion":"2020","CustomName":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4981","CodeVersion":"2020","CustomName":"INSRTION LEVONORGESTREL-RELEASING INTRAUTERN SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2570","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS TYPE 2 PSTN JNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0382","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0071","CodeVersion":"2020","CustomName":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9023","CodeVersion":"2020","CustomName":"INJECTION AVELUMAB 10 MG"},{"ServiceGroup":"24405","CodeType":"HCPCS","Code":"V5060","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BEHIND THE EAR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3751F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4031","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5503","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD ROLLER\/ROCKR BOTTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4013","CodeVersion":"2020","CustomName":"CMPL CYCLE GAMETE INTRAFALLOPIAN TRNSF CASE RATE"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0010","CodeVersion":"2020","CustomName":"STANDARD-WEIGHT FRAME MOTORIZED\/POWER WHEELCHAIR"},{"ServiceGroup":"12787","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"104337","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"3458","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"166","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"13703","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"661","CodeVersion":"2020","CustomName":"Kidney and Ureter Procedures for Non-neoplasm without CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"204","CodeVersion":"2020","CustomName":"Disorders of pancreas except malignancy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"057","CodeVersion":"2020","CustomName":"Tonsillectomy and adenoidectomy procedures, except tonsillectomy and\/or adenoidectomy only, age greater than 17"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4009F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73381","CodeType":"ICD9P","Code":"92.32","CodeVersion":"2017","CustomName":"MULTI-SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0274U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0636T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0626T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0312T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0280T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0712T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1890","CodeVersion":"2020","CustomName":"NO IMPLANT\/INSERTABLE DEVC USED W\/DEVC-INT PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8597","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0291","CodeVersion":"2020","CustomName":"HOSPITAL BED FIX HT W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1117","CodeVersion":"2020","CustomName":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2078","CodeVersion":"2020","CustomName":"TAKE HOME SUP METHADONE; UP TO 7 ADD DAY SUP;"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0443","CodeVersion":"2020","CustomName":"PORTABLE O2 CONTENTS GASEOUS 1 MO SUPPLY=1 UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1068","CodeVersion":"2020","CustomName":"ADULTS WHO ARE NOT AMBULATORY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5731","CodeVersion":"2020","CustomName":"RELINE COMPLETE MANDIBULAR DENTURE DIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0162","CodeVersion":"2020","CustomName":"SITZ BATH CHAIR"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0468","CodeVersion":"2020","CustomName":"FEDERALLY QUALIFIED HEALTH CENTER VISIT IPPE\/AWV"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6103","CodeVersion":"2020","CustomName":"BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7502","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1130","CodeVersion":"2020","CustomName":"INJECTION DICLOFENAC SODIUM .5 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68382","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0170","CodeVersion":"2020","CustomName":"ANASTROZOLE ORAL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9434","CodeVersion":"2020","CustomName":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0515","CodeVersion":"2020","CustomName":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0500","CodeVersion":"2020","CustomName":"IPPB MACH W\/BUILT-IN NEBULIZATION; VALVS; PWR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9428","CodeVersion":"2020","CustomName":"PATH RPRT PT CAT & STM THK ULCER & MITOTIC RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6692","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SILCON GEL INSERT\/EQUAL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9522","CodeVersion":"2020","CustomName":"TOT #ED VISITS & IP=\/>2 PAST 12 MO\/NO SCR NO R"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0983","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CLINIC"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0986","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EEG"},{"ServiceGroup":"22816","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"14414","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0600","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"503","CodeVersion":"2020","CustomName":"Knee procedures without principal diagnosis of infection"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"005","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1039F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91014","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34343","CodeType":"ICD9P","Code":"98.59","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OTHER SITES"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37260","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0588T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28098","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.81","CodeVersion":"2017","CustomName":"TOTAL REPAIR OF TETRALOGY OF FALLOT"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0514","CodeVersion":"2020","CustomName":"PRLNG PREV SRVC OFC\/OTH O\/P DIR CTC;EA ADD 30 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3846","CodeVersion":"2020","CustomName":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7665","CodeVersion":"2020","CustomName":"MANNITOL ADMINISTERED THROUGH AN INHALER 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0697","CodeVersion":"2020","CustomName":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2629","CodeVersion":"2020","CustomName":"PROSTHETIC EYE OTHER TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3005","CodeVersion":"2020","CustomName":"PERFORMANCE MSR EVAL PT SELF ASSESS DEPRESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1018","CodeVersion":"2020","CustomName":"EXTERNAL UL TREMOR STIM PERIPH NERVES WRIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8914","CodeVersion":"2020","CustomName":"MR ANGIO W\/O CONTRST FLWED W\/CONTRST LOW EXTRM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0581","CodeVersion":"2020","CustomName":"NONSTANDARD LENS"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4081","CodeVersion":"2020","CustomName":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0484","CodeVersion":"2020","CustomName":"CONSULTATION SLIDES PREPARED ELSW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0247","CodeVersion":"2020","CustomName":"INTRAVENOUS INF SOTROVIMAB INC INF & P ADM MON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5620","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2011","CodeVersion":"2020","CustomName":"SUPRA SDRM PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2185","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9360","CodeVersion":"2020","CustomName":"NO DOC NEGATIVE\/MANAGED POSITIVE TB SCREEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9594","CodeVersion":"2020","CustomName":"PT PRES MIN BLUNT HEAD TR & HEAD CT ORDER TR ECP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9066","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3923","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS W\/O JOINT PREFAB CUSTOM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5500","CodeVersion":"2020","CustomName":"INIT BELW KNEE PTB SOCKT NON-ALIGN DIR FORMED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113693","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0232","CodeVersion":"2020","CustomName":"WOUND WARMING WOUND COVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1428","CodeVersion":"2020","CustomName":"INJECTION ETEPLIRSEN 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0320","CodeVersion":"2020","CustomName":"TMJ ARTHROGRAM INCLUDING INJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3999","CodeVersion":"2020","CustomName":"UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9697","CodeVersion":"2020","CustomName":"DOC OF PT RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9100","CodeVersion":"2020","CustomName":"PATHOGEN TEST FOR PLATELETS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6080","CodeVersion":"2020","CustomName":"IMPL MAINT PROC REMV REINSRT CLEAN PROSTH & ABUT"},{"ServiceGroup":"411","CodeType":"ICD10P","Code":"4A023N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT PERQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1001","CodeVersion":"2020","CustomName":"ELECTRONIC POSIT OBSTRUCTIVE SLEEP APNEA TX SENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0437","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1290","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LATERAL TROCHANTERIC PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4628","CodeVersion":"2020","CustomName":"OROPHARYNGEAL SUCTION CATHETER EACH"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1399","CodeVersion":"2020","CustomName":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7860","CodeVersion":"2020","CustomName":"ARTHROTOMY"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0662","CodeVersion":"2020","CustomName":"Respite Care - Hourly Charge\/Aide\/Homemaker\/Companion"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0641","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Non-Routine Nursing, Central Line\""},{"ServiceGroup":"14886","CodeType":"REV","Code":"0544","CodeVersion":"2020","CustomName":"Ambulance - Oxygen"},{"ServiceGroup":"44883","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"51786","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"84721","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"12840","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"90318","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"069","CodeVersion":"2020","CustomName":"Otitis media and upper respiratory infection (URI), age greater than 17 without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"696","CodeVersion":"2020","CustomName":"Kidney and Urinary Tract Signs and Symptoms without MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46591","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87386","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94164","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26274","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3318F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0675T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0110T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0523T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98458","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93025","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67989","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8397","CodeVersion":"2020","CustomName":"DILATED MACULAR OR FUNDUS EXAM PERFORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3913","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOTIC W\/O JOINTS CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9011","CodeVersion":"2020","CustomName":"BLOOD SPLIT UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2150","CodeVersion":"2020","CustomName":"BN MARROW\/BLD DERIVD STEM CELLS HARV TPLNT&COMP;"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4136","CodeVersion":"2020","CustomName":"E-Z DERM PER SQUARE CENTIMETER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7300","CodeVersion":"2020","CustomName":"INTRAUTERINE COPPER CONTRACEPTIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2020","CodeVersion":"2020","CustomName":"THERAPEUTIC BEHAVIORAL SERVICES PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7045","CodeVersion":"2020","CustomName":"EXHALATION PORT W\/WO SWIVEL REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0745","CodeVersion":"2020","CustomName":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2073","CodeVersion":"2020","CustomName":"MEDICATION ASSIST TX NALTREXONE; WEEKLY BUNDLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4174","CodeVersion":"2020","CustomName":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6068","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN PORCELN\/CERAM FPD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0289","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5638","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9243","CodeVersion":"2020","CustomName":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES\/ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5185","CodeVersion":"2020","CustomName":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4178","CodeVersion":"2020","CustomName":"FLOWERAMNIOPATCH PER SQUARE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0027","CodeVersion":"2020","CustomName":"SEMEN ANALY; PRES\/MOT EXCLD HUHNER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1769","CodeVersion":"2020","CustomName":"GUIDE WIRE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5986","CodeVersion":"2020","CustomName":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0034","CodeVersion":"2020","CustomName":"INJECTION OFLOXACIN 400 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9831","CodeVersion":"2020","CustomName":"AJCC STAGE AT BREAST CANCER DIAGNOSIS = II \/ III"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0858","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3906","CodeVersion":"2020","CustomName":"WHO W\/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8002","CodeVersion":"2020","CustomName":"BREAST PROS MASTECT BRA W\/INTEG BREAST FORM BIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9874","CodeVersion":"2020","CustomName":"4 TOTAL MDPP CORE SES ATD MDPP BENEF UND MDPP EM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3498F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0180","CodeVersion":"2020","CustomName":"COMP PERIODONTAL EVALUATION - NEW\/EST PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1729","CodeVersion":"2020","CustomName":"CATHETER DRAINAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5400","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/ERLY FIT APPLY RIGD DRESS W\/1 CHG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3216","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4772","CodeVersion":"2020","CustomName":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50"},{"ServiceGroup":"44131","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0903","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Play Therapy"},{"ServiceGroup":"60461","CodeType":"REV","Code":"0658","CodeVersion":"2020","CustomName":"Hospice Service - Hospice Room and Board - Nursing Facility"},{"ServiceGroup":"43430","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"196","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89981","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0344U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0324U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0709T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91579","CodeType":"CPT","Code":"36147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.31","CodeVersion":"2017","CustomName":"AMNIOSCOPY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0706T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0573T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0299U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.55","CodeVersion":"2017","CustomName":"REMOVAL INTERNAL BIVENTRICULAR HEART REPLCMT SYS"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67119","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99145","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90385","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0200U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8865","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ADM\/PREV RECV PNEUMOCOCCAL VAC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6900","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE THUMB\/1 FNGR REMAIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0421","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9226","CodeVersion":"2020","CustomName":"FOOT EXAMINATION PERFORMED"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8048","CodeVersion":"2020","CustomName":"UNS MAXILLOFCE PROSTH BR PROVIDED NON-PHYSICIAN"},{"ServiceGroup":"90559","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6080","CodeVersion":"2020","CustomName":"IMPL MAINT PROC REMV REINSRT CLEAN PROSTH & ABUT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1880","CodeVersion":"2020","CustomName":"VENA CAVA FILTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9230","CodeVersion":"2020","CustomName":"ANALG ANXIOLYSIS INHAL NITROUS OXID"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0164","CodeVersion":"2020","CustomName":"INJECTION PANTOPRAZOLE SODIUM 40 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0880","CodeVersion":"2020","CustomName":"TRACTION STAND FREE STANDING EXTREMITY TRACTION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6883","CodeVersion":"2020","CustomName":"REPL SOCKET BE\/WD MOLDED TO PATIENT MODEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0333","CodeVersion":"2020","CustomName":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4001","CodeVersion":"2020","CustomName":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0995","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CALF REST\/PAD REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9800","CodeVersion":"2020","CustomName":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0573","CodeVersion":"2020","CustomName":"BUPRENORPHNE\/NALOXONE ORAL >3 MG BUT <\/=6 MG BPN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0744","CodeVersion":"2020","CustomName":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4088","CodeVersion":"2020","CustomName":"GASTROSTOMY\/J-TUBE LOW-PROFILE ANY MAT\/TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8515","CodeVersion":"2020","CustomName":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5130","CodeVersion":"2020","CustomName":"HOMEMAKER SERVICE NOS; PER 15 MINUTES"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"75522","CodeType":"HCPCS","Code":"H0019","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5280","CodeVersion":"2020","CustomName":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4232","CodeVersion":"2020","CustomName":"CORPLEX PER SQ CM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9559","CodeVersion":"2020","CustomName":"HIT INTERFERON W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4991","CodeVersion":"2020","CustomName":"NICOTINE PATCHES NON-LEGEND"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2780","CodeVersion":"2020","CustomName":"INJECTION RANITIDINE HYDROCHLORIDE 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4209","CodeVersion":"2020","CustomName":"SURGRAFT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4247","CodeVersion":"2020","CustomName":"AMNIOTEXT PATCH PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0181","CodeVersion":"2020","CustomName":"PWR PRESSURE REDUCING MATTRESS OVERLY\/PAD PUMP"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"68287","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"409","CodeVersion":"2020","CustomName":"Radiotherapy"},{"ServiceGroup":"91658","CodeType":"DRG","Code":"807","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W\/O CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"749","CodeVersion":"2020","CustomName":"ALCOHOL ABUSE OR DEPENDENCE LEFT AMA-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30654","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105550","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113665","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0337U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0397T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0521T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0671T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.58","CodeVersion":"2017","CustomName":"REPAIR BLOOD VESSEL W\/UNSPEC TYPE PATCH GRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53065","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4260","CodeVersion":"2020","CustomName":"SIGNATURE APATCH PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1017","CodeVersion":"2020","CustomName":"TARGETED CASE MANAGEMENT EACH 15 MINS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9354","CodeVersion":"2020","CustomName":"ACELLULAR PERICARDIAL TISS MATRIX NONHUMAN SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6590","CodeVersion":"2020","CustomName":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0260","CodeVersion":"2020","CustomName":"HOS BED SEMI-ELEC W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0185","CodeVersion":"2020","CustomName":"INJECTION APREPITANT 1 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9370","CodeVersion":"2020","CustomName":"VINCRISTINE SULFATE 1 MG"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0FF4XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION \/ IN GALLBLADDER EXTERNAL APPROACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2631","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONT WITHOUT SLING GRAFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0697","CodeVersion":"2020","CustomName":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"A4300","CodeVersion":"2020","CustomName":"IMPLANTABLE ACCESS CATHETER EXTERNAL ACCESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9732","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"45568","CodeType":"HCPCS","Code":"L8030","CodeVersion":"2020","CustomName":"BREAST PROSTH SILICONE\/EQUAL W\/O INTEGRAL ADHES"},{"ServiceGroup":"106715","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9331","CodeVersion":"2020","CustomName":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0956","CodeVersion":"2020","CustomName":"WC ACSS LAT TRNK\/HIP SUPP FIX MOUNT HARDWARE EA"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8696","CodeVersion":"2020","CustomName":"REPAIR OF ORTHODONTIC APPLIANCE - MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9095","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1146","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4637","CodeVersion":"2020","CustomName":"REPLACEMENT TIP CANE CRUTCH WALKER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0122","CodeVersion":"2020","CustomName":"INJECTION ERAVACYCLINE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6384","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5651","CodeVersion":"2020","CustomName":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1206","CodeVersion":"2020","CustomName":"TOPICAL APPLICATION OF FLUORIDE VARNISH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5912","CodeVersion":"2020","CustomName":"FACIAL MOULAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0194","CodeVersion":"2020","CustomName":"AIR FLUIDIZED BED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2793","CodeVersion":"2020","CustomName":"INJECTION RILONACEPT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4531","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD UNDWEAR SM\/MED EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4022","CodeVersion":"2020","CustomName":"ASSISTED OOCYTE FERTILIZATION CASE RATE"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"409","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0823","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91029","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8969","CodeVersion":"2020","CustomName":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1123","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7668","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP CONC PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7684","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2036","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6895","CodeVersion":"2020","CustomName":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB"},{"ServiceGroup":"46731","CodeType":"ICD10P","Code":"3E0F7SD","CodeVersion":"2020","CustomName":"INTRO NITRIC OXID GAS RESP TRACT NAT\/ART OPENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0480","CodeVersion":"2020","CustomName":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5925","CodeVersion":"2020","CustomName":"ADD ENDOSKEL AK-DISARTIC\/HIP DISARTIC MNL LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3923","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS W\/O JOINT PREFAB CUSTOM FIT"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4263","CodeVersion":"2020","CustomName":"BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6218","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL > 48 SQ W\/O ADHES EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1007","CodeVersion":"2020","CustomName":"ALCOHOL&\/SUBSTNC ABS SRVC TX PLAN DVLP&\/MOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1095","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE 9% INTRAOCULAR 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8694","CodeVersion":"2020","CustomName":"AUD OSSEOINTEG DEVC TRANSDUCER\/ACTR REPL ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9196","CodeVersion":"2020","CustomName":"DOC MED REASON NOT ORD 1ST\/2ND GEN CPH AMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2184","CodeVersion":"2020","CustomName":"PATIENT DOES NOT HAVE A CAREGIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5082","CodeVersion":"2020","CustomName":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9456","CodeVersion":"2020","CustomName":"DOC MED\/PT RSN FOR NOT ORDERING\/PRFRM SCR HCC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3512F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2307","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0171","CodeVersion":"2020","CustomName":"RE-EVALUATION - POST-OPERATIVE OFFICE VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7614","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4490","CodeVersion":"2020","CustomName":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4802","CodeVersion":"2020","CustomName":"PROTAMINE SULFATE FOR HEMODIALYSIS PER 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2610","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAMIC - 1 SURFACE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1069","CodeVersion":"2020","CustomName":"PATIENT SCREENED FOR FUTURE FALL RISK"},{"ServiceGroup":"977","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"46631","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"80259","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"533","CodeVersion":"2020","CustomName":"Extracranial Vascular Procedures with CC"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"030","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age 0-17"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"347","CodeVersion":"2020","CustomName":"Malignancy of male reproductive system without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16321","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106680","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0155U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0276T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93030","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.32","CodeVersion":"2017","CustomName":"FETAL EKG"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88858","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112111","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4465","CodeVersion":"2020","CustomName":"NONELASTIC BINDER FOR EXTREMITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1015","CodeVersion":"2020","CustomName":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9847","CodeVersion":"2020","CustomName":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8818","CodeVersion":"2020","CustomName":"PATIENT D\/C TO HOME NO LATER THAN POSTOP DAY #7"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0696","CodeVersion":"2020","CustomName":"INJECTION CEFTRIAXONE SODIUM PER 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9342","CodeVersion":"2020","CustomName":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1815","CodeVersion":"2020","CustomName":"PROSTHESIS URINARY SPHINCTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2221","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS BIFOCAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2744","CodeVersion":"2020","CustomName":"TINT PHOTOCHROMATIC PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4414","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/O BUILT-IN CONVXITY 4X4 IN\/16 <\/= 48 SQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2209","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0222","CodeVersion":"2020","CustomName":"INJECTION BEBTELOVIMAB 175 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6251","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL 16 SQ\/ IMPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9991","CodeVersion":"2020","CustomName":"SERVICES PROVIDED AS PART PHASE III CLIN TRIAL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5114","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30983","CodeType":"ICD9P","Code":"00.92","CodeVersion":"2017","CustomName":"TRANSPLANT FROM LIVE NON-RELATED DONOR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6880","CodeVersion":"2020","CustomName":"ELEC HND SWTCH\/MYOLELEC CNTRL INDEP ARTC DIG MTR"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0172","CodeVersion":"2020","CustomName":"CHLORAMBUCIL ORAL 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6694","CodeVersion":"2020","CustomName":"ADD UP EXT PROS BELW\/ABVE ELB CSTM W\/LOCK MECH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0730","CodeVersion":"2020","CustomName":"TENS DEVICE 4\/MORE LEADS MULTI NERVE STIMULATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2016","CodeVersion":"2020","CustomName":"HABILITATION RESIDENTIAL WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6712","CodeVersion":"2020","CustomName":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7632","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2212","CodeVersion":"2020","CustomName":"INJECTION METHYLNALTREXONE 0.1 MG"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"73606","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"196","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"511","CodeVersion":"2020","CustomName":"Non-extensive burns without CC or significant trauma"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103552","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47622","CodeType":"CPT","Code":"99505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112910","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0078U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88494","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92542","CodeType":"CPT","Code":"67966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107656","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0512T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0061A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0092T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105822","CodeType":"CPT","Code":"99217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102260","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107051","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0150U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8834","CodeVersion":"2020","CustomName":"PT D\/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9846","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9345","CodeVersion":"2020","CustomName":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8577","CodeVersion":"2020","CustomName":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC\/OTH RSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6203","CodeVersion":"2020","CustomName":"COMPOS DRESS STERL PAD 16 SQ\/< W\/ADHES BORDR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2941","CodeVersion":"2020","CustomName":"INTERIM THERAPEUTIC RESTORATION-PRIMARY DENTITN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6411","CodeVersion":"2020","CustomName":"EYE PAD NON-STERILE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4276","CodeVersion":"2020","CustomName":"COMB CNCTIVE TISSUE & PEDICLE GRAFT PER TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4680","CodeVersion":"2020","CustomName":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH"},{"ServiceGroup":"47348","CodeType":"HCPCS","Code":"A0436","CodeVersion":"2020","CustomName":"ROTARY WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2411","CodeVersion":"2020","CustomName":"FETOSCOPIC LASER TX FOR TREATMENT-TTTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5272","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVICE TDD"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1240","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LUMBAR DEROTATION PAD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1302","CodeVersion":"2020","CustomName":"INJECTION SUTIMLIMAB-JOME 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5010","CodeVersion":"2020","CustomName":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W\/TOE FILLER"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2629","CodeVersion":"2020","CustomName":"INTRDUCR\/SHTH OTH THAN GUID OTH THAN IC EEG LASR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1850","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 75 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2068","CodeVersion":"2020","CustomName":"MED ASST TX BUPRENORPHINE ORAL; WEEKLY BUNDLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5818","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FRICT SWING&STANCE CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0501","CodeVersion":"2020","CustomName":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9992","CodeVersion":"2020","CustomName":"TRNSPRT COSTS CLIN TRIAL PRTCP & ONE CAREGIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2200","CodeVersion":"2020","CustomName":"SPHERE BIFOCL PLANO TO PLUS\/MINUS 4.00D PER LENS"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9591","CodeVersion":"2020","CustomName":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3365","CodeVersion":"2020","CustomName":"INJECTION IV UROKINASE 250000 IU VIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0140","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT & AIR TRAVEL INTRA-\/INTERSTATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0407","CodeVersion":"2020","CustomName":"F\/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH"},{"ServiceGroup":"9795","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"34923","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"18007","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"36727","CodeType":"REV","Code":"0916","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Family Therapy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.64","CodeVersion":"2017","CustomName":"OSTEOPATHIC MANIP TX W\/ISOTONIC-ISOMETRIC FORCES"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51","CodeType":"ICD9P","Code":"81.54","CodeVersion":"2017","CustomName":"TOTAL KNEE REPLACEMENT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0679T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35683","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3273F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0510T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96939","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0112A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.39","CodeVersion":"2017","CustomName":"OTHER HIGH FORCEPS OPERATION"},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0259","CodeVersion":"2020","CustomName":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2980","CodeVersion":"2020","CustomName":"CROWN REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4162","CodeVersion":"2020","CustomName":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4211","CodeVersion":"2020","CustomName":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0854","CodeVersion":"2020","CustomName":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS\/>"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9227","CodeVersion":"2020","CustomName":"INJECTION ISATUXIMAB-IRFC 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7600","CodeVersion":"2020","CustomName":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9649","CodeVersion":"2020","CustomName":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7178","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9552","CodeVersion":"2020","CustomName":"INCIDENTAL THYROID NODULE < 1.0 CM NOTED REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9700","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5507","CodeVersion":"2020","CustomName":"DIAB ONLY NOS MOD SHOE\/CSTM MOLD SHOE PER SHOE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9207","CodeVersion":"2020","CustomName":"INJECTION IXABEPILONE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7060","CodeVersion":"2020","CustomName":"5% DEXTROSE\/WATER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1010","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS AXILLA SLING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6446","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4362","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2029F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0814","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2521","CodeVersion":"2020","CustomName":"CNTC LENS HYDROPHIL TORIC\/PRISM BALLST PER LENS"},{"ServiceGroup":"106314","CodeType":"HCPCS","Code":"A0433","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT LEVEL 2"},{"ServiceGroup":"103948","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"9840","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0942","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Education\/Training"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"063","CodeVersion":"2020","CustomName":"Other ear, nose, mouth and throat operating room procedures"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4248F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44132","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88821","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0180T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84357","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4009F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.02","CodeVersion":"2017","CustomName":"LIVER SCAN AND RADIOISOTOPE FUNCTION STUDY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0226U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0105U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2103","CodeVersion":"2020","CustomName":"1 VISN PLANO TO+\/-4.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5210","CodeVersion":"2020","CustomName":"ABVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4995","CodeVersion":"2020","CustomName":"SMOKING CESSATION GUM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4162","CodeVersion":"2020","CustomName":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6533","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2797","CodeVersion":"2020","CustomName":"VISN SPL ACSS &\/ SRVC CMPNT ANOTHER HCPCS CODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9230","CodeVersion":"2020","CustomName":"ANALG ANXIOLYSIS INHAL NITROUS OXID"},{"ServiceGroup":"59839","CodeType":"HCPCS","Code":"J0350","CodeVersion":"2020","CustomName":"INJECTION ANISTREPLASE PER 30 UNITS"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5286","CodeVersion":"2020","CustomName":"REMV UNI PART DENTUR - ONE PECE RSN - PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8705","CodeVersion":"2020","CustomName":"TOPOTECAN ORAL 0.25 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5626","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5265","CodeVersion":"2020","CustomName":"EAR MOLD\/INSERT DISPOSABLE ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0019","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6413","CodeVersion":"2020","CustomName":"ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0443","CodeVersion":"2020","CustomName":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2650","CodeVersion":"2020","CustomName":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1092","CodeVersion":"2020","CustomName":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3265","CodeVersion":"2020","CustomName":"INJECTION TORSEMIDE 10 MG\/ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6693","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31853","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8956","CodeVersion":"2020","CustomName":"PT RECV MAINT HEMODIALYSIS IN O\/P DIALYSIS FAC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6020","CodeVersion":"2020","CustomName":"PARTIAL HAND NO FINGER REMAINING"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"V2787","CodeVersion":"2020","CustomName":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4256","CodeVersion":"2020","CustomName":"MLG-COMPLETE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4041","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1758","CodeVersion":"2020","CustomName":"CATHETER URETERAL"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8698","CodeVersion":"2020","CustomName":"MISC COMP SPL\/ACCESS FOR USE WITH TOT AH SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1558","CodeVersion":"2020","CustomName":"REMOVAL FIXED BILATERAL SPACE MAINTAINER - MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3432","CodeVersion":"2020","CustomName":"GUIDED TISS REGEN RESORB BARR PERIRADICULAR SURG"},{"ServiceGroup":"31377","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"025","CodeVersion":"2020","CustomName":"Seizure and headache, age greater than 17 without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107032","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.6","CodeVersion":"2017","CustomName":"FORCEPS APPLICATION TO AFTERCOMING HEAD"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0580F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89852","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61041","CodeType":"CPT","Code":"90868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.23","CodeVersion":"2017","CustomName":"OPEN & OTH REPLACEMNT MITRL VALVE W\/TISSUE GRAFT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4242F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0251T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98688","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"4003","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0186U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4260","CodeVersion":"2020","CustomName":"SIGNATURE APATCH PER SQ CM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5214","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC\/ITC"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7993","CodeVersion":"2020","CustomName":"SURGICAL PLCMT OF CRANIOFACIAL IMPL - EXTRA ORAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9367","CodeVersion":"2020","CustomName":"SKIN SUBST ENDOFORM DERM TEMPLATE PER SQUARE CM"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1766","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH GUID INTRACARD EP NOT PEEL-AWAY"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1590","CodeVersion":"2020","CustomName":"HEMODIALYSIS MACHINE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0982","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9276","CodeVersion":"2020","CustomName":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9434","CodeVersion":"2020","CustomName":"MOD SOLID FOOD SUPPLEMENTS INBORN ERRORS METAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9213","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"J7310","CodeVersion":"2020","CustomName":"GANCICLOVIR 45 MG LONG-ACTING IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1001","CodeVersion":"2020","CustomName":"DELUXE ITEM PATIENT AWARE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4242F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2027","CodeVersion":"2020","CustomName":"SPECIALIZED CHILDCARE WAIVER; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0633","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5030","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"10419","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"98720","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"31214","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"73603","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"33311","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"82498","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"14174","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"652","CodeVersion":"2020","CustomName":"HIGH RISK VAGINAL DELIVERY W STERILIZATION AND\/OR D-NYDRG"},{"ServiceGroup":"31125","CodeType":"DRG","Code":"790","CodeVersion":"2020","CustomName":"WND DEBRID \"&\" SKN GRFT FOR OPEN WOUND, MS CONN TIS, EXC HND-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105233","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82107","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3759F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107018","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100267","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40945","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0093A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104735","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103771","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0067U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51064","CodeType":"CPT","Code":"99233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104735","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0076U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9547","CodeVersion":"2020","CustomName":"CYST RNL LES\/AD LES<\/=1.0 CM\/>1.0 CM BUT<\/=4.0CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7953","CodeVersion":"2020","CustomName":"BONE REPLCMT GRAFT RIDGE PRES -SITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3485","CodeVersion":"2020","CustomName":"HEEL PAD REMOVABLE FOR SPUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9225","CodeVersion":"2020","CustomName":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0782","CodeVersion":"2020","CustomName":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5010","CodeVersion":"2020","CustomName":"5% DEXTROSE AND 0.45% NORMAL SALINE 1000 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0572","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL <\/=TO 3 MG BPN"},{"ServiceGroup":"33152","CodeType":"ICD10P","Code":"D027DZZ","CodeVersion":"2020","CustomName":"STEREOTACTIC OTH PHOTON RADIOSURG PERIPH NERVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5014","CodeVersion":"2020","CustomName":"REPAIR\/MODIFICATION OF A HEARING AID"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0775","CodeVersion":"2020","CustomName":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4420","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOS; USE BARRIER W\/LOCK FLNGE EA"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0056","CodeVersion":"2020","CustomName":"SEAT HT<17\/=TO\/>21 IN LTWT\/ULTRALTWT WHLCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1620","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6084","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - PORCELN FU TI & TI ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9918","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0422","CodeVersion":"2020","CustomName":"AMB OXYGEN&O2 SUPPLIES LIFE SUSTAINING SITUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7611","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0193","CodeVersion":"2020","CustomName":"POWERED AIR FLOTATION BED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6584","CodeVersion":"2020","CustomName":"PREP ELB DISRTC\/ABVE ELB 1 WALL PLSTC SOCKT MOLD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8937","CodeVersion":"2020","CustomName":"CMP-AID DETN INCL CMP ALG ANALYS BR MRI IMG DATA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7047","CodeVersion":"2020","CustomName":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA"},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J1650","CodeVersion":"2020","CustomName":"INJECTION ENOXAPARIN SODIUM 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106322","CodeType":"CPT","Code":"65280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105282","CodeType":"HCPCS","Code":"C1763","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE NON-HUMAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2629","CodeVersion":"2020","CustomName":"INTRDUCR\/SHTH OTH THAN GUID OTH THAN IC EEG LASR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2021","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"15887","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0861","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - MEG"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0969","CodeVersion":"2020","CustomName":"Professional Fees - Other Professional Fee"},{"ServiceGroup":"19661","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"663","CodeVersion":"2020","CustomName":"Minor Bladder Procedures with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30711","CodeType":"ICD9P","Code":"92.27","CodeVersion":"2017","CustomName":"IMPLANTATION OR INSERTION RADIOACTIVE ELEMENTS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91939","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82755","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80135","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4245F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3294F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0163T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0054A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37516","CodeType":"ICD9P","Code":"93.90","CodeVersion":"2017","CustomName":"NON-INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0308U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5228","CodeVersion":"2020","CustomName":"IMMEDIATE MANDIBULAR PARTIAL DENTURE - FLEX BASE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4210","CodeVersion":"2020","CustomName":"AXOLOTL GRAFT OR AXOLOTL DUALGRAFT PER SQ CM"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9482","CodeVersion":"2020","CustomName":"INJECTION SOTALOL HYDROCHLORIDE 1 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0800","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 STD PT WT CAP TO & INCL 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5811","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2368","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4217","CodeVersion":"2020","CustomName":"WNDFIX BIOWND WNDFIX+BIOWND+WNDFIX X+\/X+ P SC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0595","CodeVersion":"2020","CustomName":"INJECTION BUTORPHANOL TARTRATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6320","CodeVersion":"2020","CustomName":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1812","CodeVersion":"2020","CustomName":"DYN KNEE EXT\/FLEX DEVC W\/ACTV RESISTANCE CONTROL"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2141","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 3 MNT PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0427","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0135","CodeVersion":"2020","CustomName":"INJECTION ADALIMUMAB 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9806","CodeVersion":"2020","CustomName":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY\/HPV TEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0518","CodeVersion":"2020","CustomName":"SUNGLASSES FRAMES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4653","CodeVersion":"2020","CustomName":"PERITON DIALYSIS CATHETER ANCHR DEVICE BELT EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4193","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 52-73 GMS PROT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9599","CodeVersion":"2020","CustomName":"AA 6.0 CM\/>MAX DIA CL FRMT CT\/MIN DIA AX FRMT CT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1306","CodeVersion":"2020","CustomName":"INJECTION INCLISIRAN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0500","CodeVersion":"2020","CustomName":"FILTERS FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5706","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4160","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0120","CodeVersion":"2020","CustomName":"PERIODIC ORAL EVALUATION ESTABLISHED PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7612","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0592","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"16","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"70042","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"28783","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0960","CodeVersion":"2020","CustomName":"Professional Fees - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"22409","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"57222","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"546","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"828","CodeVersion":"2020","CustomName":"NON-EXTENSIVE BURNS W\/O INHAL INJ, CC OR SIG TRAUMA-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93605","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90430","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113682","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0199T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85563","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0033A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4064F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0729T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29464","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0269T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0697T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13592","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0403T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2540","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4381","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0860","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0622","CodeVersion":"2020","CustomName":"PHYSICAL EXAM COLLEGE NEW OR ESTABLISHED PATIENT"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4760","CodeVersion":"2020","CustomName":"DIALYSATE SOL TST KIT PERITON DIALYSIS TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H1000","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ASSESSMENT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4265","CodeVersion":"2020","CustomName":"PARAFFIN PER POUND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0162","CodeVersion":"2020","CustomName":"SITZ BATH CHAIR"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9400","CodeVersion":"2020","CustomName":"INJECTION ZIV-AFLIBERCEPT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3430","CodeVersion":"2020","CustomName":"HEEL COUNTER PLASTIC REINFORCED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2515","CodeVersion":"2020","CustomName":"INJECTION PENTOBARBITAL SODIUM PER 50 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7208","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2203","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20 < 22 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4386","CodeVersion":"2020","CustomName":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9361","CodeVersion":"2020","CustomName":"MEDICAL INDICATION FOR DELIV C\/S OR INDUCT LABOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4931","CodeVersion":"2020","CustomName":"ORAL THERMOMETER REUSABLE ANY TYPE EACH"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6696","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB CSTM CNGN\/TRAUMAT AMP INIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9782","CodeVersion":"2020","CustomName":"HISTORY OF\/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0584","CodeVersion":"2020","CustomName":"INJECTION BUROSUMAB-TWZA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0636","CodeVersion":"2020","CustomName":"INJECTION CALCITRIOL 0.1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3655","CodeVersion":"2020","CustomName":"ANTISPERM ANTIBODIES TEST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1130","CodeVersion":"2020","CustomName":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4210","CodeVersion":"2020","CustomName":"REPAIR ORTHOTIC DEVC REPAIR\/REPLACE MINOR PARTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4263","CodeVersion":"2020","CustomName":"BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4566","CodeVersion":"2020","CustomName":"SHOULDER SLING\/VEST ABDUCTION RESTRAINER PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5630","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3600","CodeVersion":"2020","CustomName":"STAT LABORATORY REQUEST"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H1010","CodeVersion":"2020","CustomName":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1559","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG"},{"ServiceGroup":"15850","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1818","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1003","CodeVersion":"2020","CustomName":"LPN\/LVN SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5690","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD&LINED"},{"ServiceGroup":"12299","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"44858","CodeType":"REV","Code":"0907","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Community Behavioral Health Program (Day Treatment)"},{"ServiceGroup":"42870","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"33659","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"35164","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"69521","CodeType":"REV","Code":"0310","CodeVersion":"2020","CustomName":"Laboratory Pathology - General Classification"},{"ServiceGroup":"56483","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0617T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0351U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104741","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9176","CodeVersion":"2020","CustomName":"INJECTION ELOTUZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0808","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS"},{"ServiceGroup":"91759","CodeType":"HCPCS","Code":"C1783","CodeVersion":"2020","CustomName":"OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST DEVICE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1800","CodeVersion":"2020","CustomName":"INJECTION PROPRANOLOL HCL UP TO 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0243","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 2400 MG"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8440","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER BELOW KNEE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5180","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1110","CodeVersion":"2020","CustomName":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8032","CodeVersion":"2020","CustomName":"NIPPLE PROSTHESIS PREFAB REUSABLE ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4020","CodeVersion":"2020","CustomName":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7194","CodeVersion":"2020","CustomName":"FACTOR IX COMPLEX PER IU"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1250","CodeVersion":"2020","CustomName":"INJECTION DOBUTAMINE HCI PER 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0190","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5121","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8400","CodeVersion":"2020","CustomName":"PATIENT W\/CENTRAL DXA RESULTS NOT DOCUMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8421","CodeVersion":"2020","CustomName":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8001","CodeVersion":"2020","CustomName":"BREAST PROS MASTECT BRA W\/INTEG BREAST FORM UNI"},{"ServiceGroup":"100983","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2107","CodeVersion":"2020","CustomName":"1 VISN +\/- 4.25-+\/ 7.00 SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9356","CodeVersion":"2020","CustomName":"ELECTIVE DELVERY BY C\/SECT \/INDUCTION LABOR PERF"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7513","CodeVersion":"2020","CustomName":"DACLIZUMAB PARENTERAL 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4160","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6002","CodeVersion":"2020","CustomName":"STEREOSCOPIC X-RAY GUID LOCALIZ TRG VOL DEL RT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0458","CodeVersion":"2020","CustomName":"LOW DOSE RATE PROSTATE BRACHYTX SRVC COMPOS RATE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3415","CodeVersion":"2020","CustomName":"INJECTION PYRIDOXINE HCL 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E8002","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ ANT SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6637","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0350","CodeVersion":"2020","CustomName":"CONTROL UNIT ELEC BOWEL IRRIGATION\/EVAC SYSTEM"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"73948","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"16615","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"29915","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"31778","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"907","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Injuries with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"003","CodeVersion":"2020","CustomName":"Craniotomy, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0487T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106240","CodeType":"CPT","Code":"43278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0689T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3763F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82289","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89949","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15878","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105236","CodeType":"CPT","Code":"31571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.97","CodeVersion":"2017","CustomName":"DECOMPRESSION CHAMBER"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2021","CodeVersion":"2020","CustomName":"HEALTH CARE PRACTITIONERS RENDERING TIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8852","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0177","CodeVersion":"2020","CustomName":"HYDROXYZINE PAMOATE 25 MG ORAL NOT >48 HR DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0030","CodeVersion":"2020","CustomName":"INJECTION METRONIDAZOLE 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6200","CodeVersion":"2020","CustomName":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7191","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR PROCINE PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5969","CodeVersion":"2020","CustomName":"ADDITION ENDOSKELETAL ANKLE-FOOT\/ANK PWR ASSIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5112","CodeVersion":"2020","CustomName":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4860","CodeVersion":"2020","CustomName":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0574","CodeVersion":"2020","CustomName":"ULTRASONIC\/ELEC AROSL GEN W\/SMALL VOLUME NEB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0406","CodeVersion":"2020","CustomName":"F\/U IP CNSLT LTD PHYS 15 MIN W\/PT VIA TELEHEALTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1008","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH CRANBERRY PEAK DEFIND MCR AUC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0831","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9676","CodeVersion":"2020","CustomName":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1\/TYPE 2 DIAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0056","CodeVersion":"2020","CustomName":"SEAT HT<17\/=TO\/>21 IN LTWT\/ULTRALTWT WHLCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0047","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR OTHER DRUG ABUSE SERVICES NOS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0104","CodeVersion":"2020","CustomName":"ZIDOVUDINE ORAL 100 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2033","CodeVersion":"2020","CustomName":"MULTISYSTEMIC THERAPY JUVENILES PER 15 MINUTES"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0834","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0964","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (CRNA)"},{"ServiceGroup":"14221","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"33789","CodeType":"DRG","Code":"880","CodeVersion":"2020","CustomName":"ACUTE ISCHEMIC STOKE W USE OF THROMBOLYTIC AGENT -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"747","CodeVersion":"2020","CustomName":"COCAINE OR OTHER DRUG ABUSE OR DEPENDENCE W CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3700F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0116U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82744","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0673T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0674T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4064F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79577","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0240T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0258U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3840","CodeVersion":"2020","CustomName":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5430","CodeVersion":"2020","CustomName":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9349","CodeVersion":"2020","CustomName":"INJECTION TAFASITAMAB-CXIX 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2502","CodeVersion":"2020","CustomName":"INJECTION PASIREOTIDE LONG ACTING 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2035","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM AFLURIA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"21818","CodeType":"ICD10P","Code":"4A023N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9664","CodeVersion":"2020","CustomName":"PT CURRENT STATIN TX USER\/RCVD ORDER STATIN TX"},{"ServiceGroup":"94781","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3560","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION TOE TAP HORSESHOE"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0861","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO &=300 LB"},{"ServiceGroup":"79177","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9932","CodeVersion":"2020","CustomName":"DOC PT RSN NOT HAVING REC NEG\/MANAGED POS TB SCR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9996","CodeVersion":"2020","CustomName":"TELEDENTISTRY-ASYNC; INFO STD&FWD DENT SUBSQ REV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1558","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9377","CodeVersion":"2020","CustomName":"HOME INFUS THERAPY HYDRATION TX; >3 LITERS DAY"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3351F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"96.70","CodeVersion":"2017","CustomName":"CONT INVASIVE MECHANICAL VENT UNSP DURATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0315U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0358T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0840","CodeVersion":"2020","CustomName":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7324","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV ORTHOVISC IA INJ PER DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4049","CodeVersion":"2020","CustomName":"FINGER SPLINT STATIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9663","CodeVersion":"2020","CustomName":"ANY LDL-C LABORATORY TEST RESULT >= 190 MG\/DL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3310","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9151","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3315","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN PAMOATE 3.75 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1394","CodeVersion":"2020","CustomName":"OXYGEN CONCENTRATOR, EQUIVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7294","CodeVersion":"2020","CustomName":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG\/24H YR VAG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0570","CodeVersion":"2020","CustomName":"BUPRENORPHINE IMPLANT 74.2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5035","CodeVersion":"2020","CustomName":"HOME INFUS THERAPY ROUTINE SERVICE INFUS DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0435","CodeVersion":"2020","CustomName":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1\/-2 SCR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4155","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITIONALLY INCMPL\/MODULAR NUTRIENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9638","CodeVersion":"2020","CustomName":"FINAL REPORTS W\/O DOC 1\/MORE DOSE REDUCTION TECH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0181","CodeVersion":"2020","CustomName":"UNS ORAL DOSAGE ANTI-EMETIC NOT >48 HR DOSE REG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4870","CodeVersion":"2020","CustomName":"PLUMBING &OR ELEC WORK HOME HEMODIAL EQUIPMENT"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E05316","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C PERIPHERL ARTERY PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8734","CodeVersion":"2020","CustomName":"ELDER MALTREATMENT SCREENING DOC NEG NO F\/U REQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1600","CodeVersion":"2020","CustomName":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8396","CodeVersion":"2020","CustomName":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM\/DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0291","CodeVersion":"2020","CustomName":"INJECTION PLAZOMICIN 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2660","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0045","CodeVersion":"2020","CustomName":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH"},{"ServiceGroup":"12124","CodeType":"REV","Code":"0811","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Living Donor"},{"ServiceGroup":"7","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"977","CodeType":"REV","Code":"0401","CodeVersion":"2020","CustomName":"Other Imaging Services - Diagnostic Mammography"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"42622","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"12031","CodeType":"REV","Code":"0293","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Purchase of Used DME"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"017","CodeVersion":"2020","CustomName":"Nonspecific cerebrovascular disorders without CC"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41336","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15325","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64720","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0624T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"9005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87844","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22661","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1183F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.83","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF UPPER LIMB VESSELS"},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19613","CodeType":"DRG","Code":"031","CodeVersion":"2020","CustomName":"Concussion, age greater than 17, with CC"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106521","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0049U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0553T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0235U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0237T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0135U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80260","CodeType":"HCPCS","Code":"H0010","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG IP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9724","CodeVersion":"2020","CustomName":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1003","CodeVersion":"2020","CustomName":"WHIRLPOOL TUB WALK IN PORTABLE"},{"ServiceGroup":"113115","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9181","CodeVersion":"2020","CustomName":"INJECTION ETOPOSIDE 10 MG"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9075","CodeVersion":"2020","CustomName":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0440","CodeVersion":"2020","CustomName":"STATION LQD O2 SYS PURCH;RESRVOR HUMIDFR NEBULZR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6350","CodeVersion":"2020","CustomName":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7940","CodeVersion":"2020","CustomName":"OSTEOPLASTY - ORTHOGNATHIC DEFORM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4422","CodeVersion":"2020","CustomName":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1771","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONTINENCE W\/SLING GRAFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3501","CodeVersion":"2020","CustomName":"SURG EXP OF RS W\/O APICOECTOMY\/REPR RR - ANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6231","CodeVersion":"2020","CustomName":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ\/<"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6211","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD >48 SQ NO ADHES BORDR EA"},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.69","CodeVersion":"2017","CustomName":"OTHER REPAIR OF STOMACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9483","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 30 MINUTES"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6083","CodeVersion":"2020","CustomName":"IMPLANT SUPP CROWN - PORCELAIN FU NOBLE ALLOYS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1630","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL UP TO 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0607","CodeVersion":"2020","CustomName":"HOME BLOOD GLUCOSE MONITOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9097","CodeVersion":"2020","CustomName":"HOME VISIT FOR WOUND CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8667","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC =0 \/ >0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2327","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL"},{"ServiceGroup":"31213","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"88978","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"78537","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"104337","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0419","CodeVersion":"2020","CustomName":"Respiratory Services - Other Respiratory Services"},{"ServiceGroup":"73485","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"12674","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0319","CodeVersion":"2020","CustomName":"Laboratory Pathology - Other Laboratory Pathology"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"153","CodeVersion":"2020","CustomName":"Minor small and large bowel procedures without CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"555","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"9003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110061","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.21","CodeVersion":"2017","CustomName":"MID FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99149","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3216F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0664T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0211T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"ICD9P","Code":"74.0","CodeVersion":"2017","CustomName":"CLASSICAL CESAREAN SECTION"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0093A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0397T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9664","CodeVersion":"2020","CustomName":"PT CURRENT STATIN TX USER\/RCVD ORDER STATIN TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0487","CodeVersion":"2020","CustomName":"LEADS FOR ANY TYPE ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1055","CodeVersion":"2020","CustomName":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2304","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 2.25-4.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9473","CodeVersion":"2020","CustomName":"PULM REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5122","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4003","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4242","CodeVersion":"2020","CustomName":"AMNIOCYTE PLUS PER 0.5 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0138","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4178","CodeVersion":"2020","CustomName":"PARNTRAL NUTRIT SOL; AMINO ACID > 85% - HOM MIX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1004","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/MECH SHEAR RDUC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2129","CodeVersion":"2020","CustomName":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9975","CodeVersion":"2020","CustomName":"EXT BLEACH HOM APPLIC-ARCH; MATL FAB CSTM TRAYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1190","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8966","CodeVersion":"2020","CustomName":"CARD STRSS IMAG TST PER SX\/HI THAN L CHD RSK PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9331","CodeVersion":"2020","CustomName":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6100","CodeVersion":"2020","CustomName":"SURGICAL REMOVAL OF IMPLANT BODY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0480","CodeVersion":"2020","CustomName":"INJECTION BASILIXIMAB 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2201","CodeVersion":"2020","CustomName":"SPHERE BIFOCAL +\/- 4.12 TO +\/- 7.00D PER LENS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0223","CodeVersion":"2020","CustomName":"INJECTION GIVOSIRAN 0.5 MG"},{"ServiceGroup":"88266","CodeType":"HCPCS","Code":"C1762","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE HUMAN"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2916","CodeVersion":"2020","CustomName":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3421","CodeVersion":"2020","CustomName":"APICOECTOMY - PREMOLAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2194","CodeVersion":"2020","CustomName":"PT CLIN IND IMG HEAD: NEW ON HA PED PT W\/DISAB"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4255","CodeVersion":"2020","CustomName":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX"},{"ServiceGroup":"53746","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"10939","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0339","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Other Radiology - Therapeutic"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"3673","CodeType":"DRG","Code":"424","CodeVersion":"2020","CustomName":"Operating room procedure with principal diagnoses of mental illness"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97463","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33988","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101519","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91005","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3382F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85685","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0314T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82806","CodeType":"CPT","Code":"95972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105247","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90385","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9355","CodeVersion":"2020","CustomName":"ELECTIVE DELIVERY C-BIRTH\/INDUCTION LBR NOT PERF"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6545","CodeVersion":"2020","CustomName":"RETN-CAST METL RSN BOND FIX PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1017","CodeVersion":"2020","CustomName":"MONTHLY SUPPLIES FOR USE OF DEVICE CODED K1016"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2356","CodeVersion":"2020","CustomName":"INJECTION TEZEPELUMAB-EKKO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8055","CodeVersion":"2020","CustomName":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5508","CodeVersion":"2020","CustomName":"DIAB ONLY DELUXE FEATURE SHOE\/CSTM MOLD SHOE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5105","CodeVersion":"2020","CustomName":"DAY CARE SRVC CENTER-BASED; SRVC NOT W\/PROGM FEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2221","CodeVersion":"2020","CustomName":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4152","CodeVersion":"2020","CustomName":"DERMAPURE PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2623","CodeVersion":"2020","CustomName":"PROSTHETIC EYE PLASTIC CUSTOM"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3110","CodeVersion":"2020","CustomName":"INJECTION TERIPARATIDE 10 MCG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0330","CodeVersion":"2020","CustomName":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4932","CodeVersion":"2020","CustomName":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1115","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8900","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST ABDOMEN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4251","CodeVersion":"2020","CustomName":"VIM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7877","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DEBRIDEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5510","CodeVersion":"2020","CustomName":"PREP BELW KNEE PTB SOCKT NON-ALIGN MOLD MDL"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"25697","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"17065","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"36138","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"3087","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"51266","CodeType":"REV","Code":"0919","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Other Behavioral Health Treatments"},{"ServiceGroup":"22405","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91461","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91014","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93724","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92196","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95115","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3646","CodeType":"ICD9P","Code":"37.27","CodeVersion":"2017","CustomName":"CARDIAC MAPPING"},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.61","CodeVersion":"2017","CustomName":"OTHER EXCISION OF INTRACRANIAL VESSELS"},{"ServiceGroup":"87558","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93020","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113545","CodeType":"CPT","Code":"99000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9977","CodeVersion":"2020","CustomName":"DILATED MACULAR EXAM WAS NOT PRFRM REASON NOS"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0808","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0600","CodeVersion":"2020","CustomName":"NON-IONIZING DX PROC CPBL QUANTIFYING MON & REC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0114","CodeVersion":"2020","CustomName":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP&HNDGRIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0160","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT: PER MILE-CASE\/SOCIAL WORKER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2054","CodeVersion":"2020","CustomName":"LM >=110 MIL AUTOL ANTI-CD19 CAR-POS VIABL TC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1602","CodeVersion":"2020","CustomName":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6228","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL >16 SQ NO ADHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0621","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9625","CodeVersion":"2020","CustomName":"PT SUSTAIN BLAD INJ SRG\/DSCV SUBSQ UP 30 DAY P S"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E8001","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ UPRT SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1738","CodeVersion":"2020","CustomName":"INJECTION MELOXICAM 1 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6704","CodeVersion":"2020","CustomName":"TERMINAL DEVICE SPORT\/RECREATIONAL\/WORK ATTACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2140","CodeVersion":"2020","CustomName":"AMALGAM-ONE SURFACE PRIMARY\/PERM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4634","CodeVersion":"2020","CustomName":"REPLCMT BULB THERAPEUTIC LIGHT BOX TABOP MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0365","CodeVersion":"2020","CustomName":"INJECTION APROTONIN 10000 KIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8001","CodeVersion":"2020","CustomName":"BREAST PROS MASTECT BRA W\/INTEG BREAST FORM UNI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4130","CodeVersion":"2020","CustomName":"STRATTICE PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0401","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0855","CodeVersion":"2020","CustomName":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND\/FRAME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1842","CodeVersion":"2020","CustomName":"RETINAL PROS ALL INT&EXT CMPNT; ADD-ON TO C1841"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1815","CodeVersion":"2020","CustomName":"INJECTION INSULIN PER 5 UNITS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2406","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN KIMYRSA 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9777","CodeVersion":"2020","CustomName":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2613","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POST WIDTH < 22 IN ANY HEIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4722","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>1999<\/=2999CC PERITON DIALYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7045","CodeVersion":"2020","CustomName":"EXHALATION PORT W\/WO SWIVEL REPLACEMENT ONLY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q3014","CodeVersion":"2020","CustomName":"TELEHEALTH ORIGINATING SITE FACILITY FEE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68380","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9117","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0052","CodeVersion":"2020","CustomName":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4456","CodeVersion":"2020","CustomName":"ADHESIVE REMOVER WIPES ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9489","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 40 MINS"},{"ServiceGroup":"50942","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"42782","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0960","CodeVersion":"2020","CustomName":"Professional Fees - General Classification"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"13248","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19613","CodeType":"DRG","Code":"453","CodeVersion":"2020","CustomName":"Complications of treatment without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3370F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91888","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3382F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106713","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0443T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56463","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1123F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4249","CodeVersion":"2020","CustomName":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0169","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2627","CodeVersion":"2020","CustomName":"SCLERAL COVER SHELL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6254","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL 16 SQ\/< ADHES BORDR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5136","CodeVersion":"2020","CustomName":"COMPANION CARE ADULT ; PER DIEM"},{"ServiceGroup":"46424","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0504","CodeVersion":"2020","CustomName":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1210","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LATERAL THORACIC EXTENSION"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6410","CodeVersion":"2020","CustomName":"EYE PAD STERILE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9023","CodeVersion":"2020","CustomName":"INJECTION AVELUMAB 10 MG"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2699","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE NONSTRANDED NOS PER SOURCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2147","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9278","CodeVersion":"2020","CustomName":"RECEIVER MON; EXT INTERSTITIAL CONT GLU MON SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0300","CodeVersion":"2020","CustomName":"INJECTION AMOBARBITAL UP TO 125 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4327","CodeVersion":"2020","CustomName":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9510","CodeVersion":"2020","CustomName":"ADLT PT 18\/>MD NO REM 12 MO DEM 12 MO PHQ-9 <5"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0002","CodeVersion":"2020","CustomName":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3209","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH CHILD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4019","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8431","CodeVersion":"2020","CustomName":"COMPRESSION BANDAGE ROLL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1109","CodeVersion":"2020","CustomName":"ONG CR NOT MED POS PT DISCH EARLY DT SPEC MD EVT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7183","CodeVersion":"2020","CustomName":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9453","CodeVersion":"2020","CustomName":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9020","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE 10000 UNITS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7325","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV SYNVISC\/SYNVISC-ONE IA INJ 1 MG"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"14271","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"105356","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0624","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - FDA Investigational Devices"},{"ServiceGroup":"537","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37873","CodeType":"ICD9P","Code":"81.55","CodeVersion":"2017","CustomName":"REVISION OF KNEE REPLACEMENT NOS"},{"ServiceGroup":"108687","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"7010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0234U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.5","CodeVersion":"2017","CustomName":"BREECH EXTRACTION"},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0512T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.91","CodeVersion":"2017","CustomName":"EVAC OBSTETRICAL INCISIONAL HEMATOMA PERINEUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9455","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2213","CodeVersion":"2020","CustomName":"BIFOCL +\/-7.25-+\/-12.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1716","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED GOLD-198 PER SOURCE"},{"ServiceGroup":"114930","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1815","CodeVersion":"2020","CustomName":"PROSTHESIS URINARY SPHINCTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0039","CodeVersion":"2020","CustomName":"LEG STRAP H STYLE EACH"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4766","CodeVersion":"2020","CustomName":"DIALYSATE CONC SOL ADD PERITON DIALYSIS-10 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4740","CodeVersion":"2020","CustomName":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4007","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9109","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA; T1-T2&N0 M0 NO PROGRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4535","CodeVersion":"2020","CustomName":"DISPBL LINER\/SHIELD\/GUARD\/PAD\/UNDGRMNT INCONT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2121","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS SINGLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2148","CodeVersion":"2020","CustomName":"MULTIMODAL PAIN MANAGEMENT WAS USED"},{"ServiceGroup":"80999","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0637","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P PREFAB"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9659","CodeVersion":"2020","CustomName":"PT>\/=86 YO UNDWNT SC&NO HX CC\/MED RSN COLNOSCOPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4208","CodeVersion":"2020","CustomName":"NOVAFIX PER SQ CM"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83519","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9030","CodeVersion":"2020","CustomName":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1554","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6945","CodeVersion":"2020","CustomName":"ELB DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9538","CodeVersion":"2020","CustomName":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2359","CodeVersion":"2020","CustomName":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4215","CodeVersion":"2020","CustomName":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8869","CodeVersion":"2020","CustomName":"PATIENT HAS DOC IMMUN HEP B & INIT ANTI-TNF TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0148","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMERS CERV\/VAG AUTO SYS W\/MNL RESCR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5140","CodeVersion":"2020","CustomName":"IMMEDIATE DENTURE - MANDIBULAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0637","CodeVersion":"2020","CustomName":"INJECTION CASPOFUNGIN ACETATE 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9951","CodeVersion":"2020","CustomName":"OCCLUSAL ADJUSTMENT - LIMITED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4040","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0219","CodeVersion":"2020","CustomName":"PET IMAG WHOLE BODY; MELANOMA NON-COVR INDICATS"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0183","CodeVersion":"2020","CustomName":"Leave Of Absence - Therapeutic Leave"},{"ServiceGroup":"60816","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"413","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0916","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Family Therapy"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"28243","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"13551","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"66481","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"245","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies without CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"499","CodeVersion":"2020","CustomName":"Back and neck procedures except spinal fusion with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91017","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4194F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72287","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88242","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8901","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST ABDOMEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4256","CodeVersion":"2020","CustomName":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION\/CHIPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5267","CodeVersion":"2020","CustomName":"HEARING AID\/ALD\/SUPP\/ACCESS NOT OTHERWISE SPEC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2670","CodeVersion":"2020","CustomName":"INJECTION TOLAZOLINE HCL UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8410","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH ABOVE KNEE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9071","CodeVersion":"2020","CustomName":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9714","CodeVersion":"2020","CustomName":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0205","CodeVersion":"2020","CustomName":"HEAT LAMP W\/STAND INCLUDES BULB\/INFRARED ELEMENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1290","CodeVersion":"2020","CustomName":"INJECTION ECALLANTIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3206","CodeVersion":"2020","CustomName":"ORTHOPED SHOE HIGHTOP W\/SUPINATOR\/PRONATOR CHILD"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0641","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS MULTI-POSITION ANY SZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9987","CodeVersion":"2020","CustomName":"CANCELLED APPOINTMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0295","CodeVersion":"2020","CustomName":"ELECMAGNET TX 1\/>AREA WND CARE NOT G0329\/OTH USE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2360","CodeVersion":"2020","CustomName":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0850","CodeVersion":"2020","CustomName":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0800","CodeVersion":"2020","CustomName":"INJECTION CORTICOTROPIN UP TO 40 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4230","CodeVersion":"2020","CustomName":"ANAT CROWN EXP-4\/>CONT TEETH\/BND TT SPACES QUAD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3708","CodeVersion":"2020","CustomName":"GASTROINTESTINAL FAT ABSORPTION STUDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2788","CodeVersion":"2020","CustomName":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9373","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY HYDRATION TX; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2122","CodeVersion":"2020","CustomName":"DEPRESS ANXIETY APATHY & PSYCHOSIS NOT ASSESSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2007","CodeVersion":"2020","CustomName":"RESTRATA PER SQ CM"},{"ServiceGroup":"78403","CodeType":"HCPCS","Code":"S9982","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE PER PAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4217","CodeVersion":"2020","CustomName":"WNDFIX BIOWND WNDFIX+BIOWND+WNDFIX X+\/X+ P SC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8935","CodeVersion":"2020","CustomName":"CLIN PRSC ACE INHIB\/ANGIOTENSIN REC BLOCK ARB TX"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"91754","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"12403","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"62538","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"3077","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"515","CodeVersion":"2020","CustomName":"Cardiac defibrillator implant without cardiac catheterization"},{"ServiceGroup":"79678","CodeType":"DRG","Code":"935","CodeVersion":"2020","CustomName":"Nonextensive Burns"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3515F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4064F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.4","CodeVersion":"2017","CustomName":"MEDICAL INDUCTION OF LABOR"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113666","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0055T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.54","CodeVersion":"2017","CustomName":"OTHER TOTAL BREECH EXTRACTION"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112111","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1557","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2993","CodeVersion":"2020","CustomName":"INJECTION RETEPLASE 18.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7670","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1728","CodeVersion":"2020","CustomName":"CATHETER BRACHYTHERAPY SEED ADMINISTRATION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1265","CodeVersion":"2020","CustomName":"INJECTION DOPAMINE HCL 40 MG"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4366","CodeVersion":"2020","CustomName":"OSTOMY VENT ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6457","CodeVersion":"2020","CustomName":"TUBULAR DRSG W\/WO ELASTIC ANY WDTH PER LINEAR YD"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0600","CodeVersion":"2020","CustomName":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1956","CodeVersion":"2020","CustomName":"INJECTION LEVOFLOXACIN 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7240","CodeVersion":"2020","CustomName":"REMOVAL IMPACTED TOOTH - CMPL BONY"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5073","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; USE BARRIER W\/FLANGE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4160","CodeVersion":"2020","CustomName":"NUSHIELD PER SQUARE CENTIMETER"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46028","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1125","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4311","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/O DRN BAG W\/CATH 2-WAY LATEX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1330","CodeVersion":"2020","CustomName":"INJECTION ERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3400","CodeVersion":"2020","CustomName":"INJECTION TRIFLUPROMAZINE HCL UP TO 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0640","CodeVersion":"2020","CustomName":"INJECTION LEUCOVORIN CALCIUM PER 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9318","CodeVersion":"2020","CustomName":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0006","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SERVICES; CASE MANAGEMENT"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"17069","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"51274","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0730","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - General Classification"},{"ServiceGroup":"51265","CodeType":"REV","Code":"0919","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Other Behavioral Health Treatments"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"20908","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104253","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105550","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0350U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"0313U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.69","CodeVersion":"2017","CustomName":"OTHER REPAIR OF STOMACH"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.35","CodeVersion":"2017","CustomName":"OPERATIONS ON TRABECULAE CARNEAE CORDIS"},{"ServiceGroup":"90362","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0698T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3342F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91001","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0076T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89948","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0697","CodeVersion":"2020","CustomName":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4205","CodeVersion":"2020","CustomName":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5628","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4239","CodeVersion":"2020","CustomName":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0496","CodeVersion":"2020","CustomName":"BATTERY NOT LITHIUM-ION ELEC\/PNEUMAT VAD REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4434","CodeVersion":"2020","CustomName":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4281","CodeVersion":"2020","CustomName":"TUBING FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9226","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7686","CodeVersion":"2020","CustomName":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0709","CodeVersion":"2020","CustomName":"INTRAORAL - CMPL SERIES OF RAD IMG-IMG CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3357","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - COMPLETION OF TREATMENT"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8565","CodeVersion":"2020","CustomName":"VERIFICATION & DOC SUDDEN\/RAPIDLY PROG HEAR LOSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2134","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1734","CodeVersion":"2020","CustomName":"ORTHOPEDIC\/DEVC\/DX MATRIX OPP BTB\/SFT TISS-TO BN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0010","CodeVersion":"2020","CustomName":"STANDARD-WEIGHT FRAME MOTORIZED\/POWER WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4004","CodeVersion":"2020","CustomName":"ENDOCRINOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9594","CodeVersion":"2020","CustomName":"PT PRES MIN BLUNT HEAD TR & HEAD CT ORDER TR ECP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5105","CodeVersion":"2020","CustomName":"URINARY SUSPENSORY WITH LEG BAG W\/WO TUBE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0272","CodeVersion":"2020","CustomName":"PHYS MGT PT HOME CARE EPISODIC CARE MO CASE RATE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1897","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR TEST KIT"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"60816","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"357","CodeVersion":"2020","CustomName":"Uterine and adnexa procedures for ovarian or adnexal malignancy"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"23477","CodeType":"DRG","Code":"287","CodeVersion":"2020","CustomName":"Skin grafts and wound debridement for endocrine, nutritional, and metabolic disorders"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106146","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3288F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47995","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1127F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2630","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP COOL-TIP"},{"ServiceGroup":"70241","CodeType":"HCPCS","Code":"C2699","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE NONSTRANDED NOS PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0392","CodeVersion":"2020","CustomName":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4224","CodeVersion":"2020","CustomName":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8693","CodeVersion":"2020","CustomName":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0180","CodeVersion":"2020","CustomName":"INJECTION AGALSIDASE BETA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9606","CodeVersion":"2020","CustomName":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2950","CodeVersion":"2020","CustomName":"INJECTION PROMAZINE HCL UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4280","CodeVersion":"2020","CustomName":"ADHES SKN SUPPORT ATTCH USE W\/EXT BRST PROSTH EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6200","CodeVersion":"2020","CustomName":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0169","CodeVersion":"2020","CustomName":"PROMETHAZINE HCL 12.5 MG ORAL NOT>48 HR DOSE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1200","CodeVersion":"2020","CustomName":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3935","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6930","CodeVersion":"2020","CustomName":"BELW ELB OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0746","CodeVersion":"2020","CustomName":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0158","CodeVersion":"2020","CustomName":"SERVICE OT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7605","CodeVersion":"2020","CustomName":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3318F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2029","CodeVersion":"2020","CustomName":"SEXUAL OFFENDER TREATMENT SERVICE PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8712","CodeVersion":"2020","CustomName":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2231","CodeVersion":"2020","CustomName":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2070","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPLANT INSRT; WEEKLY BUNDLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9782","CodeVersion":"2020","CustomName":"HISTORY OF\/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5101","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7110","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 75500 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9473","CodeVersion":"2020","CustomName":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0380","CodeVersion":"2020","CustomName":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"588","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0855","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"56483","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"12778","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0519","CodeVersion":"2020","CustomName":"Clinic - Other Clinic"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91","CodeType":"ICD9P","Code":"55.61","CodeVersion":"2017","CustomName":"RENAL AUTOTRANSPLANTATION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3117F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112110","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0335T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13437","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1461F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35683","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0170","CodeVersion":"2020","CustomName":"RE-EVALUATION - LTD PROBLEM FOCUSED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1670","CodeVersion":"2020","CustomName":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8515","CodeVersion":"2020","CustomName":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH"},{"ServiceGroup":"106950","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0485","CodeVersion":"2020","CustomName":"CNSLT W\/PREP SLIDES BX SPL REF SRC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1569","CodeVersion":"2020","CustomName":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0610","CodeVersion":"2020","CustomName":"PACEMKR MON CHECKS BATTRY DEPLET W\/AUDIBL&VISIBL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0082","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME VISIT FOR EXIST PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4117","CodeVersion":"2020","CustomName":"HYALOMATRIX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2151","CodeVersion":"2020","CustomName":"DOC PT DX DEGEN NEURO CND DX ANY TM EPIS CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0735","CodeVersion":"2020","CustomName":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4069F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1280","CodeVersion":"2020","CustomName":"ADDITION TO TLSO RIB GUSSET EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0486","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 PIECE W\/INTERFCE LINER CSTM"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2625","CodeVersion":"2020","CustomName":"STENT NON-CORONARY TEMPORARY W\/DELIVERY SYSTEM"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0425","CodeVersion":"2020","CustomName":"STATION COMPRS GAS SYS PURCH; FLWMTR HUMIDFR NEB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2226","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3364","CodeVersion":"2020","CustomName":"INJECTION UROKINASE 5000 IU VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7513","CodeVersion":"2020","CustomName":"DACLIZUMAB PARENTERAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1815","CodeVersion":"2020","CustomName":"INJECTION INSULIN PER 5 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1329","CodeVersion":"2020","CustomName":"VERSAPOINT DISP ELECTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7940","CodeVersion":"2020","CustomName":"OSTEOPLASTY - ORTHOGNATHIC DEFORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9612","CodeVersion":"2020","CustomName":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3999","CodeVersion":"2020","CustomName":"UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6061","CodeVersion":"2020","CustomName":"ABUT PORCLN TO MTL CROWN NOBLE MTL"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9949","CodeVersion":"2020","CustomName":"REPAIR OF CUSTOM SLEEP APNEA APPLIANCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3420","CodeVersion":"2020","CustomName":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105255","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5958","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTHESIS INTERIM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1729","CodeVersion":"2020","CustomName":"CATHETER DRAINAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0180","CodeVersion":"2020","CustomName":"COMP PERIODONTAL EVALUATION - NEW\/EST PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2015","CodeVersion":"2020","CustomName":"COMP COMMUNITY SUPPORT SERVICES PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2071","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPL REMOVAL; WEEKLY BUNDLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4261","CodeVersion":"2020","CustomName":"CERVICAL CAP FOR CONTRACEPTIVE USE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2620","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3320","CodeVersion":"2020","CustomName":"INJ SPECTINOMYCIN DIHYDROCHLORIDE UP TO 2 GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9780","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"105470","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"11659","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"13368","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0305","CodeVersion":"2020","CustomName":"Laboratory - Hematology"},{"ServiceGroup":"72780","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"65421","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"114009","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"10939","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0830","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"20096","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72042","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62261","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0082A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0312T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0728T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0062A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106101","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4990","CodeVersion":"2020","CustomName":"NICOTINE PATCHES LEGEND"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9050","CodeVersion":"2020","CustomName":"INJECTION CARMUSTINE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9612","CodeVersion":"2020","CustomName":"PHOTODOCUM 2\/MORE CECAL LANDMARK EST COMPL EXAM"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2820","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0111","CodeVersion":"2020","CustomName":"CRTCH FORARM VARIOUS MATL EA W\/TIP&HNDGRIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1885","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY LASER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8968","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAG SCORE 0"},{"ServiceGroup":"104621","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5111","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5130","CodeVersion":"2020","CustomName":"HOMEMAKER SERVICE NOS; PER 15 MINUTES"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9117","CodeVersion":"2020","CustomName":"BACK SCHOOL PER VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4721","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL >999<\/=1999CC PERITON DIALYS"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2830","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH SFT INTERFCE MOLD ABVE KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8834","CodeVersion":"2020","CustomName":"PT D\/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0742","CodeVersion":"2020","CustomName":"INJ IMP 4 MG CILASTATIN 4 MG & RELEBACTAM 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5632","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8691","CodeVersion":"2020","CustomName":"AUD OI DEVC EXT SP EXCL TRNSDUCR\/ACTUATR REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8918","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST PELVIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0443","CodeVersion":"2020","CustomName":"BRIEF FACE-FACE BEHAV CNSL ALCOHL MISUSE 15 MIN"},{"ServiceGroup":"84161","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3360","CodeVersion":"2020","CustomName":"INJECTION DIAZEPAM UP TO 5 MG"},{"ServiceGroup":"11920","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"24808","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"73485","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"9517","CodeType":"REV","Code":"0403","CodeVersion":"2020","CustomName":"Other Imaging Services - Screening Mammography"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"269","CodeVersion":"2020","CustomName":"Other skin, subcutaneous tissue, and breast procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90359","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0053A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109505","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0240U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93601","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89885","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0035U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101411","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0353U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0124","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG THIN LAY PREP INTEPR PHYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2300","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2391","CodeVersion":"2020","CustomName":"RESIN COMPOS - 1 SURFACE POSTERIOR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0742","CodeVersion":"2020","CustomName":"INJ IMP 4 MG CILASTATIN 4 MG & RELEBACTAM 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5986","CodeVersion":"2020","CustomName":"FLUORIDE GEL CARRIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0394","CodeVersion":"2020","CustomName":"ALS SPECIALIZED SERVICE DISPBL SPL; IV DRUG TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4205","CodeVersion":"2020","CustomName":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN"},{"ServiceGroup":"94499","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"15659","CodeType":"REV","Code":"0331","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Admin - Chemotherapy Admin - Injected"},{"ServiceGroup":"53542","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"33265","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0822","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"17069","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0989","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - PRIVATE DUTY NURSE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0180","CodeVersion":"2020","CustomName":"Leave Of Absence - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0460","CodeVersion":"2020","CustomName":"Pulmonary Function - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.9","CodeVersion":"2017","CustomName":"UNSPECIFIED INSTRUMENTAL DELIVERY"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49205","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0337U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102723","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0194T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1267","CodeType":"ICD9P","Code":"41.06","CodeVersion":"2017","CustomName":"CORD BLOOD STEM CELL TRANSPLANT"},{"ServiceGroup":"83677","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35734","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0330U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3321F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0522T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0239T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98470","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98587","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34874","CodeType":"ICD9P","Code":"20.98","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT COCHLEAR PROSTH DEVICE MX CHANNEL"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5212","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4510","CodeVersion":"2020","CustomName":"SURGICAL STOCKING FULL-LENGTH EACH"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9250","CodeVersion":"2020","CustomName":"HUMAN PLASMA FIBRIN SEALANT VAPOR-HEATED SD 2ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9359","CodeVersion":"2020","CustomName":"HIT ANTI-TUMOR NECROS FACTOR IV TX; PER DIEM"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7683","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0159","CodeVersion":"2020","CustomName":"SERVICES PT HOME HEALTH EST\/DEL PT MP EA 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9932","CodeVersion":"2020","CustomName":"DOC PT RSN NOT HAVING REC NEG\/MANAGED POS TB SCR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2396","CodeVersion":"2020","CustomName":"PWR WC CASTER FORK REPLACEMENT ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4248","CodeVersion":"2020","CustomName":"CHLORHEXIDINE CONTAINING ANTISEPTIC 1 ML"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9130","CodeVersion":"2020","CustomName":"DACARBAZINE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3560","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION TOE TAP HORSESHOE"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0123","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG SCR CYTOTECH UND PHYS SUPV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1004","CodeVersion":"2020","CustomName":"SERVICES QUALIFIED NURSING AIDE UP TO 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9033","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31853","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2092","CodeVersion":"2020","CustomName":"ACE INHIB\/ARB\/ARNI TH PRSC\/CURRENTLY BEING TAKEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4268","CodeVersion":"2020","CustomName":"SURGICAL REVISION PROC PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0780","CodeVersion":"2020","CustomName":"AMB INFUS PUMP MECH REUSABLE INFUS < 8 HOURS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3285","CodeVersion":"2020","CustomName":"INJECTION TREPROSTINIL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0656","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLIANCE USE W\/PNEUMAT COMPRS TRUNK"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"14174","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0314","CodeVersion":"2020","CustomName":"Laboratory Pathology - Biopsy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0855","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"18007","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"22106","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"70439","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4261F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.83","CodeVersion":"2017","CustomName":"OCCUPATIONAL THERAPY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97461","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.53","CodeVersion":"2017","CustomName":"REPAIR OF ARTERIOVENOUS FISTULA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98581","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3460","CodeVersion":"2020","CustomName":"ENDODONTIC ENDOSSEOUS IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3590","CodeVersion":"2020","CustomName":"UNCLASSIFIED BIOLOGICS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5934","CodeVersion":"2020","CustomName":"MANDIB RESECT PROSTH W\/GUIDE FLANGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3316","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6242","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD 16 SQ\/< NO ADHES BORDR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2186","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM VABORBACTAM 10 MG\/10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6388","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/EARLY FIT APPLIC RIGID DRESS ONLY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7611","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9625","CodeVersion":"2020","CustomName":"PT SUSTAIN BLAD INJ SRG\/DSCV SUBSQ UP 30 DAY P S"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9034","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS EACH UNIT"},{"ServiceGroup":"53962","CodeType":"ICD10P","Code":"0FY00Z0","CodeVersion":"2020","CustomName":"TRANSPLANTATION LIVER ALLOGENEIC OPEN APPROACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0426","CodeVersion":"2020","CustomName":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1018","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM INFINX"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2060","CodeVersion":"2020","CustomName":"INJECTION LORAZEPAM 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0453","CodeVersion":"2020","CustomName":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0830","CodeVersion":"2020","CustomName":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0911","CodeVersion":"2020","CustomName":"TRAPEZ BAR HEVY DUTY PT WT >250 LBS BED GRAB BAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1127","CodeVersion":"2020","CustomName":"DOC PT DX DEG NEURO COND DX TM BEFORE\/DUR EOC"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8844","CodeVersion":"2020","CustomName":"APNEA HYPOPNA IND\/RDI NOT MSR TM DX RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9099","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0023","CodeVersion":"2020","CustomName":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9758","CodeVersion":"2020","CustomName":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9602","CodeVersion":"2020","CustomName":"PC TL COR ATHERECT W\/RX ELUT IC STENT; 1 MCA\/BR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6935","CodeVersion":"2020","CustomName":"BELW ELB OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"30031","CodeType":"ICD10P","Code":"4A020N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART OPEN"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0331","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Admin - Chemotherapy Admin - Injected"},{"ServiceGroup":"27726","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"505","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107273","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98605","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86577","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0663T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0490T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9905","CodeVersion":"2020","CustomName":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9999","CodeVersion":"2020","CustomName":"UNSPECIFIED ADJUNCTIVE PROCEDURE BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6624","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD FLX\/EXT ROTATION WRIST UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0487","CodeVersion":"2020","CustomName":"SPIROMETER ELECTRONIC INCLUDES ALL ACCESSORIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6600","CodeVersion":"2020","CustomName":"RETAINER INLAY - PORCELAIN\/CERAMIC TWO SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9689","CodeVersion":"2020","CustomName":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0890","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0180","CodeVersion":"2020","CustomName":"CERV MX POST COLLAR OCCIP\/MAND SUPPORTS ADJUSTBL"},{"ServiceGroup":"11802","CodeType":"HCPCS","Code":"S9365","CodeVersion":"2020","CustomName":"HOM INFUS TX TPN; 1 LITER-DAY DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3101","CodeVersion":"2020","CustomName":"INJECTION TENECTEPLASE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5241","CodeVersion":"2020","CustomName":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2015","CodeVersion":"2020","CustomName":"PHOENIX WOUND MATRIX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3360","CodeVersion":"2020","CustomName":"INJECTION DIAZEPAM UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8452","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY NOT PRESCRIBED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2469","CodeVersion":"2020","CustomName":"INJECTION PALONOSETRON HCL 25 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5060","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BEHIND THE EAR"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4360","CodeVersion":"2020","CustomName":"DISPSBL EXT URETHRAL CLAMP\/COMP DEV PAD POUCH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0277","CodeVersion":"2020","CustomName":"POWERED PRESSURE-REDUCING AIR MATTRESS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3515F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9198","CodeVersion":"2020","CustomName":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4164","CodeVersion":"2020","CustomName":"HELICOLL PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5731","CodeVersion":"2020","CustomName":"RELINE COMPLETE MANDIBULAR DENTURE DIRECT"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2570","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS TYPE 2 PSTN JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9293","CodeVersion":"2020","CustomName":"INJECTION MITOXANTRONE HCL PER 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0720","CodeVersion":"2020","CustomName":"TENS DEVICE TWO LEAD LOCALIZED STIMULATION"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5954","CodeVersion":"2020","CustomName":"PALATAL AUGMENTATION PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6536","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 18-30 MMHG EA"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"62097","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"22820","CodeType":"REV","Code":"871","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Cell Collection"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"577","CodeVersion":"2020","CustomName":"Carotid Artery Stent Procedure"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0349U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.55","CodeVersion":"2017","CustomName":"LIG&STRIPPING VARICOSE VEINS OTH THORACIC VESSEL"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93432","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3341F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0589T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113855","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3072F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.4","CodeVersion":"2017","CustomName":"MEDICAL INDUCTION OF LABOR"},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100256","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8934","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST UPPER EXTREMITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1404","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4680","CodeVersion":"2020","CustomName":"ACTIVATED CARBON FILTER FOR HEMODIALYSIS EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0730","CodeVersion":"2020","CustomName":"TENS DEVICE 4\/MORE LEADS MULTI NERVE STIMULATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2205","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6441","CodeVersion":"2020","CustomName":"PADD BANDGE NON-ELAST NON-WOVEN\/NON-KNITTED WDTH"},{"ServiceGroup":"91","CodeType":"ICD10P","Code":"0TY00Z0","CodeVersion":"2020","CustomName":"TRANSPLANTATION RT KIDNEY ALLOGENEIC OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0007","CodeVersion":"2020","CustomName":"EXTRA HEAVY-DUTY WHEELCHAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3410","CodeVersion":"2020","CustomName":"APICOECTOMY - ANTERIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4035","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; PUMP FED PER DAY"},{"ServiceGroup":"113624","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2001","CodeVersion":"2020","CustomName":"INNOVAMATRIX AC PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3240","CodeVersion":"2020","CustomName":"PULPAL THERAPY - POST PRIMARY TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8135","CodeVersion":"2020","CustomName":"PT NOT DOC RECV AB PROP 1HR TO INCI"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0120","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; ALT G0105 COLNSCPY BA ENEMA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2720","CodeVersion":"2020","CustomName":"CROWN - RESIN WITH HIGH NOBLE METAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9475","CodeVersion":"2020","CustomName":"AMB SET SUBSTANCE ABS TX\/DTOXFICATION SRVC-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7635","CodeVersion":"2020","CustomName":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9913","CodeVersion":"2020","CustomName":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6216","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL 16 SQ\/< W\/O ADHES EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4005","CodeVersion":"2020","CustomName":"FAMILY MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9992","CodeVersion":"2020","CustomName":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2610","CodeVersion":"2020","CustomName":"WHEELCHAIR SEAT CUSHION POWERED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5112","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5214","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC\/ITC"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"R0070","CodeVersion":"2020","CustomName":"TRANS PRTBL X-RAY EQP&PERS HOM\/NRS HOM-TRIP 1 PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0030","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH HOTLINE SERVICE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4257","CodeVersion":"2020","CustomName":"RELESE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0880","CodeVersion":"2020","CustomName":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8935","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST UPPER EXTREMITY"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9826","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0548","CodeVersion":"2020","CustomName":"Ambulance - EKG Transmission"},{"ServiceGroup":"33366","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3288F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0362T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4167F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0566T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107320","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4172","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID 5.5 THRU 7%-HOM MIX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0575","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL >10 MG BUPRENORPHINE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2040","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2398","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0482","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4258","CodeVersion":"2020","CustomName":"ENVERSE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9973","CodeVersion":"2020","CustomName":"EXTERNAL BLEACHING - PER TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4305","CodeVersion":"2020","CustomName":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML\/>-HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0378","CodeVersion":"2020","CustomName":"HOSPITAL OBSERVATION SERVICE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2295","CodeVersion":"2020","CustomName":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5996","CodeVersion":"2020","CustomName":"PERIO MEDICAMNT CARR PERIPH SL - LAB PROCD-MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5966","CodeVersion":"2020","CustomName":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8910","CodeVersion":"2020","CustomName":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0571","CodeVersion":"2020","CustomName":"BUPRENORPHINE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1030","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8684","CodeVersion":"2020","CustomName":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9273","CodeVersion":"2020","CustomName":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4427","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W\/FLTR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9608","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL; EA ADD CA CA BR\/BP GFT"},{"ServiceGroup":"88834","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5010","CodeVersion":"2020","CustomName":"ASSESSMENT FOR HEARING AID"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8600","CodeVersion":"2020","CustomName":"IV T-PA INITIATED W\/IN 3 HRS TIME LAST KNWN WELL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2073","CodeVersion":"2020","CustomName":"MEDICATION ASSIST TX NALTREXONE; WEEKLY BUNDLE"},{"ServiceGroup":"91586","CodeType":"HCPCS","Code":"C9602","CodeVersion":"2020","CustomName":"PC TL COR ATHERECT W\/RX ELUT IC STENT; 1 MCA\/BR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4770","CodeVersion":"2020","CustomName":"BLOOD COLLECTION TUBE VACUUM FOR DIALYSIS PER 50"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4417","CodeVersion":"2020","CustomName":"OST POUCH CLO W\/BARRIER ATTCH W\/BUILT-IN CONVXIT"},{"ServiceGroup":"38650","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"64201","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"37266","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"12886","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"33268","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"315","CodeVersion":"2020","CustomName":"Other kidney and urinary tract operating room procedures"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93029","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0132U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0328U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107071","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84320","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0572T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41546","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3252","CodeVersion":"2020","CustomName":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2109","CodeVersion":"2020","CustomName":"PT 66 &>CLM FRLTY &1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2398","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3956","CodeVersion":"2020","CustomName":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0634","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOT SAGIT-COR CNTRL RIGD POST CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6600","CodeVersion":"2020","CustomName":"RETAINER INLAY - PORCELAIN\/CERAMIC TWO SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0854","CodeVersion":"2020","CustomName":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS\/>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6197","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GELL DRESS PAD >16<\/=48 SQ EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1040","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LUMBAR IDIO\/CONG SCOLIOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9452","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1036","CodeVersion":"2020","CustomName":"ADULTS NOT AL 180 D CONT PT PSCR OUD NO GAP >7 D"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2675","CodeVersion":"2020","CustomName":"INJECTION PROGESTERONE PER 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9604","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG COMB DE IC STNT; 1 VES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2627","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB M ARM SUPP ADJUSTBL RANCHO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5281","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM SYS MONAURL ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1260","CodeVersion":"2020","CustomName":"INJECTION DOLASETRON MESYLATE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9073","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST III; ER&\/PR POS;NO PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2790","CodeVersion":"2020","CustomName":"CROWN - FULL CAST HIGH NOBLE METAL"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0384","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAG CAP TMJ SERIES 2\/> EXPOSURES"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"42784","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"91754","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"10708","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"17071","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"88432","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"56484","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"26228","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"3388","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"33235","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0853","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"20910","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14552","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98495","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0446T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12597","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0662T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3590","CodeVersion":"2020","CustomName":"UNCLASSIFIED BIOLOGICS"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0497","CodeVersion":"2020","CustomName":"BATT CLPS FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2180","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG EVAL FTWR PT BIL LW EXT AMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0273","CodeVersion":"2020","CustomName":"BED BOARD"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2231","CodeVersion":"2020","CustomName":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9417","CodeVersion":"2020","CustomName":"PATIENT NO 1 TET DT & TDAP ON\/BTW PT 10 & 13 BD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0493","CodeVersion":"2020","CustomName":"EMERG PWR CABLE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4245","CodeVersion":"2020","CustomName":"AMNIOTEXT PER CC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0834","CodeVersion":"2020","CustomName":"INJECTION COSYNTROPIN 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2260","CodeVersion":"2020","CustomName":"INDUCED ABORTION 17 TO 24 WEEKS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12258","CodeType":"CPT","Code":"93572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.4","CodeVersion":"2017","CustomName":"FORCEPS ROTATION OF FETAL HEAD"},{"ServiceGroup":"78095","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6580","CodeVersion":"2020","CustomName":"PREP WRST DISRTC\/BELW ELB 1 WALL PLSTC SCKT MOLD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3399","CodeVersion":"2020","CustomName":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9559","CodeVersion":"2020","CustomName":"HIT INTERFERON W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9592","CodeVersion":"2020","CustomName":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0190","CodeVersion":"2020","CustomName":"INJECTION BIPERIDEN LACTATE PER 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6055","CodeVersion":"2020","CustomName":"WRST DISARTIC MOLD SOCKT W\/XPNDABLE INTERFCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1009","CodeVersion":"2020","CustomName":"CHILD SIT-CHILD IND REC ALCOHL&\/SUBSTNC ABS SRVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7220","CodeVersion":"2020","CustomName":"REMOVAL IMPACT TOOTH - SOFT TISSUE"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6011","CodeVersion":"2020","CustomName":"SURGICAL ACCESS TO AN IMPLANT BODY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9185","CodeVersion":"2020","CustomName":"INJECTION FLUDARABINE PHOSPHATE 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2024","CodeVersion":"2020","CustomName":"SERVICE ASSESSMENT\/PLAN CARE DEVELOPMENT WAIVER"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5611","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W\/FRICT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9041","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9007","CodeVersion":"2020","CustomName":"HANDLING CHARGE FOR PURCHASE"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9973","CodeVersion":"2020","CustomName":"EXTERNAL BLEACHING - PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4088","CodeVersion":"2020","CustomName":"GASTROSTOMY\/J-TUBE LOW-PROFILE ANY MAT\/TYPE EACH"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0575","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL >10 MG BUPRENORPHINE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2311","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER&TWO\/MORE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9842","CodeVersion":"2020","CustomName":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2507","CodeVersion":"2020","CustomName":"INJECTION PEGLOTICASE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5856","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KNEE-SHIN SYS SWING&STANCE PHSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3320","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY PREMOLAR TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4268","CodeVersion":"2020","CustomName":"SURGICAL REVISION PROC PER TOOTH"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"28818","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"8962","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"15357","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"13248","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"68192","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"25697","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0986","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EEG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75325","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3331F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84309","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1036F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7020","CodeVersion":"2020","CustomName":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0894","CodeVersion":"2020","CustomName":"INJECTION DECITABINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9343","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0629","CodeVersion":"2020","CustomName":"SEAT LIFT MECHANISM NON-ELECTRIC ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7873","CodeVersion":"2020","CustomName":"ARTHROSCOPY: LAVAGE AND LYSIS OF ADHESIONS"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"58432","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"73602","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.21","CodeVersion":"2017","CustomName":"MID FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.73","CodeVersion":"2017","CustomName":"ESOPHAGEAL SPEECH TRAINING"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4172F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44132","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0146U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0248U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0142U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37516","CodeType":"ICD9P","Code":"93.91","CodeVersion":"2017","CustomName":"INTERMITTENT POSITIVE PRESSURE BREATHING"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0043A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1789","CodeVersion":"2020","CustomName":"PROSTHESIS BREAST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2110","CodeVersion":"2020","CustomName":"1 VISN +\/- 4.25-7.00D SPHERE OVER 6.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0081","CodeVersion":"2020","CustomName":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4152","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1391","CodeVersion":"2020","CustomName":"O2 CONC 2 DEL PORT 85%\/>O2 CONC PRSC FLW RATE EA"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9217","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE 7.5 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9033","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1505","CodeVersion":"2020","CustomName":"ELECTRONIC MEDICATION COMPLIANCE MANAGE DEVC NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1841","CodeVersion":"2020","CustomName":"RETINAL PROSTH INCL ALL INTRL & EXTERNL CMPNT"},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10T20ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8045","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9361","CodeVersion":"2020","CustomName":"MEDICAL INDICATION FOR DELIV C\/S OR INDUCT LABOR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4033","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0076","CodeVersion":"2020","CustomName":"BRIEF CARE MANAGEMENT HOME VISIT NEW PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6245","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD 16 SQ\/< ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3980","CodeVersion":"2020","CustomName":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT&ADJ"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9765","CodeVersion":"2020","CustomName":"DOC PT DECLINED CHG MED\/ALT THERAPIES UNAVBL"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8913","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST LOWER EXTREMITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0274","CodeVersion":"2020","CustomName":"NP VST MEMBER HOME OUTSIDE CAPITATION ARRANGMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1890","CodeVersion":"2020","CustomName":"NO IMPLANT\/INSERTABLE DEVC USED W\/DEVC-INT PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9330","CodeVersion":"2020","CustomName":"INJECTION TEMSIROLIMUS 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0390","CodeVersion":"2020","CustomName":"TRAUMA RESPONSE TEAM ASSOC W\/HOSP CC SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2603","CodeVersion":"2020","CustomName":"SKN PROTECTION WC SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5652","CodeVersion":"2020","CustomName":"ADD LW EXT SUCTN SUSP ABVE KNEE\/KNEE DISARTIC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5711","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5103","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9432","CodeVersion":"2020","CustomName":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1763","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE NON-HUMAN"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0380","CodeVersion":"2020","CustomName":"Blood and Blood Components - General Classification"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0988","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CONSULTATION"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"51962","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"74584","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"88138","CodeType":"DRG","Code":"987","CodeVersion":"2020","CustomName":"Nonextensive O.R. Procedure Unrelated to Principal Diagnosis with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"883","CodeVersion":"2020","CustomName":"LAPROSCOPIC APPENDECTOMY -NYDRG"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"265","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement except for skin ulcer or cellulitis with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113851","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.95","CodeVersion":"2017","CustomName":"VENOUS CATHETERIZATION FOR RENAL DIALYSIS"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.75","CodeVersion":"2017","CustomName":"REVISION OF LEAD"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3374F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77448","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71.19","CodeVersion":"2017","CustomName":"OTHER DIAGNOSTIC PROCEDURES ON VULVA"},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0084","CodeVersion":"2020","CustomName":"COMPREHENSIVE CARE MGMT HOME VISIT FOR XST PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0895","CodeVersion":"2020","CustomName":"INJECTION DEFEROXAMINE MESYLATE 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3975","CodeVersion":"2020","CustomName":"SEWHFO SHOULDER CAP DESIGN W\/O JOINTS CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6300","CodeVersion":"2020","CustomName":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1810","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7644","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9859","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1629","CodeVersion":"2020","CustomName":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0207","CodeVersion":"2020","CustomName":"PARAMEDIC INTERCEPT NON-HOS-BASED ALS SRVC NON-T"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3220","CodeVersion":"2020","CustomName":"TX PULPOT-CORONL DENTNOCEMENTL JUNC"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8512","CodeVersion":"2020","CustomName":"GELATIN CAPS\/EQUVALNT W\/TRACHEOESOPH VOICE PROS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9328","CodeVersion":"2020","CustomName":"INJECTION TEMOZOLOMIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0436","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4039","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9909","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV TOB CESS INT IDENT TOB USER"},{"ServiceGroup":"29092","CodeType":"HCPCS","Code":"A0426","CodeVersion":"2020","CustomName":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1055","CodeVersion":"2020","CustomName":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2001","CodeVersion":"2020","CustomName":"INNOVAMATRIX AC PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9890","CodeVersion":"2020","CustomName":"BRDG PMT:1ST MDPP CS C\/OM S SPL BNF MO 1-24 EM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6098","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETN - PORC FU TO PDMT BASE ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5790","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7192","CodeVersion":"2020","CustomName":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5650","CodeVersion":"2020","CustomName":"ADD LW EXT TOTAL CONTACT ABVE KNEE\/KNEE DISARTC"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H1001","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0650","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9267","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9099","CodeVersion":"2020","CustomName":"BLOOD COMPONENT OR PRODUCT NOC"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"281","CodeVersion":"2020","CustomName":"Trauma to the skin, subcutaneous tissue, and breast, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD9P","Code":"74.91","CodeVersion":"2017","CustomName":"HYSTEROTOMY TO TERMINATE PREGNANCY"},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0141U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89853","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0137U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0270U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.34","CodeVersion":"2017","CustomName":"OTHER FETAL MONITORING"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89942","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107643","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27918","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6252","CodeVersion":"2020","CustomName":"PONTIC RESIN W\/NOBLE METAL"},{"ServiceGroup":"111388","CodeType":"HCPCS","Code":"G0491","CodeVersion":"2020","CustomName":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W\/O ESRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1455","CodeVersion":"2020","CustomName":"INJECTION FOSCARNET SODIUM PER 1000 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0098","CodeVersion":"2020","CustomName":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2504","CodeVersion":"2020","CustomName":"SPCH GEN DEVC DIGTIZD>20 MINS<\/=40 MINS REC TIME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0885","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8907","CodeVersion":"2020","CustomName":"PT DOC NO:BURN;FALL FAC;WRG EVENT;\/HOS TRANSFER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8658","CodeVersion":"2020","CustomName":"RSK-A FXN STS CH RSD SC FT\/ANK IMPR NO MSR N RSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5982","CodeVersion":"2020","CustomName":"SURGICAL STENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0482","CodeVersion":"2020","CustomName":"COUGH STIM DEVICE ALTRNAT POS&NEG ARWAY PRESS"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8691","CodeVersion":"2020","CustomName":"AUD OI DEVC EXT SP EXCL TRNSDUCR\/ACTUATR REPL EA"},{"ServiceGroup":"103782","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1071","CodeVersion":"2020","CustomName":"PATIENT HAD ADD SP PROC PERF SD L DSKC\/LAMINOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4396","CodeVersion":"2020","CustomName":"PERISTOMAL HERNIA SUPPORT BELT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9063","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5721","CodeVersion":"2020","CustomName":"REBASE MANDIBULAR PARTIAL DENTURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0316","CodeVersion":"2020","CustomName":"SFTY ENCLOS FRME\/CANOPY USE W\/HOSP BED ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0621","CodeVersion":"2020","CustomName":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1741","CodeVersion":"2020","CustomName":"INJECTION IBUPROFEN 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1732","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX\/ABLAT 3D\/VECTOR MAP"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1960","CodeVersion":"2020","CustomName":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2193","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE <6 YOA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6710","CodeVersion":"2020","CustomName":"RETAINER CROWN - INDIRECT RESIN BASED COMPOSITE"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"58462","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0637","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Self-Administrable Drugs"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"61817","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"010","CodeVersion":"2020","CustomName":"Nervous system neoplasms with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0103T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84932","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0726T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0327T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.93","CodeVersion":"2017","CustomName":"SURGICAL CORRECTION OF INVERTED UTERUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3090","CodeVersion":"2020","CustomName":"INJECTION TEDIZOLID PHOSPHATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3411","CodeVersion":"2020","CustomName":"INJECTION THIAMINE HCL 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6461","CodeVersion":"2020","CustomName":"SYN RSRB STR PAD SZ >16 SI BUT<\/= 48 SI NO A B E"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9019","CodeVersion":"2020","CustomName":"PLATELETS EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1231","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W\/SEAT SYS"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0413","CodeVersion":"2020","CustomName":"PERQ SKEL FIX POST PELV BONE FX&\/DISLOC UNI\/BIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0807","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0411","CodeVersion":"2020","CustomName":"INTERACTV GRP PSYCHOTX PART HOS 45 TO 50 MIN"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2324","CodeVersion":"2020","CustomName":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9691","CodeVersion":"2020","CustomName":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7680","CodeVersion":"2020","CustomName":"FCE BNS-COMP RDUC FIX&MX APPRCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4008","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0423","CodeVersion":"2020","CustomName":"INTENSIVE CARD REHAB; W\/WO CONT ECG MON W\/O EXER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0083","CodeVersion":"2020","CustomName":"MODERATE CARE MANAGEMENT HOME VISIT FOR EXIST PT"},{"ServiceGroup":"35558","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"108082","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"36589","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"48085","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"787","CodeVersion":"2020","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY W CDE-NYDRG"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"457","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46723","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0289U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104122","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0274T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4575","CodeVersion":"2020","CustomName":"TOPICAL HYPERBARIC OXYGEN CHAMBER DISPOSABLE"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2640","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED PALLADIUM-103 PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8561","CodeVersion":"2020","CustomName":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9722","CodeVersion":"2020","CustomName":"DOC HX RENAL FAILURE\/BASELINE S-CR >=4.0 MG\/DL;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0408","CodeVersion":"2020","CustomName":"F\/U IP CNSLT CMPLX PHYS 35 MIN\/>PT VIA TELEHLTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9353","CodeVersion":"2020","CustomName":"MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0744","CodeVersion":"2020","CustomName":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8681","CodeVersion":"2020","CustomName":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2043","CodeVersion":"2020","CustomName":"SIPULEUCEL-T AUTO CD54+"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2100","CodeVersion":"2020","CustomName":"BLD GLU MONITOR W\/INTEGRATED VOICE SYNTHESIZER"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4534","CodeVersion":"2020","CustomName":"YOUTH SZD DISPBL INCONT PROD UNDWEAR\/PULLON EA"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92361","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74470","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.92","CodeVersion":"2017","CustomName":"CREAT CONDUIT BETWN RIGHT VENTRICLE&PULM ART"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0620T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0178U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9110","CodeVersion":"2020","CustomName":"PALLIATVE TX DENTAL PAIN-MINOR PROC"},{"ServiceGroup":"87396","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3921","CodeVersion":"2020","CustomName":"HFO INCL 1\/MORE NONTORSION JOINTS CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0821","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO &=300 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9098","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE LIPOSOME 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3050","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMOVABLE PREMOLDED MT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2235","CodeVersion":"2020","CustomName":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3333","CodeVersion":"2020","CustomName":"INTRL ROOT REPAIR PERFORATION DEFEC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4023","CodeVersion":"2020","CustomName":"PATHOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4530","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD BRF\/DIAPER LG SZ EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9982","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE PER PAGE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4048","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9036","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS IRRADIATED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0494","CodeVersion":"2020","CustomName":"SKILLED SRVC LPN OBS & ASMT PT COND EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6441","CodeVersion":"2020","CustomName":"PADD BANDGE NON-ELAST NON-WOVEN\/NON-KNITTED WDTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9627","CodeVersion":"2020","CustomName":"DID NOT SUST BLAD INJ SRG\/NOR DSCV SUBSQ UP 30PS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2127","CodeVersion":"2020","CustomName":"PT 66-80 YOA AL 1 CLM FR DUR MP & DISPENS RX DEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6714","CodeVersion":"2020","CustomName":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2930","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 125 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2224","CodeVersion":"2020","CustomName":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0426","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8499","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7520","CodeVersion":"2020","CustomName":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2053","CodeVersion":"2020","CustomName":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9316","CodeVersion":"2020","CustomName":"DOC PT RISK ASSESSMENT RISK CALCULATOR W\/PT\/FAM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86234","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0177","CodeVersion":"2020","CustomName":"TRN&ED REL CARE&TX PTS DISABL MENTL HLTH-SESS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4127","CodeVersion":"2020","CustomName":"TALYMED PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9699","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL THERAPEUTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2616","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN\/> ANY HT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7304","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA"},{"ServiceGroup":"74469","CodeType":"HCPCS","Code":"Q0084","CodeVersion":"2020","CustomName":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7659","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9031","CodeVersion":"2020","CustomName":"PLATELETS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"45184","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0830","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3323F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3378F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93077","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28068","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9228","CodeVersion":"2020","CustomName":"INJECTION IPILIMUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1011","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH QUAL TOOL NOS DFIND MCR AUC"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8540","CodeVersion":"2020","CustomName":"DEXAMETHASONE ORAL 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8430","CodeVersion":"2020","CustomName":"PADDING FOR COMPRESSION BANDAGE ROLL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7209","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2718","CodeVersion":"2020","CustomName":"PRESS-ON LENS FRESNELL PRISM PER LENS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9223","CodeVersion":"2020","CustomName":"INJECTION LURBINECTEDIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5970","CodeVersion":"2020","CustomName":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2612","CodeVersion":"2020","CustomName":"GEN WC BACK CUSHN WDTH 22 IN\/GT HT MOUNT HARDWRE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0495","CodeVersion":"2020","CustomName":"SKD SRVC RN TRAIN&\/EDU PT\/FAM HH\/HOSPC EA 15 MIN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7018","CodeVersion":"2020","CustomName":"H2O DIST USE W\/LG VOL NEB 1000 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0257","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8928","CodeVersion":"2020","CustomName":"TTE W\/CNTRST INCL M-MODE REC REST & CV ST W\/I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8085","CodeVersion":"2020","CustomName":"F-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4083","CodeVersion":"2020","CustomName":"STOMACH TUBE - LEVINE TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6534","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"45944","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9384","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RECV ANNUAL SCREENING HCV INF"},{"ServiceGroup":"180","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"12778","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"44106","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"13052","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"30457","CodeType":"REV","Code":"0344","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic Radiopharmaceuticals"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"502","CodeVersion":"2020","CustomName":"Knee procedure with principal diagnosis of infection without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57222","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33982","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1183F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87026","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0354U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9757","CodeVersion":"2020","CustomName":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4671","CodeVersion":"2020","CustomName":"DISPBL CYCLER SET USED W\/CYCLER DIALYSIS MACH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6241","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0255","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7297","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0597T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0181T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0518T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0654T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93085","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106227","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"7010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58776","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0641","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1024","CodeVersion":"2020","CustomName":"NONPNEUMATIC COMPR CONTRL W\/SEQ CALIBR GRDNT PRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0414","CodeVersion":"2020","CustomName":"LAB PROC MICROB SPEC INC CULTURE & SENS STUDIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5927","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0239","CodeVersion":"2020","CustomName":"HYDROCOLLATOR UNIT PORTABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1327","CodeVersion":"2020","CustomName":"INJECTION EPTIFIBATIDE 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6208","CodeVersion":"2020","CustomName":"CONTACT LAYER STERL > 48 SQ IN EACH DRESSING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9780","CodeVersion":"2020","CustomName":"INS CVC THRU CVO VIA INF & SUP APRCH INC IMG GD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9868","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMT ASYNC IMAGES <10 MINS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4040","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D3240","CodeVersion":"2020","CustomName":"PULPAL THERAPY - POST PRIMARY TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7045","CodeVersion":"2020","CustomName":"ELEC HOOK SWITCH\/MYOELECTRIC CONTOL PEDIATRIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9912","CodeVersion":"2020","CustomName":"PRE-VISIT PATIENT SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7290","CodeVersion":"2020","CustomName":"SURGICAL REPOSITIONING OF TEETH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3010","CodeVersion":"2020","CustomName":"FT INSRT REMV MOLD PT MDL LNGTUDNL ARCH SUPP EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9897","CodeVersion":"2020","CustomName":"PTS NOT RX\/ADM AD TX COM EBRT PROS RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6684","CodeVersion":"2020","CustomName":"UP EXTRM ADD TST SCKT SHLDR DISRTC\/INTRSCAP THOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9993","CodeVersion":"2020","CustomName":"PT PROVIDED PALLATIVE CARE SRV TIME DUR MEAS PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3595","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION MARCH BAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0601","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING LOW RISK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2160","CodeVersion":"2020","CustomName":"AMALGAM-3 SURFACES PRIMARY\/PERM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7400","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS BELOW ELB\/WD ULTRALIGHT MATL"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2126","CodeVersion":"2020","CustomName":"PT 66-80 YOA AL 1 CLAIM FOR FRAILTY DUR MSR PRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9102","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4369","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER LIQUID PER OZ"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7668","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP CONC PER 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9765","CodeVersion":"2020","CustomName":"DOC PT DECLINED CHG MED\/ALT THERAPIES UNAVBL"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1149","CodeVersion":"2020","CustomName":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL&\/D\/C"},{"ServiceGroup":"3273","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"73488","CodeType":"REV","Code":"0829","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Other OP Hemodialysis"},{"ServiceGroup":"44564","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"12597","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"87317","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"90318","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"983","CodeVersion":"2020","CustomName":"Extensive O.R. Procedure Unrelated to Principal Diagnosis without CC\/MCC"},{"ServiceGroup":"31074","CodeType":"DRG","Code":"795","CodeVersion":"2020","CustomName":"LUNG TRANSPLANT-NYDRG"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4145F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0208","CodeVersion":"2020","CustomName":"PARAMEDIC INTERCPT HOS-BASE ALS SRVC NON-TRNSPRT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5400","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/ERLY FIT APPLY RIGD DRESS W\/1 CHG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1321","CodeVersion":"2020","CustomName":"PALATE\/BASE OF TONGUE ELECTR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0275","CodeVersion":"2020","CustomName":"BED PAN STANDARD METAL OR PLASTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9901","CodeVersion":"2020","CustomName":"PT 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DAYS MSR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4391","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/EXT WEAR BARRIER ATTCH EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7294","CodeVersion":"2020","CustomName":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG\/24H YR VAG"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D07Z7","CodeVersion":"2020","CustomName":"EXTRACTION POC INTERNAL VERSION NAT\/ART OPENING"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0113","CodeVersion":"2020","CustomName":"CRANIAL CERVL ORTHOTIC TORTICOLLIS TYPE PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4771","CodeVersion":"2020","CustomName":"SERUM CLOTTING TIME TUBE FOR DIALYSIS PER 50"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3762","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS RIGID W\/O JOINT PREFAB OFF SHELF"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7120","CodeVersion":"2020","CustomName":"RINGERS LACTATE INFUSION UP TO 1000 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7667","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P3001","CodeVersion":"2020","CustomName":"SCR PAP SMER CERV\/VAG TO 3 SMERS RQR INTEPR PHYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0081","CodeVersion":"2020","CustomName":"INJECTION PIPERACILLIN SODIUM 500 MG"},{"ServiceGroup":"3358","CodeType":"ICD10P","Code":"05HM33Z","CodeVersion":"2020","CustomName":"INSERT INFUS DEVICE RT INTRL JUG VN PERQ APPRCH"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"10944","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0842","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"49462","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"17075","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0642","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - IV Site Care, Central Line\""},{"ServiceGroup":"79562","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"15860","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62259","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90385","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0695T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62296","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8010","CodeVersion":"2020","CustomName":"LTD ORTHODONT TX PRIMARY DENTITION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0062","CodeVersion":"2020","CustomName":"AUDIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2762","CodeVersion":"2020","CustomName":"POLARIZATION ANY LENS MATERIAL PER LENS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5514","CodeVersion":"2020","CustomName":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5640","CodeVersion":"2020","CustomName":"REPLACE BROKEN TEETH - PER TOOTH"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65625","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108265","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0181U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106670","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0283U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0644T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99168","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.8","CodeVersion":"2017","CustomName":"OP CAROTID BODY CAROTID SINUS&OTH VASC BODIES"},{"ServiceGroup":"104736","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2398","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1100","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7322","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE HYMOVIS IA INJ 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2795","CodeVersion":"2020","CustomName":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0858","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4043","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6541","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 40-50 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6905","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE MX FNGR REMAIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5677","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5661","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4216","CodeVersion":"2020","CustomName":"ARTACENT CORD PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0469","CodeVersion":"2020","CustomName":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1056","CodeVersion":"2020","CustomName":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9071","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST I\/II;ER&\/PR POS;NO PROGRESSN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2675","CodeVersion":"2020","CustomName":"INJECTION PROGESTERONE PER 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1091","CodeVersion":"2020","CustomName":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2955","CodeVersion":"2020","CustomName":"POST REMOVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2109","CodeVersion":"2020","CustomName":"PT 66 &>CLM FRLTY &1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4037","CodeVersion":"2020","CustomName":"UROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7120","CodeVersion":"2020","CustomName":"RINGERS LACTATE INFUSION UP TO 1000 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3620","CodeVersion":"2020","CustomName":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0405","CodeVersion":"2020","CustomName":"ECG RTN ECG W\/12 LEADS INTERPR & REPORT ONLY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88263","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3032","CodeVersion":"2020","CustomName":"INJECTION EPTINEZUMAB-JJMR 1 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2038","CodeVersion":"2020","CustomName":"COMMUNITY TRANSITION WAIVER; PER SERVICE"},{"ServiceGroup":"95360","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0304","CodeVersion":"2020","CustomName":"Laboratory - Non-Routine Dialysis"},{"ServiceGroup":"26775","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"675","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0341","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic"},{"ServiceGroup":"68190","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0541","CodeVersion":"2020","CustomName":"Ambulance - Supplies"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0691","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - VISIT CHARGE"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0942","CodeVersion":"2020","CustomName":"CERVICAL HEAD HARNESS\/HALTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9796","CodeVersion":"2020","CustomName":"PATIENT IS CURRENTLY ON A STATIN THERAPY"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0170","CodeVersion":"2020","CustomName":"ANASTROZOLE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B9006","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION INFUSION PUMP STATIONARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0501","CodeVersion":"2020","CustomName":"OTHER ORAL PATH PROCEDURES, VARIABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6096","CodeVersion":"2020","CustomName":"REMOVE BROKEN IMPLANT RETAINING SCREW"},{"ServiceGroup":"90340","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9285","CodeVersion":"2020","CustomName":"INVERSION\/EVERSION CORRECTION DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0861","CodeVersion":"2020","CustomName":"ADD HALO PROC REPLCMT LINER\/INTERFCE MATERIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2032","CodeVersion":"2020","CustomName":"ACTIVITY THERAPY PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1453","CodeVersion":"2020","CustomName":"INJECTION FOSAPREPITANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1029","CodeVersion":"2020","CustomName":"ORAL DEVICE\/APPL NM ELEC STIM TONGUE MUSCLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3999","CodeVersion":"2020","CustomName":"UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0472","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR HYPREXT RIGD ANT&LAT FRME PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6065","CodeVersion":"2020","CustomName":"IMPLANT SUPP PORCELN\/CERAMIC CROWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1399","CodeVersion":"2020","CustomName":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2350","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7403","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS BE\/WRIST DISART ACRYLIC MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2330","CodeVersion":"2020","CustomName":"RESIN COMPOS - ONE SURFACE ANTERIOR"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9697","CodeVersion":"2020","CustomName":"DOC OF PT RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9893","CodeVersion":"2020","CustomName":"DILATED MACULAR EX WAS NOT PERFORMED REASON NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9530","CodeVersion":"2020","CustomName":"PT PRESNT W\/MIN BLUNT HEAD TRAUMA CT ORD BY ECP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0205","CodeVersion":"2020","CustomName":"HEAT LAMP W\/STAND INCLUDES BULB\/INFRARED ELEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0641","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS MULTI-POSITION ANY SZ"},{"ServiceGroup":"3132","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"73653","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"27155","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0456","CodeVersion":"2020","CustomName":"Emergency Room - Urgent Care"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"17621","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104851","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4554F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105013","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0519T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1032F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"8942","CodeType":"ICD9P","Code":"92.27","CodeVersion":"2017","CustomName":"IMPLANTATION OR INSERTION RADIOACTIVE ELEMENTS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91005","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3218F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0101A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"0237U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52945","CodeType":"CPT","Code":"90805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68642","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106101","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0105U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3850","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR SICKLE CELL ANEMIA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9250","CodeVersion":"2020","CustomName":"HUMAN PLASMA FIBRIN SEALANT VAPOR-HEATED SD 2ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0635","CodeVersion":"2020","CustomName":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4196","CodeVersion":"2020","CustomName":"PURAPLY AM PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5460","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABVE KNEE"},{"ServiceGroup":"43958","CodeType":"HCPCS","Code":"S9474","CodeVersion":"2020","CustomName":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1050","CodeVersion":"2020","CustomName":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4185","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION SOL NOS 10 GRAMS LIPIDS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0084","CodeVersion":"2020","CustomName":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1999","CodeVersion":"2020","CustomName":"MISC TX ITEMS & SUPPLIES RETAIL PURCHASESMISC TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9009","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6111","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5450","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4165","CodeVersion":"2020","CustomName":"KERAMATRIX OR KERASORB PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9976","CodeVersion":"2020","CustomName":"LODGING PER DIEM NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4047","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4040","CodeVersion":"2020","CustomName":"MON & STORAGE CRYOPRESERVED EMBRYOS PER 30 DAYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8600","CodeVersion":"2020","CustomName":"MELPHALAN ORAL 2 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7604","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2203","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20 < 22 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4760","CodeVersion":"2020","CustomName":"DIALYSATE SOL TST KIT PERITON DIALYSIS TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4580","CodeVersion":"2020","CustomName":"CAST SUPPLIES"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9035","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"46248","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2590","CodeVersion":"2020","CustomName":"INJECTION OXYTOCIN UP TO 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0512","CodeVersion":"2020","CustomName":"PHRM FEE O ANTI-CA ANTI-EMET\/IS RX; SUBSQT 30-DA"},{"ServiceGroup":"82449","CodeType":"HCPCS","Code":"A0429","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9088","CodeVersion":"2020","CustomName":"INSTILL BUPIVACAINE & MELOXICAM 1 MG\/0.03 MG"},{"ServiceGroup":"13476","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"113176","CodeType":"CPT","Code":"0012A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0020U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.52","CodeVersion":"2017","CustomName":"REPR ATRIAL SEPTAL DEFEC W\/PROSTH CLOS TECHNIQUE"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0110U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104099","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106227","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9331","CodeVersion":"2020","CustomName":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0201","CodeVersion":"2020","CustomName":"PARTIAL HOSITALIZATION SERVICES < 24 HR PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8723","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4246","CodeVersion":"2020","CustomName":"CORETEXT OR PROTEXT PER CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4283","CodeVersion":"2020","CustomName":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0639","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1437","CodeVersion":"2020","CustomName":"INJECTION FERRIC DERISOMALTOSE 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7900","CodeVersion":"2020","CustomName":"MALE VACUUM ERECTION SYSTEM"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0484","CodeVersion":"2020","CustomName":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"68260","CodeType":"HCPCS","Code":"G0159","CodeVersion":"2020","CustomName":"SERVICES PT HOME HEALTH EST\/DEL PT MP EA 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4037","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10T20ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9319","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7360","CodeVersion":"2020","CustomName":"SIX VOLT BATTERY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9225","CodeVersion":"2020","CustomName":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3321F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9358","CodeVersion":"2020","CustomName":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0038","CodeVersion":"2020","CustomName":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL"},{"ServiceGroup":"113549","CodeType":"HCPCS","Code":"U0001","CodeVersion":"2020","CustomName":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P7001","CodeVersion":"2020","CustomName":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2025","CodeVersion":"2020","CustomName":"DELUXE FRAME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2597","CodeVersion":"2020","CustomName":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C5275","CodeVersion":"2020","CustomName":"APPL SG F-S-N-H-F-G-M-D A TO 100 CM; 1ST 25 CM\/<"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2788","CodeVersion":"2020","CustomName":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9058","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0017","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH; RES W\/O ROOM&BOARD PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2425","CodeVersion":"2020","CustomName":"INJECTION PALIFERMIN 50 MICROGRAMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9383","CodeVersion":"2020","CustomName":"PATIENT RECV SCREENING HCV INF W\/I 12 MO PERIOD"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"91677","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0546","CodeVersion":"2020","CustomName":"Ambulance - Neonatal Ambulance Services"},{"ServiceGroup":"15788","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"50906","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"29718","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"58463","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"26205","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"50904","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"273","CodeVersion":"2020","CustomName":"Major skin disorders without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"754","CodeVersion":"2020","CustomName":"TERTIARY AFTERCARE, AGE=OVER 1 YEAR-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"497","CodeVersion":"2020","CustomName":"Spinal fusion except cervical with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3394F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3316F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62717","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"100950","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82301","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93058","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98462","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0651T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0208T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83348","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78661","CodeType":"CPT","Code":"57520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6058","CodeVersion":"2020","CustomName":"ABUT SUPP PORCELN\/CERAMIC CROWN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0599","CodeVersion":"2020","CustomName":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9728","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0958","CodeVersion":"2020","CustomName":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"079T0ZZ","CodeVersion":"2020","CustomName":"DRAINAGE OF BONE MARROW OPEN"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6697","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB CSTM NOT CNGN\/TRAUM AMP INIT"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1454","CodeVersion":"2020","CustomName":"INJ FOSNETUPITANT 235 MG & PALONOSETRON 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0046","CodeVersion":"2020","CustomName":"MENTAL HEALTH SERVICES NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5637","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CNTC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4022","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8429","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE EXTERIOR WRAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1285","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7615","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0133","CodeVersion":"2020","CustomName":"INJECTION ACYCLOVIR 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0496","CodeVersion":"2020","CustomName":"BATTERY NOT LITHIUM-ION ELEC\/PNEUMAT VAD REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6791","CodeVersion":"2020","CustomName":"RETAINER CROWN-FULL CAST PREDOMINANTLY BASE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0475","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9311","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0200","CodeVersion":"2020","CustomName":"HEAT LAMP W\/O STAND INCL BULB\/INFRARED ELEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1085","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4434","CodeVersion":"2020","CustomName":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2797","CodeVersion":"2020","CustomName":"INJECTION ROLAPITANT 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B9999","CodeVersion":"2020","CustomName":"NOC FOR PARENTERAL SUPPLIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8450","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED DIGIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9212","CodeVersion":"2020","CustomName":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0041","CodeVersion":"2020","CustomName":"LARGE SIZE FOOTPLATE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0014","CodeVersion":"2020","CustomName":"TACRINE HYDROCHLORIDE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1009","CodeVersion":"2020","CustomName":"SPEECH VOLUME MODULATION SYS INCL ALL COMP & ACC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0868","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD SLING SEAT PT TO & = 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7637","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1171","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS W\/O FOOT\/LEGREST"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2214","CodeVersion":"2020","CustomName":"INIT\/SUB PSY CCM 1ST 30 M IN MO OF BH CARE ACTY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9969","CodeVersion":"2020","CustomName":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9001","CodeVersion":"2020","CustomName":"ASSESSMENT BY CHAPLAIN SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1910","CodeVersion":"2020","CustomName":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB"},{"ServiceGroup":"11000","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"30060","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"10632","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0854","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"543","CodeVersion":"2020","CustomName":"Craniotomy with Implantation of Chemotherapeutic Agent or Acute Complex Central Nervous System Principal Diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"553","CodeVersion":"2020","CustomName":"OTHER VASCULAR PROCEDURES WITH CC WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27345","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0471T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91860","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4054F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3471F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0302U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.32","CodeVersion":"2017","CustomName":"FETAL EKG"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103642","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.2","CodeVersion":"2017","CustomName":"MID FORCEPS OPERATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15323","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90999","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0309T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113543","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.60","CodeVersion":"2017","CustomName":"IMPLANT\/INSERT BIVENTRICULAR EXT HRT ASSIST SYS"},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0027","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG PREVENTION ENVIR SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8882","CodeVersion":"2020","CustomName":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1883","CodeVersion":"2020","CustomName":"ADAPTOR\/EXT PACING LEAD\/NEUROSTIMULATOR LEAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9931","CodeVersion":"2020","CustomName":"DOC CHA2DS2-VASC RS 0\/1 FOR MN; \/0 1\/ 2 FOR WOMN"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8490","CodeVersion":"2020","CustomName":"INSULIN SYRINGES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8015","CodeVersion":"2020","CustomName":"EXT BRST PROS GARMNT W\/MASTECT FORM POST-MASTECT"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7620","CodeVersion":"2020","CustomName":"ALBUTEROL TO 2.5 MG & IPRATROPIUM BROM TO 0.5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5999","CodeVersion":"2020","CustomName":"LOWER EXTREMITY PROSTHESIS NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1822","CodeVersion":"2020","CustomName":"GEN NEUROSTIM HIGH FREQ RECHARG BATT & CHARG SYS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5976","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT"},{"ServiceGroup":"50906","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1789","CodeVersion":"2020","CustomName":"PROSTHESIS BREAST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0458","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28068","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0044U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91460","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0608T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0579T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58515","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0070U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3471","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - ANTERIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7509","CodeVersion":"2020","CustomName":"METHYLPREDNISOLONE ORAL PER 4 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9768","CodeVersion":"2020","CustomName":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5030","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7308","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMN 20% 1 U DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2755","CodeVersion":"2020","CustomName":"U-V LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9064","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2004","CodeVersion":"2020","CustomName":"XCELLISTEM PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9351","CodeVersion":"2020","CustomName":"INJECTION TOPOTECAN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0606","CodeVersion":"2020","CustomName":"AUTO EXT DEFIB W\/INTGR ECG ANALY GARMENT TYPE"},{"ServiceGroup":"104448","CodeType":"HCPCS","Code":"C9740","CodeVersion":"2020","CustomName":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 4\/> IMPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9370","CodeVersion":"2020","CustomName":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2931","CodeVersion":"2020","CustomName":"PRFABR STAINLESS STEEL CROWN-PERM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0200","CodeVersion":"2020","CustomName":"INJECTION ALATROFLOXACIN MESYLATE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9379","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5966","CodeVersion":"2020","CustomName":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4014","CodeVersion":"2020","CustomName":"CMPL CYCLE ZYGOTE INTRAFALLOPIAN TRNSF CASE RATE"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9892","CodeVersion":"2020","CustomName":"DOC PT REASON NOT PERFORMED DILATED MACULAR EXAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0164","CodeVersion":"2020","CustomName":"INJECTION PANTOPRAZOLE SODIUM 40 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9999","CodeVersion":"2020","CustomName":"SALES TAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5106","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0296","CodeVersion":"2020","CustomName":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1295","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0199","CodeVersion":"2020","CustomName":"MED INDUCED AB ORAL INGESTION MED W\/SRVC & SPL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4063F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70439","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4034","CodeVersion":"2020","CustomName":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8670","CodeVersion":"2020","CustomName":"ROLAPITANT ORAL 1 MG"},{"ServiceGroup":"11085","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4340","CodeVersion":"2020","CustomName":"INDWELLING CATHETER; SPECIALTY TYPE EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1162","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2342","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20\/21 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0314","CodeVersion":"2020","CustomName":"IM CNSL PHYS\/OTH Q HCP COVID-19 AGE <21 16-30 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8930","CodeVersion":"2020","CustomName":"TTE CMPL DUR REST & CVST W\/I&R W\/PHYS SUP"},{"ServiceGroup":"103391","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"16632","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0409","CodeVersion":"2020","CustomName":"Other Imaging Services - Other Imaging Services"},{"ServiceGroup":"70045","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0834","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"33236","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"70043","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"4020","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1116F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90370","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105235","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3590","CodeVersion":"2020","CustomName":"UNCLASSIFIED BIOLOGICS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5530","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC\/=MOLD MDL"},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10T20ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7009","CodeVersion":"2020","CustomName":"ELECTRIC HOOK SWITCH\/MYOELECTRIC CONTROL ADULT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9874","CodeVersion":"2020","CustomName":"4 TOTAL MDPP CORE SES ATD MDPP BENEF UND MDPP EM"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0502","CodeVersion":"2020","CustomName":"OTHER ORAL PATHOLOGY PROC REPORT"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0871","CodeVersion":"2020","CustomName":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9100","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5612","CodeVersion":"2020","CustomName":"REPAIR RESIN PARTIAL DENTURE BASE MAXILLARY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2500","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR GLUTL\/ISCH WT BEAR RING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2265","CodeVersion":"2020","CustomName":"INJECTION MINOCYCLINE HCL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2547","CodeVersion":"2020","CustomName":"INJECTION PERAMIVIR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5726","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0221","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"36137","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"37018","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"69679","CodeType":"DRG","Code":"265","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement except for skin ulcer or cellulitis with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"418","CodeVersion":"2020","CustomName":"Postoperative and post-traumatic infections"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.71","CodeVersion":"2017","CustomName":"DYSLEXIA TRAINING"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41337","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0212U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3759F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0621T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100248","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106710","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0265T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0500T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93217","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103081","CodeType":"CPT","Code":"69450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4200","CodeVersion":"2020","CustomName":"SKINTE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9948","CodeVersion":"2020","CustomName":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY\/LAMI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9380","CodeVersion":"2020","CustomName":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7320","CodeVersion":"2020","CustomName":"ALVEOPLASTY NOT W\/EXTRACTIONS-QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2390","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0378","CodeVersion":"2020","CustomName":"HOSPITAL OBSERVATION SERVICE PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0270","CodeVersion":"2020","CustomName":"PHYSICIAN MGT PT HOME CARE STD MONTHLY CASE RATE"},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3725F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0718T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0341U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0634T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0117U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3518","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0119U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0225U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4310","CodeVersion":"2020","CustomName":"INSERTION TRAY W\/O DRAIN BAG&W\/O CATHETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0010","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG IP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0390","CodeVersion":"2020","CustomName":"INJECTION CHLOROQUINE HCL UP TO 250 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4021","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4199","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB > 100 GMS PPAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0985","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6791","CodeVersion":"2020","CustomName":"RETAINER CROWN-FULL CAST PREDOMINANTLY BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9179","CodeVersion":"2020","CustomName":"INJECTION ERIBULIN MESYLATE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3980","CodeVersion":"2020","CustomName":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT&ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1125","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1982","CodeVersion":"2020","CustomName":"CATHETER PRES GENERAT 1-WAY VALV INTERMIT OCCL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8130","CodeVersion":"2020","CustomName":"INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4216","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION; ADDITIVES - HOME MIX PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6442","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8562","CodeVersion":"2020","CustomName":"FLUDARABINE PHOSPHATE ORAL 10 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"46731","CodeType":"ICD10P","Code":"3E0F8SD","CodeVersion":"2020","CustomName":"INTRO NO GAS RESP TRACT NAT\/ART OPENING ENDO"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2010","CodeVersion":"2020","CustomName":"INJECTION LINCOMYCIN HCL UP TO 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6793","CodeVersion":"2020","CustomName":"INTRM RET CRWN-FUR TX\/CMPL DX NEC B4 FINL IMPRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3540","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SOLE FULL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9019","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE ERWINAZE 1000 IU"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3755F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1451","CodeVersion":"2020","CustomName":"INJECTION FOMEPIZOLE 15 MG"},{"ServiceGroup":"1121","CodeType":"ICD10P","Code":"3E053KZ","CodeVersion":"2020","CustomName":"INTRODUCTION OTH DX SUBSTANCE PERIPH ART PERQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3900","CodeVersion":"2020","CustomName":"WHFO DYN FLEXOR HINGE WRST\/FNGR DRIVEN CSTM FAB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6084","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - PORCELN FU TI & TI ALY"},{"ServiceGroup":"91","CodeType":"ICD10P","Code":"0TS10ZZ","CodeVersion":"2020","CustomName":"REPOSITION LEFT KIDNEY OPEN APPROACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1721","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR DUAL CHAMBER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8395","CodeVersion":"2020","CustomName":"LVEF >=40% OR DOC NORMAL\/MILD DEPRESSED LVS FUNC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9962","CodeVersion":"2020","CustomName":"EMBO EPT DOC SEP EA EMBO VESSEL & OA ANGIO\/EMBO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6242","CodeVersion":"2020","CustomName":"PONTIC - PORCELN FUSED NOBLE METAL"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"68185","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"46117","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9978","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 10 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4221","CodeVersion":"2020","CustomName":"AMNIO WRAP2 PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4536","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDWEAR\/PULLON REUSBL SIZE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0841","CodeVersion":"2020","CustomName":"PWR WC GRP 2 MX PWR SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"88620","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3031","CodeVersion":"2020","CustomName":"FOOT INSRT\/PLAT REMV ADD LW EXT ORTHOF HI STRGTH"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"20012","CodeType":"ICD10P","Code":"0TY00Z1","CodeVersion":"2020","CustomName":"TRANSPLANTATION RT KIDNEY SYNGENEIC OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1021","CodeVersion":"2020","CustomName":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2805","CodeVersion":"2020","CustomName":"INJECTION SINCALIDE 5 MICROGRAMS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4193F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7330","CodeVersion":"2020","CustomName":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5970","CodeVersion":"2020","CustomName":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2600","CodeVersion":"2020","CustomName":"HAND HELD LOW VISION&OTH NON SPECTACL MOUNT AIDS"},{"ServiceGroup":"9936","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0871","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Cell Collection"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"550","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93029","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0046U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44249","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0251","CodeVersion":"2020","CustomName":"EXTRA-ORAL POSTERIOR DENTAL RADIOGRAPHIC IMAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"30941","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"82096","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"28162","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"041","CodeVersion":"2020","CustomName":"Extraocular procedures, except orbit, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108269","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3758F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0320U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27271","CodeType":"ICD9P","Code":"44.38","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTROENTEROSTOMY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81566","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107643","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113852","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1632","CodeVersion":"2020","CustomName":"INJECTION BREXANOLONE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0698","CodeVersion":"2020","CustomName":"CEFOTAXIME SODIUM PER G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0104","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; FLEXSIG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4605","CodeVersion":"2020","CustomName":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3981","CodeVersion":"2020","CustomName":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4162","CodeVersion":"2020","CustomName":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0839","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7321","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV HYALGAN\/SUPARTZ IA INJ PER DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0630","CodeVersion":"2020","CustomName":"RMV SUTURES; PHYS NOT PHYS WHO ORIGLY CLOS WND"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2014","CodeVersion":"2020","CustomName":"LIMITED 30 MINUTES CARE PLAN OVERSIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4653","CodeVersion":"2020","CustomName":"PERITON DIALYSIS CATHETER ANCHR DEVICE BELT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9262","CodeVersion":"2020","CustomName":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7046","CodeVersion":"2020","CustomName":"WATR CHAMB HUMDIFIR USED W\/POS ARWAY PRSS DEVC R"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9289","CodeVersion":"2020","CustomName":"NSCLC BX CYTOLOGY RPT DOC H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5131","CodeVersion":"2020","CustomName":"APPLINC CLNR INCONT&OSTOMY APPLINCS PER 16 OZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8090","CodeVersion":"2020","CustomName":"COMP ORTHODONTIC TX ADULT DENTITION"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1750","CodeVersion":"2020","CustomName":"CATHETER HEMODIAL\/PERITONEAL LONG-TERM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0482","CodeVersion":"2020","CustomName":"MICROPROCESSOR CU FOR ELEC\/PNEUMAT VAD REPL ONL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5701","CodeVersion":"2020","CustomName":"REPL SOCKT ABVE KNEE\/KNEE DISARTIC W\/ATTCH PLAT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91046","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91581","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9676","CodeVersion":"2020","CustomName":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1\/TYPE 2 DIAB"},{"ServiceGroup":"112817","CodeType":"HCPCS","Code":"J7351","CodeVersion":"2020","CustomName":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7308","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMN 20% 1 U DOSE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5645","CodeVersion":"2020","CustomName":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8783","CodeVersion":"2020","CustomName":"NORMAL BLOOD PRESS READING DOC F\/U NOT REQUIRED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7345","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMIN 10% GEL 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5243","CodeVersion":"2020","CustomName":"HEARING AID ANALOG MONAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0265","CodeVersion":"2020","CustomName":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0443","CodeVersion":"2020","CustomName":"PORTABLE O2 CONTENTS GASEOUS 1 MO SUPPLY=1 UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0013","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6545","CodeVersion":"2020","CustomName":"RETN-CAST METL RSN BOND FIX PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9873","CodeVersion":"2020","CustomName":"1ST MDPP C SESS ATD MDPP BENEFICIARY UND MDPP EM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46028","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3510","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION INSOLE RUBBER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4003","CodeVersion":"2020","CustomName":"EMERGENCY MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7320","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVITIVE GENVISC 850 IA INJ 1 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0839","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis"},{"ServiceGroup":"42785","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"70047","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"9511","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0182","CodeVersion":"2020","CustomName":"Leave Of Absence - Patient Convenience"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"36663","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"9541","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"40147","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"273","CodeVersion":"2020","CustomName":"Major skin disorders without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"744","CodeVersion":"2020","CustomName":"OPIOID ABUSE OR DEPENDENCE W CC-NYDRG"},{"ServiceGroup":"21798","CodeType":"DRG","Code":"252","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0299T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91890","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3512F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93962","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0348T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104252","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0063U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0134U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0521T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0373T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100250","CodeType":"CPT","Code":"12001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4028","CodeVersion":"2020","CustomName":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION"},{"ServiceGroup":"80919","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2580","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9626","CodeVersion":"2020","CustomName":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0061","CodeVersion":"2020","CustomName":"ANESTHESIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9684","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES UTI BILL SID-BENEF"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2820","CodeVersion":"2020","CustomName":"INJECTION SARGRAMOSTIM 50 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5613","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK-DISARTIC 4-BAR W\/HYDRAULIC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0360","CodeVersion":"2020","CustomName":"INJECTION HYDRALAZINE HCL UP TO 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9309","CodeVersion":"2020","CustomName":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9559","CodeVersion":"2020","CustomName":"HIT INTERFERON W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3503","CodeVersion":"2020","CustomName":"SURG EXP RS NO APICOECT\/REPR RT RESORPTN - MOLAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8694","CodeVersion":"2020","CustomName":"AUD OSSEOINTEG DEVC TRANSDUCER\/ACTR REPL ONLY EA"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"68187","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"504","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft"},{"ServiceGroup":"29815","CodeType":"DRG","Code":"208","CodeVersion":"2020","CustomName":"Disorders of the biliary tract without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91587","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93018","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80063","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3343F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3372F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.24","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF MITRAL VALVE"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0092A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0675T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74546","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1060","CodeVersion":"2020","CustomName":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0587","CodeVersion":"2020","CustomName":"INJECTION RIMABOTULINUMTOXINB 100 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4426","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE; USE BARRIER W\/LOCK FLNGE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0603","CodeVersion":"2020","CustomName":"BREAST PUMP ELECTRIC ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6010","CodeVersion":"2020","CustomName":"PARTIAL HAND LITTLE & OR RING FINGER REMAINING"},{"ServiceGroup":"9053","CodeType":"ICD10P","Code":"0D160KA","CodeVersion":"2020","CustomName":"BYPASS STOMACH TO JEJUNUM NONAUTO TISSUE SUB OP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1849","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE SYNTHETIC RESORBABLE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0480","CodeVersion":"2020","CustomName":"INJECTION BASILIXIMAB 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4260","CodeVersion":"2020","CustomName":"SIGNATURE APATCH PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9304","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED PEMFEXY 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6449","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH >\/= 3 & <5 IN PER YD"},{"ServiceGroup":"88978","CodeType":"ICD10P","Code":"10D07Z8","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION OTH NAT\/ART OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0020","CodeVersion":"2020","CustomName":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0562","CodeVersion":"2020","CustomName":"HUMDIFIR HEATED USED W\/POS ARWAY PRESSURE DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5812","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FRICT SWING&STANCE CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7622","CodeVersion":"2020","CustomName":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0618","CodeVersion":"2020","CustomName":"AUDIOMETRY FOR HEARING AID EVALUATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7854","CodeVersion":"2020","CustomName":"SYNOVECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0092","CodeVersion":"2020","CustomName":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9964","CodeVersion":"2020","CustomName":"PT RECV AT LEAST 1 WCV W\/PCP DUR PRFRM PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0260","CodeVersion":"2020","CustomName":"HOS BED SEMI-ELEC W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4356","CodeVersion":"2020","CustomName":"EXTERNAL URETHRAL CLAMP\/COMPRESSION DEVICE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0042","CodeVersion":"2020","CustomName":"FOSTER CARE CHILD NON-THERAPEUTIC PER MONTH"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0832","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"42869","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"16718","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"12918","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"23703","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"019","CodeVersion":"2020","CustomName":"Cranial and peripheral nerve disorders without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93018","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82753","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.91","CodeVersion":"2017","CustomName":"INTERMITTENT POSITIVE PRESSURE BREATHING"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"ICD9P","Code":"92.39","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY NEC"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0241T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0316T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105731","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0508T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.1","CodeVersion":"2017","CustomName":"LOW FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0108T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104740","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103771","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0524T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7326","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5070","CodeVersion":"2020","CustomName":"GLASSES AIR CONDUCTION"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6384","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1015","CodeVersion":"2020","CustomName":"IV TUBING EXTENSION SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4171","CodeVersion":"2020","CustomName":"INTERFYL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6130","CodeVersion":"2020","CustomName":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF"},{"ServiceGroup":"30135","CodeType":"ICD10P","Code":"0UT44ZZ","CodeVersion":"2020","CustomName":"RESECTION UTERINE SUPPORTING STRUCT PERQ ENDO"},{"ServiceGroup":"103237","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5626","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9307","CodeVersion":"2020","CustomName":"NO RETURN OP ROOM FOR PROC W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8561","CodeVersion":"2020","CustomName":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0840","CodeVersion":"2020","CustomName":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4035","CodeVersion":"2020","CustomName":"STIM INTRAUTERINE INSEMINATION CASE RATE"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0081","CodeVersion":"2020","CustomName":"BRIEF CARE MANAGEMENT HOME VISIT FOR EXISTING PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4616","CodeVersion":"2020","CustomName":"TUBING PER FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4210","CodeVersion":"2020","CustomName":"REPAIR ORTHOTIC DEVC REPAIR\/REPLACE MINOR PARTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0384","CodeVersion":"2020","CustomName":"BLS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3490","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9230","CodeVersion":"2020","CustomName":"ANALG ANXIOLYSIS INHAL NITROUS OXID"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4201","CodeVersion":"2020","CustomName":"MATRION PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C5274","CodeVersion":"2020","CustomName":"APPL SG TRNK ARM LEG AREA>\/=100 CM;EA ADD 100 CM"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4012","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"30218","CodeType":"ICD10P","Code":"0F544ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION GALLBLADDER PERCUTANEOUS ENDOSCOPIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4216","CodeVersion":"2020","CustomName":"STERIL WATER SALINE & OR DXT DILUENT\/FLUSH 10 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6413","CodeVersion":"2020","CustomName":"ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"31377","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"203","CodeVersion":"2020","CustomName":"Malignancy of hepatobiliary system or pancreas"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"457","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0317T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0283U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0243","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 2400 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2840","CodeVersion":"2020","CustomName":"INJECTION SEBELIPASE ALFA 1 MG"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8699","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND FIXED RETAINER - MANDIBUL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1010","CodeVersion":"2020","CustomName":"MEALS FOR IND REC ALCOHOL&\/SUBSTANCE ABUSE SRVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4160","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITION CMPL CAL DENSE NUTRNTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2791","CodeVersion":"2020","CustomName":"CROWN - FULL CAST PREDOM BASE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9016","CodeVersion":"2020","CustomName":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108350","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0295","CodeVersion":"2020","CustomName":"INJECTION AMPCLLN SODIUM\/SULBACTAM SODIUM-1.5 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8096","CodeVersion":"2020","CustomName":"PORTABLE PEAK FLOW METER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1100","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS ORTHOS RING FLNGE PLSTC\/LEATHR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1058","CodeVersion":"2020","CustomName":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9781","CodeVersion":"2020","CustomName":"ARTHROSCOPY SHOULDER SURG; W\/IMP SA SPACER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4209","CodeVersion":"2020","CustomName":"SURGRAFT PER SQ CM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1160","CodeVersion":"2020","CustomName":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5540","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4181","CodeVersion":"2020","CustomName":"AMNIO WOUND PER SQUARE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7027","CodeVersion":"2020","CustomName":"COMB ORAL\/NASAL MASK USED W\/CPAP DEVICE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2160","CodeVersion":"2020","CustomName":"AMALGAM-3 SURFACES PRIMARY\/PERM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3930","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS 1\/> NONTORSION JOINT PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9332","CodeVersion":"2020","CustomName":"INJ EFGARTIGIMOD ALFA-FCAB 2MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0190","CodeVersion":"2020","CustomName":"INJECTION BIPERIDEN LACTATE PER 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0040","CodeVersion":"2020","CustomName":"PT RECV PHYS\/OCCUP\/SPEECH\/REC THER DUR MSMNT PER"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5249","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4124","CodeVersion":"2020","CustomName":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2621","CodeVersion":"2020","CustomName":"PACEMAKER OTHER THAN SINGLE OR DUAL CHAMBER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0464","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91","CodeType":"ICD10P","Code":"0TY00Z1","CodeVersion":"2020","CustomName":"TRANSPLANTATION RT KIDNEY SYNGENEIC OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0140","CodeVersion":"2020","CustomName":"LTD ORAL EVALUATION - PROBLEM FOCUS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0780","CodeVersion":"2020","CustomName":"INJ PROCHLORPERAZINE TO 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9795","CodeVersion":"2020","CustomName":"PATIENT IS NOT CUR ON A DAILY ASPIRIN\/OTH AP"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"3191","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"3132","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"28221","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"24600","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"621","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W OTHER PROB-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22822","CodeType":"CPT","Code":"94660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105239","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106711","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.96","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REVISION GASTRIC RESTRICTIVE PROC"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90065","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8032","CodeVersion":"2020","CustomName":"NIPPLE PROSTHESIS PREFAB REUSABLE ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0491","CodeVersion":"2020","CustomName":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W\/O ESRD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2501","CodeVersion":"2020","CustomName":"INJECTION PARICALCITOL 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5952","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS PEDIATRIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0365","CodeVersion":"2020","CustomName":"INJECTION APROTONIN 10000 KIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1091","CodeVersion":"2020","CustomName":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4408","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/BUILT-IN CONVXITY > 4X4 IN EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8482","CodeVersion":"2020","CustomName":"INFLUENZA IMMUNIZATION ADMIN\/PREVIOUSLY RECEIVED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0272","CodeVersion":"2020","CustomName":"PHYS MGT PT HOME CARE EPISODIC CARE MO CASE RATE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0584","CodeVersion":"2020","CustomName":"INJECTION BUROSUMAB-TWZA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1020","CodeVersion":"2020","CustomName":"NONINVASIVE VAGUS NERVE STIMULATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4722","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>1999<\/=2999CC PERITON DIALYS"},{"ServiceGroup":"47593","CodeType":"ICD10P","Code":"10D00Z0","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION HIGH OPEN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1097","CodeVersion":"2020","CustomName":"PHEN 10.16 & KET 2.88 MG\/ML OPHT IRR SOL 1 ML"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0812","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Cadaver Donor"},{"ServiceGroup":"103731","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"45541","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"3191","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"792","CodeVersion":"2020","CustomName":"CRANIOTOMY FOR MULT SIG TRAUMA W NON-TRAUMATIC MAJOR CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106709","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85980","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3495F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0260U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"118","CodeType":"ICD9P","Code":"96.72","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT 96 CONSECUTIVE HRS\/MORE"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92416","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3775F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88242","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9733","CodeVersion":"2020","CustomName":"NONOPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7301","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7502","CodeVersion":"2020","CustomName":"REPL DIAPHRAGM\/FCEPLATE TRACHEOSTOMA VALVE EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0690","CodeVersion":"2020","CustomName":"INJECTION CEFAZOLIN SODIUM 500 MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2778","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB 0.1 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4134","CodeVersion":"2020","CustomName":"HMATRIX PER SQUARE CENTIMETER"},{"ServiceGroup":"42971","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0518","CodeVersion":"2020","CustomName":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0638","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS ONE POSITION ANY SZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2820","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"U0002","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/2019-NCOV"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0019","CodeVersion":"2020","CustomName":"ARM PAD REPLACEMENT ONLY EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7342","CodeVersion":"2020","CustomName":"INSTALLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG"},{"ServiceGroup":"93146","CodeType":"HCPCS","Code":"S9460","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9128","CodeVersion":"2020","CustomName":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9229","CodeVersion":"2020","CustomName":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9358","CodeVersion":"2020","CustomName":"DERM SUBST NAT NONDNTR COL FET BOV PER 0.5 SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1833","CodeVersion":"2020","CustomName":"MNTR CARDIAC INC INTRACARDIAC LEAD &ALL SYS COMP"},{"ServiceGroup":"37007","CodeType":"ICD10P","Code":"5A1955Z","CodeVersion":"2020","CustomName":"RESPIRATORY VENTILATION > 96 CONSECUTIVE HOURS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7509","CodeVersion":"2020","CustomName":"METHYLPREDNISOLONE ORAL PER 4 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4723","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>2999<\/=3999CC PERITON DIALYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9592","CodeVersion":"2020","CustomName":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9368","CodeVersion":"2020","CustomName":"HIT TOTAL PARENTERAL NUTRIT; > 3 LITERS-DA -DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7972","CodeVersion":"2020","CustomName":"SURGICAL RDUC FIBROUS TUBEROSITY"},{"ServiceGroup":"9537","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"36415","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"15363","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"3095","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"58461","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"87684","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"15123","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"3212","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"473","CodeVersion":"2020","CustomName":"Acute leukemia without major operating room procedure, age greater than 17"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"261","CodeVersion":"2020","CustomName":"Breast procedure for non-malignancy except biopsy and local excision"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83626","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104612","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107012","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.69","CodeVersion":"2017","CustomName":"OTHER REPAIR OF STOMACH"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.90","CodeVersion":"2017","CustomName":"NON-INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0045U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22914","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0631T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5288","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC PERS FM\/DM TRANSMITTER ALD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8722","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL PT CAT PN CAT\/HG PATH REPRT"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1670","CodeVersion":"2020","CustomName":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9627","CodeVersion":"2020","CustomName":"DID NOT SUST BLAD INJ SRG\/NOR DSCV SUBSQ UP 30PS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2861","CodeVersion":"2020","CustomName":"ADD LOW EXT JOINT KNEE\/ANK CSTM FAB ONLY EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8597","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"V2787","CodeVersion":"2020","CustomName":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9778","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE A DIAGNOSIS OF PREG DUR MSMNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5617","CodeVersion":"2020","CustomName":"ADD LW EXTRM QUICK CHG SLF-ALIGN U AK\/BK EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0172","CodeVersion":"2020","CustomName":"CHLORAMBUCIL ORAL 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0025","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH PREVENTION EDUCATION SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1001","CodeVersion":"2020","CustomName":"ELECTRONIC POSIT OBSTRUCTIVE SLEEP APNEA TX SENS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0992","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4918","CodeVersion":"2020","CustomName":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4370","CodeVersion":"2020","CustomName":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4210","CodeVersion":"2020","CustomName":"GINGIVECT\/PLSTY 4\/>CNTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7613","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6544","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STOCKING GARTER BELT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6538","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 40-50 MMHG EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9601","CodeVersion":"2020","CustomName":"FLORTAUCIPIR F 18 INJECTION DIAGNOSTIC 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0202","CodeVersion":"2020","CustomName":"INJECTION ALEMTUZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0438","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3396","CodeVersion":"2020","CustomName":"INJECTION VERTEPORFIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0225","CodeVersion":"2020","CustomName":"HYDROCOLLATOR UNIT INCLUDES PADS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9036","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS IRRADIATED EACH UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0740","CodeVersion":"2020","CustomName":"INJECTION CIDOFOVIR 375 MG"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"53483","CodeType":"HCPCS","Code":"A4253","CodeVersion":"2020","CustomName":"BLD GLU TEST\/REAGT STRIPS HOME BLD GLU MON-50"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"54966","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"17065","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0310","CodeVersion":"2020","CustomName":"Laboratory Pathology - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0509","CodeVersion":"2020","CustomName":"Outpatient Services - Other Outpatient"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61557","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90422","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92013","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.90","CodeVersion":"2017","CustomName":"NON-INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74.2","CodeVersion":"2017","CustomName":"EXTRAPERITONEAL CESAREAN SECTION"},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"ICD9P","Code":"74.1","CodeVersion":"2017","CustomName":"LOW CERVICAL CESAREAN SECTION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103590","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.21","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION WITHOUT EXTRACTION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6580","CodeVersion":"2020","CustomName":"PREP WRST DISRTC\/BELW ELB 1 WALL PLSTC SCKT MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7220","CodeVersion":"2020","CustomName":"REMOVAL IMPACT TOOTH - SOFT TISSUE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8900","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST ABDOMEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0806","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 STD PT WT CAP TO & INCL 300 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4338","CodeVersion":"2020","CustomName":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W\/COAT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0742","CodeVersion":"2020","CustomName":"INJ IMP 4 MG CILASTATIN 4 MG & RELEBACTAM 2 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6930","CodeVersion":"2020","CustomName":"BELW ELB OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4268","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2048","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM CARE RES W\/ROOM&BD-DIEM"},{"ServiceGroup":"113620","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4267","CodeVersion":"2020","CustomName":"GUID TISS REGEN-NONRESORB BARRIER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6721","CodeVersion":"2020","CustomName":"RETAINER CROWN-RESIN W\/PREDOMINANTLY BASE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5450","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3301","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9475","CodeVersion":"2020","CustomName":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7512","CodeVersion":"2020","CustomName":"PREDNISONE IMMEDIATE RLSE\/DELAYED RLSE ORAL 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9214","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0304","CodeVersion":"2020","CustomName":"HOS BED EXTRA HEAVY DUTY WT CAP>600 PDS MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4633","CodeVersion":"2020","CustomName":"REPLCMT BULB\/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106668","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107007","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91465","CodeType":"HCPCS","Code":"G0121","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2105","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0461","CodeVersion":"2020","CustomName":"INJECTION ATROPINE SULFATE 0.01 MG"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2006","CodeVersion":"2020","CustomName":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"45884","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"68193","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0303","CodeVersion":"2020","CustomName":"Laboratory - Renal Patient (Home)"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80137","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92659","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29334","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0195U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.50","CodeVersion":"2017","CustomName":"ANGIOPLASTY OF OTHER NON-CORONARY VESSELS"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"52.84","CodeVersion":"2017","CustomName":"AUTOTRANSPLANTATION CELLS ISLETS LANGERHANS"},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0692T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14514","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91038","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0490","CodeVersion":"2020","CustomName":"TLSO SAGIT-CORONAL W\/OVRLAP REINFORCED ANT PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2012","CodeVersion":"2020","CustomName":"BRIEF COMMUNICATION TBS; 5-10 MIN MED DISCUSSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8035","CodeVersion":"2020","CustomName":"MAGNETIC SOURCE IMAGING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0117","CodeVersion":"2020","CustomName":"GLAUC SCR HI RISK BY OPTOMETRST\/OPHTHALMOLOGIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4163","CodeVersion":"2020","CustomName":"WOUNDEX BIOSKIN PER SQUARE CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1940","CodeVersion":"2020","CustomName":"INJECTION FUROSEMIDE UP TO 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6541","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 40-50 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8397","CodeVersion":"2020","CustomName":"DILATED MACULAR OR FUNDUS EXAM PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2328","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL\/EXT CNTRL ELEC PRPRTNL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2380","CodeVersion":"2020","CustomName":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8931","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY W\/CONTRAST SPINAL CANAL CONTENTS"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8400","CodeVersion":"2020","CustomName":"PATIENT W\/CENTRAL DXA RESULTS NOT DOCUMENTED"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5185","CodeVersion":"2020","CustomName":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2975","CodeVersion":"2020","CustomName":"COPING"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8696","CodeVersion":"2020","CustomName":"ANTENNA FOR USE W\/IMPL DIA\/PN ST DEV REPL EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0486","CodeVersion":"2020","CustomName":"MON CNTRL CABLE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2430","CodeVersion":"2020","CustomName":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9482","CodeVersion":"2020","CustomName":"INJECTION SOTALOL HYDROCHLORIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9390","CodeVersion":"2020","CustomName":"INJECTION VINORELBINE TARTRATE 10 MG"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J2788","CodeVersion":"2020","CustomName":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9736","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2026","CodeVersion":"2020","CustomName":"ONGOING SUPPORT TO MAINTAIN EMPLOYMENT PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4043","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0083","CodeVersion":"2020","CustomName":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT"},{"ServiceGroup":"21818","CodeType":"ICD10P","Code":"4A023N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5986","CodeVersion":"2020","CustomName":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"22401","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"110579","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"48004","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"12886","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0940","CodeVersion":"2020","CustomName":"Other Therapeutic Services - General Classification"},{"ServiceGroup":"36663","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37592","CodeType":"ICD9P","Code":"41.06","CodeVersion":"2017","CustomName":"CORD BLOOD STEM CELL TRANSPLANT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90376","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0115U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0164T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99459","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0099T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.9","CodeVersion":"2017","CustomName":"RESPIRATORY THERAPY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1183F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0048U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113669","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7979","CodeVersion":"2020","CustomName":"NON - SURGICAL SIALOLITHOTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6680","CodeVersion":"2020","CustomName":"UP EXTREM ADD TST SOCKT WRST DISARTIC\/BELW ELB"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8450","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0414","CodeVersion":"2020","CustomName":"LAB PROC MICROB SPEC INC CULTURE & SENS STUDIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1884","CodeVersion":"2020","CustomName":"EMBOLIZATION PROTECTIVE SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1327","CodeVersion":"2020","CustomName":"INJECTION EPTIFIBATIDE 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2386","CodeVersion":"2020","CustomName":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2220","CodeVersion":"2020","CustomName":"BIFOCAL ADD OVER 3.25D"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2364","CodeVersion":"2020","CustomName":"PWR WC ACSS U-1 NON-SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6010","CodeVersion":"2020","CustomName":"PARTIAL HAND LITTLE & OR RING FINGER REMAINING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0422","CodeVersion":"2020","CustomName":"INTENSIVE CARD REHAB; W\/WO CONT ECG MON W\/EXER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2205","CodeVersion":"2020","CustomName":"MANUAL WC ACCESS HANDRIM W\/O PROJ REPL ONLY EACH"},{"ServiceGroup":"74925","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9005","CodeVersion":"2020","CustomName":"ADMINISTRATION FEE CHARGE BY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0367","CodeVersion":"2020","CustomName":"CONE BEAM CT CAPTURE & INTERP FD VIEW BOTH JAWS"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9299","CodeVersion":"2020","CustomName":"PT NOT EVAL VTE CV RISK W\/I 30 DAY PRIOR PROC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81571","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2794","CodeVersion":"2020","CustomName":"CROWN - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6208","CodeVersion":"2020","CustomName":"CONTACT LAYER STERL > 48 SQ IN EACH DRESSING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1652","CodeVersion":"2020","CustomName":"INJECTION FONDAPARINUX SODIUM 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5268","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0041","CodeVersion":"2020","CustomName":"FOSTER CARE CHILD NON-THERAPEUTIC PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8651","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE =0\/>0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1230","CodeVersion":"2020","CustomName":"PWR OPERATED VEH SPEC BRAND NAME & MODEL NUMBER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4022","CodeVersion":"2020","CustomName":"OTOLARYNGOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9934","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV PART DENTUR MAXILLARY"},{"ServiceGroup":"49462","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"16","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4047F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0201T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107749","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0253U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113541","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8661","CodeVersion":"2020","CustomName":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4188","CodeVersion":"2020","CustomName":"AMNIOARMOR PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2410","CodeVersion":"2020","CustomName":"INJECTION OXYMORPHONE HCL UP TO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8655","CodeVersion":"2020","CustomName":"NETUPITANT 300 MG & PALONOSETRON 0.5 MG ORAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6005","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 11-19 ME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9212","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFACON-1 RECOMBINANT 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8667","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC =0 \/ >0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5131","CodeVersion":"2020","CustomName":"HOMEMAKER SERVICE NOS; PER DIEM"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2020","CodeVersion":"2020","CustomName":"THERAPEUTIC BEHAVIORAL SERVICES PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2203","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV BRF CNSLG ID UH ALC USER"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6350","CodeVersion":"2020","CustomName":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4370","CodeVersion":"2020","CustomName":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF"},{"ServiceGroup":"86578","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1031","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME BY LPN PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4890","CodeVersion":"2020","CustomName":"CONTRACTS REPAIR&MAINTENANCE HEMODIAL EQUIPMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5460","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABVE KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3904","CodeVersion":"2020","CustomName":"MASTERS TWO STEP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9505","CodeVersion":"2020","CustomName":"ABX REG PRSC W\/I 10 DA AFTR ONSET SX DOC MED RSN"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9214","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0655","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS HALF ARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2357","CodeVersion":"2020","CustomName":"INJECTION OMALIZUMAB 5 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4147","CodeVersion":"2020","CustomName":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0042","CodeVersion":"2020","CustomName":"REFERRAL PHYS OCCUP SPEECH\/ RECREATIONAL THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8010","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY SLEEVE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4124","CodeVersion":"2020","CustomName":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0661","CodeVersion":"2020","CustomName":"Respite Care - Hourly Charge - Nursing"},{"ServiceGroup":"51543","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0647","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training Patient\/Caregiver, Peripheral Line\""},{"ServiceGroup":"63","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.6","CodeVersion":"2017","CustomName":"OSTEOPATHIC MANIPULATIVE TREATMENT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4145F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0575T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4194F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6688","CodeVersion":"2020","CustomName":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB\/ELB DISRTC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4107","CodeVersion":"2020","CustomName":"GRAFTJACKET PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2628","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC RECLINING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2310","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2143","CodeVersion":"2020","CustomName":"FUNC ST ODI 1YR PO >=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3360","CodeVersion":"2020","CustomName":"INJECTION DIAZEPAM UP TO 5 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9592","CodeVersion":"2020","CustomName":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0260","CodeVersion":"2020","CustomName":"INJ PROC SI JNT;ANES STEROID&\/TX AGT&ARTHROGRPH"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7197","CodeVersion":"2020","CustomName":"ANTITHROMBIN III PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5273","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE USE W\/COCHLEAR IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7286","CodeVersion":"2020","CustomName":"BIOPSY OF ORAL TISSUE SOFT"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6103","CodeVersion":"2020","CustomName":"BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5740","CodeVersion":"2020","CustomName":"RELINE MAXILLARY PARTIAL DENTURE DIRECT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5617","CodeVersion":"2020","CustomName":"ADD LW EXTRM QUICK CHG SLF-ALIGN U AK\/BK EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0139","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4178","CodeVersion":"2020","CustomName":"FLOWERAMNIOPATCH PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3347","CodeVersion":"2020","CustomName":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4018","CodeVersion":"2020","CustomName":"OBSTETRICS\/GYNECOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0313","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/Q HCP VAC NA SAME DOS A<21 16-30 M"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9975","CodeVersion":"2020","CustomName":"TRANSPLANT REL LODG MEALS & TRNSPRT PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1035","CodeVersion":"2020","CustomName":"MULTI-PSTN PT TRNSF SYS W\/SEAT PT WT <\/= 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4652","CodeVersion":"2020","CustomName":"MICROCAPILLARY TUBE SEALANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"64202","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0500","CodeVersion":"2020","CustomName":"Outpatient Services - General Classification"},{"ServiceGroup":"42763","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"66563","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97901","CodeType":"CPT","Code":"37617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4255F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88164","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0185U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0319T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0112U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0053U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.14","CodeVersion":"2017","CustomName":"OTHER LAPAROSCOPIC DIAGNOSTIC PROCEDURES OVARIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0223T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106670","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0096U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2340","CodeVersion":"2020","CustomName":"CHEMODENERVATION ABDUCTOR MUSCLE VOCAL CORD"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2010","CodeVersion":"2020","CustomName":"INJECTION LINCOMYCIN HCL UP TO 300 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7520","CodeVersion":"2020","CustomName":"SIROLIMUS ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3385","CodeVersion":"2020","CustomName":"INJECTION VELAGLUCERASE ALFA 100 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1878","CodeVersion":"2020","CustomName":"MATERIAL FOR VOCAL CORD MEDIALIZATION SYNTHETIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2500","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA SPHERICAL PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4311","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/O DRN BAG W\/CATH 2-WAY LATEX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1080","CodeVersion":"2020","CustomName":"ADDITION TO CTLSO\/SCOLIOSIS ORTHOSIS OUTRIGGER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0303","CodeVersion":"2020","CustomName":"HOS BED HEVY DUTY W\/WT CAP >350 PDS<\/=TO 600 PDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9797","CodeVersion":"2020","CustomName":"PATIENT IS NOT ON A STATIN THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0795","CodeVersion":"2020","CustomName":"INJ CORTICORELIN OVINE TRIFLUTATE 1 MICROGM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0008","CodeVersion":"2020","CustomName":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE"},{"ServiceGroup":"74928","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3281F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0571","CodeVersion":"2020","CustomName":"BUPRENORPHINE ORAL 1 MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5121","CodeVersion":"2020","CustomName":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3320","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"33264","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"741","CodeVersion":"2020","CustomName":"Uterine, Adnexa Procedures for Nonovarian\/Adnexal Malignancy without CC\/MCC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"260","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"467","CodeVersion":"2020","CustomName":"Other factors influencing health status"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62361","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0092A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3315F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1128F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91007","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0721T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88748","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82648","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3492F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0322","CodeVersion":"2020","CustomName":"TOMOGRAPHIC SURVEY"},{"ServiceGroup":"14609","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"17100","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0850","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"37266","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0384","CodeVersion":"2020","CustomName":"Blood and Blood Components - Platelets"},{"ServiceGroup":"33826","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"23342","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"63381","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"69681","CodeType":"DRG","Code":"516","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures with acute myocardial infarction (AMI)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"405","CodeVersion":"2020","CustomName":"Acute leukemia without major operating room procedure, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86606","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90436","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92084","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0179T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.23","CodeVersion":"2017","CustomName":"OTHER INTRATHORACIC VASCULAR SHUNT OR BYPASS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93006","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0247U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7299","CodeVersion":"2020","CustomName":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9874","CodeVersion":"2020","CustomName":"4 TOTAL MDPP CORE SES ATD MDPP BENEF UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3570","CodeVersion":"2020","CustomName":"LAETRILE AMYGDALIN VITAMIN B17"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4772","CodeVersion":"2020","CustomName":"BLOOD GLUCOSE TEST STRIPS FOR DIALYSIS PER 50"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8695","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATTERY W\/IMPL NEUROSTIM REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0070","CodeVersion":"2020","CustomName":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M"},{"ServiceGroup":"21813","CodeType":"HCPCS","Code":"J0882","CodeVersion":"2020","CustomName":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9544","CodeVersion":"2020","CustomName":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9537","CodeVersion":"2020","CustomName":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM"},{"ServiceGroup":"89344","CodeType":"HCPCS","Code":"G0277","CodeVersion":"2020","CustomName":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4197","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 74-100 GM PROT"},{"ServiceGroup":"10565","CodeType":"HCPCS","Code":"S9367","CodeVersion":"2020","CustomName":"HIT TPN; > 2 LITERS BUT NOT > 3 LITERS-DA -DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1555","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8421","CodeVersion":"2020","CustomName":"BMI NOT DOCUMENTED AND NO REASON IS GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0947","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4036","CodeVersion":"2020","CustomName":"URGENT CARE MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1036","CodeVersion":"2020","CustomName":"MULTI-PSTN PT TRNSF SYS EXTRA WIDE PT >300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7860","CodeVersion":"2020","CustomName":"ARTHROTOMY"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1776","CodeVersion":"2020","CustomName":"JOINT DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2062","CodeVersion":"2020","CustomName":"LOXAPINE FOR INHALATION 1 MG"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0150","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9980","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 30 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1562","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN VIVAGLBIN 100 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5751","CodeVersion":"2020","CustomName":"RELINE COMPLETE MANDIBULAR DENTURE INDIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3570","CodeVersion":"2020","CustomName":"LAETRILE AMYGDALIN VITAMIN B17"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9250","CodeVersion":"2020","CustomName":"DOC PT PAIN BROUGHT COMFORT LVL 48 HRS INIT ASMT"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2206","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2375","CodeVersion":"2020","CustomName":"ADD LW EXT TORSION CNTRL ANK JNT&HALF STIRUP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0506","CodeVersion":"2020","CustomName":"COMP ASMT OF & CARE PLNG PT RQR CC MGMT SRVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4121","CodeVersion":"2020","CustomName":"THERASKIN PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6882","CodeVersion":"2020","CustomName":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0219","CodeVersion":"2020","CustomName":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9364","CodeVersion":"2020","CustomName":"SINUSITIS CAUSED BY\/PRES CAUSED BY BACTERIAL INF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1897","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR TEST KIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2402","CodeVersion":"2020","CustomName":"REPR CONGEN CYST ADENOMATOID MALF FETUS IN UTERO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7912","CodeVersion":"2020","CustomName":"COMPLICATED SUTURE > 5 CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0303","CodeVersion":"2020","CustomName":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5961","CodeVersion":"2020","CustomName":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9118","CodeVersion":"2020","CustomName":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1040","CodeVersion":"2020","CustomName":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9190","CodeVersion":"2020","CustomName":"INJECTION FLUOROURACIL 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1020","CodeVersion":"2020","CustomName":"CLINICAL DECN SUP MECH CURBSIDE CLIN AUGMNTD WF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1700","CodeVersion":"2020","CustomName":"JAW MOTION REHABILITATION SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0411","CodeVersion":"2020","CustomName":"HBA1C IN-OFFICE POINT OF SERVICE TESTING"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74.4","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF OTHER SPECIFIED TYPE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9072","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST I\/II; ER&PR NEG;NO PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9171","CodeVersion":"2020","CustomName":"INJECTION DOCETAXEL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2651","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-2 SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0425","CodeVersion":"2020","CustomName":"STATION COMPRS GAS SYS PURCH; FLWMTR HUMIDFR NEB"},{"ServiceGroup":"33722","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9129","CodeVersion":"2020","CustomName":"ONC; LTD TO MX MYELOMA SYS DZ ST II\/HIGHER"},{"ServiceGroup":"147","CodeType":"REV","Code":"0660","CodeVersion":"2020","CustomName":"Respite Care - General Classification"},{"ServiceGroup":"79377","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"10939","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"43283","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"66360","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"68986","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0661","CodeVersion":"2020","CustomName":"Respite Care - Hourly Charge - Nursing"},{"ServiceGroup":"313","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"25934","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"42782","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"460","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3759F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD9P","Code":"74","CodeVersion":"2017","CustomName":"CESAREAN SECTION AND REMOVAL OF FETUS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0348U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97219","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2622","CodeVersion":"2020","CustomName":"SKIN PROTECT WC SEAT CUSH WIDTH <22 IN ANY DEPTH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90378","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0045","CodeVersion":"2020","CustomName":"RESPITE CARE SERVICES NOT IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7352","CodeVersion":"2020","CustomName":"AFAMELANOTIDE IMPLANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7609","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9792","CodeVersion":"2020","CustomName":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1644","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 1000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8485","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E8002","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ ANT SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4606","CodeVersion":"2020","CustomName":"OXYGEN PROBE USE W\/OXIMETER DEVICE REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5253","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0589","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Other Home Health Visit"},{"ServiceGroup":"9228","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"61916","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0849","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Other Outpatient CAPD"},{"ServiceGroup":"409","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9911","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0492T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0303T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0561T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112515","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0327U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4195F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0046","CodeVersion":"2020","CustomName":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1410","CodeVersion":"2020","CustomName":"INJECTION ESTROGEN CONJUGATED PER 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9250","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3332","CodeVersion":"2020","CustomName":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0085","CodeVersion":"2020","CustomName":"CHEMOTHAPY ADMN BOTH INFUS TECH&OTH TECHIQUE-VST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4535","CodeVersion":"2020","CustomName":"DISPBL LINER\/SHIELD\/GUARD\/PAD\/UNDGRMNT INCONT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0473","CodeVersion":"2020","CustomName":"ACCESS TISS-GROSS\/MICRO-PREP\/REPRT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9507","CodeVersion":"2020","CustomName":"DOC PT ON STATIN MED\/DOC VALID CONTRAINDICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7465","CodeVersion":"2020","CustomName":"DESTRUC LES PHYS\/CHEM METH BY RPT"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9215","CodeVersion":"2020","CustomName":"LOCAL ANESTHESIA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6252","CodeVersion":"2020","CustomName":"PONTIC RESIN W\/NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5103","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4177","CodeVersion":"2020","CustomName":"FLOWERAMNIOFLO 0.1 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7210","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII AFSTYLA 1 I.U."},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9348","CodeVersion":"2020","CustomName":"INJECTION NAXITAMAB-GQGK 1 MG"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7504","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8515","CodeVersion":"2020","CustomName":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0676T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"CPT","Code":"59510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4436","CodeVersion":"2020","CustomName":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0274","CodeVersion":"2020","CustomName":"OVER-BED TABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1321","CodeVersion":"2020","CustomName":"PALATE\/BASE OF TONGUE ELECTR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9455","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4372","CodeVersion":"2020","CustomName":"OST SKIN BARR SOL 4X4\/EQUV STD WEAR CONVXITY EA"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9208","CodeVersion":"2020","CustomName":"INJECTION IFOSFAMIDE 1 G"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4224","CodeVersion":"2020","CustomName":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0247","CodeVersion":"2020","CustomName":"INJECTION, SOTROVIMAB, 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2012","CodeVersion":"2020","CustomName":"HABILITATION EDUCATIONAL WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2038","CodeVersion":"2020","CustomName":"SKILLS TRAINING AND DEVELOPMENT PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2150","CodeVersion":"2020","CustomName":"INJECTION MANNITOL 25% IN 50 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1907","CodeVersion":"2020","CustomName":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5120","CodeVersion":"2020","CustomName":"CHORE SERVICES; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4221","CodeVersion":"2020","CustomName":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0813","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1110","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS RING FLNGE MOLD PT MDL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9968","CodeVersion":"2020","CustomName":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG"},{"ServiceGroup":"45570","CodeType":"HCPCS","Code":"L8020","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY FORM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5341","CodeVersion":"2020","CustomName":"SINGLE AXIS KNEE SACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0488","CodeVersion":"2020","CustomName":"POWER PACK BASE FOR USE W\/ELEC VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5101","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3496F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5810","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4185","CodeVersion":"2020","CustomName":"CELLESTA FLOWABLE AMNION; PER 0.5 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9613","CodeVersion":"2020","CustomName":"DOCUMENTATION OF POST-SURGICAL ANATOMY"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5270","CodeVersion":"2020","CustomName":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0598","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0122","CodeVersion":"2020","CustomName":"INJECTION ERAVACYCLINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7290","CodeVersion":"2020","CustomName":"SURGICAL REPOSITIONING OF TEETH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8711","CodeVersion":"2020","CustomName":"PRESCRIBED OR DISPENSED ANTIBIOTIC ON W\/IN 3 DAY"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"63381","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"12290","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0911","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Rehabilitation"},{"ServiceGroup":"65","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"17079","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"56313","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"3016","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"13592","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84285","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9550","CodeVersion":"2020","CustomName":"FINAL REPORTS IMAG STS W\/F\/U IMAG REC\/FINAL RPT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2250","CodeVersion":"2020","CustomName":"INJECTION MIDAZOLAM HCL PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1230","CodeVersion":"2020","CustomName":"INJECTION METHADONE HCL UP TO 10 MG"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9340","CodeVersion":"2020","CustomName":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8476","CodeVersion":"2020","CustomName":"MOST RECENT BP SYST <140 MM HG & DIAS <90 MM HG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7330","CodeVersion":"2020","CustomName":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4213","CodeVersion":"2020","CustomName":"SYRINGE STERILE 20 CC OR GREATER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4671","CodeVersion":"2020","CustomName":"DISPBL CYCLER SET USED W\/CYCLER DIALYSIS MACH EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2095","CodeVersion":"2020","CustomName":"DOC SYS RSN NOT PRSC ACE INHIB\/ARB\/ARNI THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6024","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"11919","CodeType":"REV","Code":"0813","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unknown Donor"},{"ServiceGroup":"68245","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"22410","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0517","CodeVersion":"2020","CustomName":"Clinic - Family Practice Clinic"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"563","CodeVersion":"2020","CustomName":"Seizure, Age Greater than 17 without CC"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84442","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3315F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42428","CodeType":"CPT","Code":"65855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4053F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103929","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0302U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0442T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8300","CodeVersion":"2020","CustomName":"TRUSS SINGLE WITH STANDARD PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1010","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3380","CodeVersion":"2020","CustomName":"INJECTION VEDOLIZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2095","CodeVersion":"2020","CustomName":"TRNSCATH OCCL\/EMBOLIZ TUMR DESTRUC PERQ METH USI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3220","CodeVersion":"2020","CustomName":"TX PULPOT-CORONL DENTNOCEMENTL JUNC"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9290","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPT NOT DOC H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93962","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0496T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0147U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28227","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113718","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2755","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS HYBRID COMPOS PER SEG CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6508","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4100","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0425","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 30 MIN W\/PT TELEHLTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0641","CodeVersion":"2020","CustomName":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7540","CodeVersion":"2020","CustomName":"REMV REACT-PRODUC FB MUSCLOSKEL SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9097","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2597","CodeVersion":"2020","CustomName":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0340","CodeVersion":"2020","CustomName":"2D CEPHALOMETRIC X-RAY - ACQUISITION MSR & ANALY"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9198","CodeVersion":"2020","CustomName":"ORDER 1ST\/2ND GEN CEPH AMP NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0180","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2127","CodeVersion":"2020","CustomName":"PT 66-80 YOA AL 1 CLM FR DUR MP & DISPENS RX DEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9356","CodeVersion":"2020","CustomName":"ELECTIVE DELVERY BY C\/SECT \/INDUCTION LABOR PERF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6090","CodeVersion":"2020","CustomName":"REPAIR IMPL SUPP PROSTH BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1700","CodeVersion":"2020","CustomName":"JAW MOTION REHABILITATION SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6915","CodeVersion":"2020","CustomName":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4029","CodeVersion":"2020","CustomName":"PREVENTIVE MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9393","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC>9 RM 12 MO D 12 MO PHQ-9 SC <5"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9645","CodeVersion":"2020","CustomName":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX\/PCR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3001","CodeVersion":"2020","CustomName":"FOOT INSERT REMOVABLE MOLDED PT MODEL SPENCO EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9101","CodeVersion":"2020","CustomName":"INJECTION OLICERIDINE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2642","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2039","CodeVersion":"2020","CustomName":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0985","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0282","CodeVersion":"2020","CustomName":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1820","CodeVersion":"2020","CustomName":"GEN NEUROSTIM W\/RECHRG BATTERY & CHARGING SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4910","CodeVersion":"2020","CustomName":"PERIODONTAL MAINTENANCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0166","CodeVersion":"2020","CustomName":"INJECTION OLANZAPINE 2.5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1451","CodeVersion":"2020","CustomName":"INJECTION FOMEPIZOLE 15 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2019","CodeVersion":"2020","CustomName":"HABILITATION SUPP EMPLOYMENT WAIVER; PER 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8966","CodeVersion":"2020","CustomName":"CARD STRSS IMAG TST PER SX\/HI THAN L CHD RSK PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1134","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C 1-2 VST D\/T SPC MD EVT"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9057","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL"},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0999","CodeVersion":"2020","CustomName":"UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4453","CodeVersion":"2020","CustomName":"RECTAL CATH W\/MAN PUMP OPR ENEMA SYS RPCMNT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5785","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1004","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/MECH SHEAR RDUC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9718","CodeVersion":"2020","CustomName":"HOSPICE SERVICES PATIENT PROV ANY TM DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B9004","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION INFUSION PUMP PORTABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4399","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SUPPLY; CONE\/CATH W\/WO BRUSH"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1632","CodeVersion":"2020","CustomName":"WEARABLE ARTIFICIAL KIDNEY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0179","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7963","CodeVersion":"2020","CustomName":"FRENULOPLASTY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8330","CodeVersion":"2020","CustomName":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1840","CodeVersion":"2020","CustomName":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9022","CodeVersion":"2020","CustomName":"INJECTION ATEZOLIZUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6714","CodeVersion":"2020","CustomName":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED"},{"ServiceGroup":"31009","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"16034","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0985","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EKG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2012","CodeVersion":"2020","CustomName":"SUPRATHEL PER SQ CM"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0300","CodeVersion":"2020","CustomName":"IV CHELATION THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7329","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRIVISC FOR IA INJ 1 MG"},{"ServiceGroup":"24290","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0350","CodeVersion":"2020","CustomName":"INJECTION ANISTREPLASE PER 30 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9356","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9349","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY TOCOLYTIC; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0610","CodeVersion":"2020","CustomName":"INJECTION CALCIUM GLUCONATE PER 10 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89860","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90378","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2280","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9290","CodeVersion":"2020","CustomName":"INJECTION BUPIVACAINE LIPOSOME 1 MG"},{"ServiceGroup":"103901","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2610","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS\/THRUST BEAR LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q3027","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 1 MCG IM USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5830","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN PNEUMAT\/SWING PHASE CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5120","CodeVersion":"2020","CustomName":"CHORE SERVICES; PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5936","CodeVersion":"2020","CustomName":"OBTURATOR\/PROSTHESIS INTERIM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5560","CodeVersion":"2020","CustomName":"INSULIN DELIVERY DEVICE REUSABLE PEN; 1.5 ML SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2502","CodeVersion":"2020","CustomName":"INJECTION PASIREOTIDE LONG ACTING 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q3028","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9425","CodeVersion":"2020","CustomName":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0791","CodeVersion":"2020","CustomName":"INJECTION CRIZANLIZUMAB-TMCA 5 MG"},{"ServiceGroup":"87317","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"100983","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"98720","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"22402","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"60858","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"822","CodeVersion":"2020","CustomName":"EXTENSIVE 3RD DEGREE BURNS W\/O SKIN GRAFT-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71221","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0024A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108094","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0438T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109003","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0643T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87053","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"18024","CodeType":"CPT","Code":"97802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0578T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1121","CodeType":"ICD9P","Code":"37.27","CodeVersion":"2017","CustomName":"CARDIAC MAPPING"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28227","CodeType":"ICD9P","Code":"36.04","CodeVersion":"2017","CustomName":"INTRACORONARY ARTERY THROMBOLYTIC INFUSION"},{"ServiceGroup":"107091","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0719T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84972","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16669","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0439","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9150","CodeVersion":"2020","CustomName":"INJECTION DAUNORUBICIN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0260","CodeVersion":"2020","CustomName":"INJ PROC SI JNT;ANES STEROID&\/TX AGT&ARTHROGRPH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0040","CodeVersion":"2020","CustomName":"INJ TICARCILLIN DISODIUM&CLAVULANATE K+ 3.1 GMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2409","CodeVersion":"2020","CustomName":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9403","CodeVersion":"2020","CustomName":"CLIN DOC RSN PT NOT CMPL 30 DA F\/U AC INPT D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2531","CodeVersion":"2020","CustomName":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5571","CodeVersion":"2020","CustomName":"INSULIN DELIV DEVICE DISPOSABLE PEN; 3 ML SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7259","CodeVersion":"2020","CustomName":"ELECTRONIC WRIST ROTATOR ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9057","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6881","CodeVersion":"2020","CustomName":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9051","CodeVersion":"2020","CustomName":"WHOLE BLD\/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5211","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2510","CodeVersion":"2020","CustomName":"SPCH GEN DEVC SYNTHESIZD MX METH MESS&DEVC ACCSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9255","CodeVersion":"2020","CustomName":"DOC PT D\/C HOME NO LTR THAN PST OP DAY 2 FLW CAS"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6251","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL 16 SQ\/48 HR DOSE REGIMEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2114","CodeVersion":"2020","CustomName":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W\/FIT & ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5936","CodeVersion":"2020","CustomName":"OBTURATOR\/PROSTHESIS INTERIM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0828","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB\/>"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5958","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTHESIS INTERIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7362","CodeVersion":"2020","CustomName":"BATTERY CHARGER 6 VOLT EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3630","CodeVersion":"2020","CustomName":"TRNSF ORTHOS 1 SHOE TO ANOTHER SOLID STIRRUP NEW"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0985","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EKG"},{"ServiceGroup":"90854","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"701","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"27325","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0917","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Bio Feedback"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"66360","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52803","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26280","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3354F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35683","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0219T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0215U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0575F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0252T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.84","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF ABDOMINAL AORTA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2520","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR QUADRI-LAT BRIM CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7780","CodeVersion":"2020","CustomName":"FACIAL BONES-COMP RDUC FIX & MX SURG APPROACHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0081","CodeVersion":"2020","CustomName":"INJECTION PIPERACILLIN SODIUM 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4566","CodeVersion":"2020","CustomName":"SHOULDER SLING\/VEST ABDUCTION RESTRAINER PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4523","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER LG EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0508","CodeVersion":"2020","CustomName":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3320","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9880","CodeVersion":"2020","CustomName":"MDPP BNF ACHV AL 5% WL BW MO 1-12 MDPP SP UND EM"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4278","CodeVersion":"2020","CustomName":"FREE SFT TSS GFT EA ADD CNTIG T\/EDNT T SAME SITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5190","CodeVersion":"2020","CustomName":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9630","CodeVersion":"2020","CustomName":"DRUGS\/MEDICAMENTS DISPENSED OFFICE FOR HOME USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0984","CodeVersion":"2020","CustomName":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9957","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6677","CodeVersion":"2020","CustomName":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC&ELB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7760","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH CLOSED REDUCTION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2502","CodeVersion":"2020","CustomName":"INJECTION PASIREOTIDE LONG ACTING 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7040","CodeVersion":"2020","CustomName":"ONE WAY CHEST DRAIN VALVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2050","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2079","CodeVersion":"2020","CustomName":"TAKE HOME SUP BUPRENORPHINE ORAL;TO 7 ADD D SUP;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2900","CodeVersion":"2020","CustomName":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7657","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1300","CodeVersion":"2020","CustomName":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9024","CodeVersion":"2020","CustomName":"PARANASAL SINUS ULTRASOUND"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0590","CodeVersion":"2020","CustomName":"Home Health (HH) Units of Service - General Classification"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"76047","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"3081","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"45183","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"542","CodeVersion":"2020","CustomName":"Tracheostomy with Mechanical Ventilation 96+ Hours or Principal Diagnosis Except Face, Mouth, and Neck Diagnoses without Major O.R. Procedure"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"85.31","CodeVersion":"2017","CustomName":"UNILATERAL REDUCTION MAMMOPLASTY"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0523T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12044","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3498F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106227","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0250","CodeVersion":"2020","CustomName":"IV TCZ HP 2 & > COVID-19 INC INF & PA MON 2ND D"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0596","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3090","CodeVersion":"2020","CustomName":"FOOT ARCH SUPP NONREMV ATTCH SHOE LNGTUDNL\/MT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8085","CodeVersion":"2020","CustomName":"F-18 FDG IMAG USING 2-HEAD COINCIDENCE DETCT SYS"},{"ServiceGroup":"76207","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1460","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8962","CodeVersion":"2020","CustomName":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0024","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH PREV INFORM DISSEMIN SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0488","CodeVersion":"2020","CustomName":"POWER PACK BASE FOR USE W\/ELEC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4721","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL >999<\/=1999CC PERITON DIALYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5062","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2377","CodeVersion":"2020","CustomName":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0037","CodeVersion":"2020","CustomName":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS\/HR IMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9698","CodeVersion":"2020","CustomName":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7295","CodeVersion":"2020","CustomName":"HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1364","CodeVersion":"2020","CustomName":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2663","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-3 SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1833","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9351","CodeVersion":"2020","CustomName":"INJECTION TOPOTECAN 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"U0004","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/COVID-19 ANY T"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7315","CodeVersion":"2020","CustomName":"MITOMYCIN OPTHALMIC 0. 2 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4559","CodeVersion":"2020","CustomName":"COUPLING GEL\/PASTE USE W\/US DEVICE PER OZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6066","CodeVersion":"2020","CustomName":"IMPLANT SUPP CROWN - PORCELAIN FUSED HI NBL ALY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2680","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6021","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN\/LESS EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2499","CodeVersion":"2020","CustomName":"VARIABLE SPHERICITY LENS OTHER TYPE"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0633","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9774","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE HAD A HYSTERECTOMY"},{"ServiceGroup":"70045","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"32978","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"34168","CodeType":"DRG","Code":"935","CodeVersion":"2020","CustomName":"Nonextensive Burns"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.9","CodeVersion":"2017","CustomName":"OTHER OBSTETRIC OPERATIONS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93075","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41.03","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT W\/O PURGING"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78095","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90381","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0576T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104117","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0253U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111928","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106166","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0018M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4174","CodeVersion":"2020","CustomName":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1008","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH CRANBERRY PEAK DEFIND MCR AUC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6240","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2018","CodeVersion":"2020","CustomName":"PERMEADERM C PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0157","CodeVersion":"2020","CustomName":"BECAPLERMIN GEL 0.01% 0.5 GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2137","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 3 MON PO>3.0 CHG IMPV 5 PNT\/<"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3278F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44245","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0076U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0639T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8265","CodeVersion":"2020","CustomName":"HABERMAN FEEDER FOR CLEFT LIP\/PALATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1030","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0621","CodeVersion":"2020","CustomName":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0274","CodeVersion":"2020","CustomName":"OVER-BED TABLE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0629","CodeVersion":"2020","CustomName":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7414","CodeVersion":"2020","CustomName":"EXCISION MALIGNANT LESION > 1.25 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9832","CodeVersion":"2020","CustomName":"AJCC STG BC DX = I & T-STG DOES NOT = T1 T1A T1B"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9606","CodeVersion":"2020","CustomName":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0429","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8999","CodeVersion":"2020","CustomName":"RESUSCITATION BAG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2094","CodeVersion":"2020","CustomName":"DOC PT REASON NO PRSC ACE INHIB\/ARB\/ARNI THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7902","CodeVersion":"2020","CustomName":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"U0002","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/2019-NCOV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2395","CodeVersion":"2020","CustomName":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT"},{"ServiceGroup":"59288","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5512","CodeVersion":"2020","CustomName":"REPAIR BROKEN COMPLETE DENTURE BASE MAXILLARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9305","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED NOS10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2386","CodeVersion":"2020","CustomName":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3430","CodeVersion":"2020","CustomName":"HEEL COUNTER PLASTIC REINFORCED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0967","CodeVersion":"2020","CustomName":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L9900","CodeVersion":"2020","CustomName":"ORTHO&PROS SPL ACSS&\/SRVC CMPNT OTH HCPCS L CODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9366","CodeVersion":"2020","CustomName":"HIT TPN; > 1 LITER BUT NOT > 2 LITERS-DA-DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0639","CodeVersion":"2020","CustomName":"PT LIFT MOVEABLE ROOM-ROOM W\/DISASSMBL&REASSMBL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0512","CodeVersion":"2020","CustomName":"RHC\/FQHC ONLY PSYCHIATRIC COCM 60 M\/>C TM-CAL MO"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0672","CodeVersion":"2020","CustomName":"Outpatient Special Residence Charges - Contracted"},{"ServiceGroup":"188","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0182","CodeVersion":"2020","CustomName":"Leave Of Absence - Patient Convenience"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0589","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Other Home Health Visit"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0889","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Other Miscellaneous Dialysis"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"59426","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"87308","CodeType":"DRG","Code":"271","CodeVersion":"2020","CustomName":"Skin ulcers"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"215","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0309T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"49.59","CodeVersion":"2017","CustomName":"OTHER ANAL SPHINCTEROTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1205F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0537T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0073T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8867","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VAC NOT ADM\/PREV RECV RSN NOT GVN"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3620","CodeVersion":"2020","CustomName":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1372","CodeVersion":"2020","CustomName":"IMMERSION EXTERNAL HEATER FOR NEBULIZER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2006","CodeVersion":"2020","CustomName":"BRIEF 20 MINUTES IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7009","CodeVersion":"2020","CustomName":"ELECTRIC HOOK SWITCH\/MYOELECTRIC CONTROL ADULT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0695","CodeVersion":"2020","CustomName":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9357","CodeVersion":"2020","CustomName":"INJECTION VALRUBICIN INTRAVESICAL 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0175","CodeVersion":"2020","CustomName":"SCHED INTERDISCIPLINARY TEAM CONF W\/PT PRESENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2240","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ROUND CALIPER&PLATE ATTACHMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9714","CodeVersion":"2020","CustomName":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0871","CodeVersion":"2020","CustomName":"PWR WC GRP 4 V HVY DUTY SLING SEAT PT 451-600 LB"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1642","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1410","CodeVersion":"2020","CustomName":"INJECTION ESTROGEN CONJUGATED PER 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6637","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0575","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL >10 MG BUPRENORPHINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5241","CodeVersion":"2020","CustomName":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5020","CodeVersion":"2020","CustomName":"PART FT MOLDED SOCKET TIB TUBERCLE HT W\/TOE FIL"},{"ServiceGroup":"36137","CodeType":"ICD10P","Code":"3E0J7U0","CodeVersion":"2020","CustomName":"INTRO AUTO PAN IC BILI PANC TRACT NAT\/ART OPNING"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0090","CodeVersion":"2020","CustomName":"SILDENAFIL CITRATE 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4117","CodeVersion":"2020","CustomName":"HYALOMATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0720","CodeVersion":"2020","CustomName":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G"},{"ServiceGroup":"34551","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"26421","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0659","CodeVersion":"2020","CustomName":"Hospice Service - Other Hospice Service"},{"ServiceGroup":"33263","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0907","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Community Behavioral Health Program (Day Treatment)"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"836","CodeVersion":"2020","CustomName":"SPINAL PROCEDURES W\/ CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0256U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0679T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0147U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0175U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1826","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 30 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4151","CodeVersion":"2020","CustomName":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6504","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0003","CodeVersion":"2020","CustomName":"LIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5200","CodeVersion":"2020","CustomName":"DISPENSING FEE CONTRALATERAL MONAURAL"},{"ServiceGroup":"83519","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0250","CodeVersion":"2020","CustomName":"HOSP BED FIX HT W\/ANY TYPE SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2152","CodeVersion":"2020","CustomName":"SOLID ORGAN; TRANSPLANTATION & RELATED COMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3904","CodeVersion":"2020","CustomName":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5666","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4101","CodeVersion":"2020","CustomName":"APLIGRAF PER SQ CM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0512","CodeVersion":"2020","CustomName":"PHRM FEE O ANTI-CA ANTI-EMET\/IS RX; SUBSQT 30-DA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9752","CodeVersion":"2020","CustomName":"EMERGENCY SURGERY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0597","CodeVersion":"2020","CustomName":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS"},{"ServiceGroup":"59415","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2023","CodeVersion":"2020","CustomName":"SPEC CLCT FOR SARS-COV-2 COVID-19 ANY SPEC SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1096","CodeVersion":"2020","CustomName":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0968","CodeVersion":"2020","CustomName":"COMMODE SEAT WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0382","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1176","CodeVersion":"2020","CustomName":"MAMMOTOME HH PROBE W\/VAC SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2110","CodeVersion":"2020","CustomName":"PT 66 &>1 CLM FRLTY&1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4363","CodeVersion":"2020","CustomName":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6096","CodeVersion":"2020","CustomName":"REMOVE BROKEN IMPLANT RETAINING SCREW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8507","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6191","CodeVersion":"2020","CustomName":"SEMI-PRECISION ABUTMENT - PLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5646","CodeVersion":"2020","CustomName":"ADD LOW EXT BELOW KNEE AIR FL GEL\/= CUSHN SOCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0042","CodeVersion":"2020","CustomName":"REFERRAL PHYS OCCUP SPEECH\/ RECREATIONAL THERAPY"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3485","CodeVersion":"2020","CustomName":"HEEL PAD REMOVABLE FOR SPUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9682","CodeVersion":"2020","CustomName":"ONSITE AC TX NSG FAC RES W\/SKN INF BILL SID-BNEF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0791","CodeVersion":"2020","CustomName":"INJECTION CRIZANLIZUMAB-TMCA 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8189","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SUPPLY NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5665","CodeVersion":"2020","CustomName":"ADD LW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9909","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV TOB CESS INT IDENT TOB USER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8691","CodeVersion":"2020","CustomName":"AUD OI DEVC EXT SP EXCL TRNSDUCR\/ACTUATR REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4714","CodeVersion":"2020","CustomName":"TREATED WATER FOR PERITONEAL DIALYSIS PER GALLON"},{"ServiceGroup":"29334","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"16620","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"506","CodeVersion":"2020","CustomName":"Full thickness burn with skin graft or inhalation injury with CC or significant trauma"},{"ServiceGroup":"29817","CodeType":"DRG","Code":"805","CodeVersion":"2020","CustomName":"SIMULTANEOUS KIDNEY AND PANCREAS TRANSPLANT-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"624","CodeVersion":"2020","CustomName":"NEONATE, BIRTHWT OVER 2499G, W MINOR ABDOM PROC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78662","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0571T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84932","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0025U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"74.1","CodeVersion":"2017","CustomName":"LOW CERVICAL CESAREAN SECTION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94989","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6453","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH <\/= 3 IN PER YARD"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6884","CodeVersion":"2020","CustomName":"REPL SOCKET ABOVE ELBOW\/ELBOW DISART MOLD TO PT"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9219","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE IMPLANT 65 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2009","CodeVersion":"2020","CustomName":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT"},{"ServiceGroup":"80919","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9981","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 45 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4431","CodeVersion":"2020","CustomName":"OST POUCH URIN; W\/BARR W\/FAUCET TAP W\/VALVE EA"},{"ServiceGroup":"958","CodeType":"ICD10P","Code":"5A1935Z","CodeVersion":"2020","CustomName":"RESPIRATORY VENTILATION < 24 CONSECUTIVE HOURS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0478","CodeVersion":"2020","CustomName":"IMMUNOHISTOCHEMICAL STAINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0506","CodeVersion":"2020","CustomName":"BIFOCAL VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4526","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1018","CodeVersion":"2020","CustomName":"HEVY DUTY SHOCK ABSORBR HEVY\/XTRA HEVY PWR WC EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5665","CodeVersion":"2020","CustomName":"ADD LW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H1010","CodeVersion":"2020","CustomName":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3100","CodeVersion":"2020","CustomName":"HALLUS-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8499","CodeVersion":"2020","CustomName":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0105","CodeVersion":"2020","CustomName":"CANE QUAD\/3-PRONG ALL MATL ADJUSTBL\/FIX W\/TIPS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9790","CodeVersion":"2020","CustomName":"MOST RECNT BP IS >140\/90 MM HG\/BR NOT DOCUMENTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2033","CodeVersion":"2020","CustomName":"MULTISYSTEMIC THERAPY JUVENILES PER 15 MINUTES"},{"ServiceGroup":"73140","CodeType":"HCPCS","Code":"G0160","CodeVersion":"2020","CustomName":"SERVICES OT HOME HEALTH EST\/DEL OT MP EA 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9089","CodeVersion":"2020","CustomName":"BUPIVACAINE COLLAGEN-MATRIX IMPLANT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0109","CodeVersion":"2020","CustomName":"METHADONE ORAL 5MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6091","CodeVersion":"2020","CustomName":"REPL OF REPL PART ATT IMPL\/ABUT S PROS PER ATT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4037","CodeVersion":"2020","CustomName":"CRYOPRESERVED EMBRYO TRANSFER CASE RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0012","CodeVersion":"2020","CustomName":"LIGHTWEIGHT PORTABLE MOTORIZED\/POWER WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6660","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3720F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3240","CodeVersion":"2020","CustomName":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0077","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME VISIT NEW PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6915","CodeVersion":"2020","CustomName":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4437","CodeVersion":"2020","CustomName":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0105","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0824","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"75503","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"74934","CodeType":"REV","Code":"0589","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Other Home Health Visit"},{"ServiceGroup":"94500","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"175","CodeVersion":"2020","CustomName":"Gastrointestinal hemorrhage without CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"498","CodeVersion":"2020","CustomName":"Spinal fusion except cervical without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4554F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81562","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.01","CodeVersion":"2017","CustomName":"LAPAROSCOPIC OOPHOROTOMY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0156U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103551","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.13","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY PULM VALVE WITHOUT REPLCMT"},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110759","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"98929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81058","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90375","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0670","CodeVersion":"2020","CustomName":"INJECTION MEPIVACAINE HCL PER 10 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1224","CodeVersion":"2020","CustomName":"WHEELCHAIR W\/DETACHABLE ARMS ELEVATING LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0840","CodeVersion":"2020","CustomName":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0265","CodeVersion":"2020","CustomName":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2068","CodeVersion":"2020","CustomName":"MED ASST TX BUPRENORPHINE ORAL; WEEKLY BUNDLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1141","CodeVersion":"2020","CustomName":"FUNC STATUS NOT MSR OKS\/ KOOS JR 1 YR POST OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1800","CodeVersion":"2020","CustomName":"DYN ADJUSTBL ELB EXT\/FLX DEVC W\/SFT INTRFCE MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2250","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9515","CodeVersion":"2020","CustomName":"PT DID NOT RQR RTN TO THE OR W\/I 90 DAYS OF SURG"},{"ServiceGroup":"88834","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6243","CodeVersion":"2020","CustomName":"HYDROGEL DRESS >16 SQ BUT <\/= 48 SQ W\/O ADHES EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9275","CodeVersion":"2020","CustomName":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2125","CodeVersion":"2020","CustomName":"PT 81 YOA & OLDR AL 1 CLM FRAILTY DUR MSR PRD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9151","CodeVersion":"2020","CustomName":"INJ DAUNORUBICIN CITRATE LIPOSOMAL FORM 10 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"16429","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0660","CodeVersion":"2020","CustomName":"Respite Care - General Classification"},{"ServiceGroup":"63488","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"50942","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0391","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS - ADMIN (E.G., TRANSFUS)"},{"ServiceGroup":"18006","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"481","CodeVersion":"2020","CustomName":"Bone marrow transplant"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0089U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4133F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0332U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0111U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0213U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104116","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0563T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0123U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0720","CodeVersion":"2020","CustomName":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4244","CodeVersion":"2020","CustomName":"ALCOHOL OR PEROXIDE PER PINT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0437","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2786","CodeVersion":"2020","CustomName":"INJECTION RESLIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1955","CodeVersion":"2020","CustomName":"INJECTION LEVOCARNITINE PER 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1034","CodeVersion":"2020","CustomName":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP >7 D"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0103","CodeVersion":"2020","CustomName":"PROSTATE CANCER SCREENING; PSA TEST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1045","CodeVersion":"2020","CustomName":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP >\/= 37"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5227","CodeVersion":"2020","CustomName":"IMMEDIATE MAXILLARY PARTIAL DENTURE - FLEX BASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0450","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8420","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1820","CodeVersion":"2020","CustomName":"REPL SFT INTERFCE MATL DYN ADJUSTBL EXT\/FLX DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2066","CodeVersion":"2020","CustomName":"BREAST RECON W\/GLUTEAL ART PERFORATOR FLAP UNI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1013","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2623","CodeVersion":"2020","CustomName":"CATHETER TRNSLUM ANGPLASTY DRUG-COATED NON-LASER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0840","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4168","CodeVersion":"2020","CustomName":"AMNIOBAND 1 MG"},{"ServiceGroup":"83177","CodeType":"HCPCS","Code":"E0486","CodeVersion":"2020","CustomName":"ORL DEVC\/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0462","CodeVersion":"2020","CustomName":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9180","CodeVersion":"2020","CustomName":"PEDICULOSIS TX TOPICAL ADMIN PATIENT\/CARETAKER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9987","CodeVersion":"2020","CustomName":"CANCELLED APPOINTMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7518","CodeVersion":"2020","CustomName":"MYCOPHENOLIC ACID ORAL 180 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0870","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0415","CodeVersion":"2020","CustomName":"OPN TX POST PELV BONE FX &\/ DISLOC UNI\/BIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5082","CodeVersion":"2020","CustomName":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA"},{"ServiceGroup":"22811","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"30092","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"9518","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"27536","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"180","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"62718","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"800","CodeVersion":"2020","CustomName":"TUBERCULOSIS W CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"575","CodeVersion":"2020","CustomName":"Septicemia with Mechanical Ventilation 96+ Hours, Age Greater than 17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"783","CodeVersion":"2020","CustomName":"ACUTE LEUKEMIA W\/O MAJOR O.R. PROCEDURE AGE OVER 17 W\/O CC-NYDRG"},{"ServiceGroup":"69681","CodeType":"DRG","Code":"469","CodeVersion":"2020","CustomName":"Principal diagnosis invalid as discharge diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"825","CodeVersion":"2020","CustomName":"FULL THICK BURN W\/O SKIN GRAFT OR INHAL INJ W CC OR SIG TRAUMA-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4049","CodeVersion":"2020","CustomName":"FINGER SPLINT STATIC"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"76094","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9222","CodeVersion":"2020","CustomName":"DEEP SEDATION\/GENERAL ANESTHESIA-1ST 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2011","CodeVersion":"2020","CustomName":"PASRR LEVEL II EVALUATION PER EVALUATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0849","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO & = 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5150","CodeVersion":"2020","CustomName":"BINAURAL GLASSES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0474","CodeVersion":"2020","CustomName":"ACSS TISS GR&MIC SURG MARG PREP\/RPT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2115","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS SINGLE VISION"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7004","CodeVersion":"2020","CustomName":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL"},{"ServiceGroup":"14610","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"29334","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"15763","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"147","CodeType":"REV","Code":"0600","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - General Classification"},{"ServiceGroup":"36589","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"88478","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"63058","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"25","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"821","CodeVersion":"2020","CustomName":"EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71.0","CodeVersion":"2017","CustomName":"INCISION OF VULVA AND PERINEUM"},{"ServiceGroup":"71779","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13294","CodeType":"ICD9P","Code":"88.96","CodeVersion":"2017","CustomName":"OTHER INTRAOPERATIVE MAGNETIC RESONANCE IMAGING"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3316F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90421","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107132","CodeType":"CPT","Code":"41113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11227","CodeType":"ICD9P","Code":"00.66","CodeVersion":"2017","CustomName":"PERQ TRANSLUMINAL CORONARY ANGIOPLASTY PTCA"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0118U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97464","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0480T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5012","CodeVersion":"2020","CustomName":"5% DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2982","CodeVersion":"2020","CustomName":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"07DS3ZZ","CodeVersion":"2020","CustomName":"EXTRACTION OF VERTEBRAL BONE MARROW PERCUTANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0020","CodeVersion":"2020","CustomName":"ALCOHL &OR RX SRVC; METHADONE ADMIN &OR SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2294","CodeVersion":"2020","CustomName":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9502","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0638","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4020","CodeVersion":"2020","CustomName":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1626","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG"},{"ServiceGroup":"75639","CodeType":"HCPCS","Code":"H0011","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG IP"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4930","CodeVersion":"2020","CustomName":"GLOVES STERILE PER PAIR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6688","CodeVersion":"2020","CustomName":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB\/ELB DISRTC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7002","CodeVersion":"2020","CustomName":"TUBING USED WITH SUCTION PUMP EACH"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1812","CodeVersion":"2020","CustomName":"DYN KNEE EXT\/FLEX DEVC W\/ACTV RESISTANCE CONTROL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4395","CodeVersion":"2020","CustomName":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2543","CodeVersion":"2020","CustomName":"ONLAY METALLIC THREE SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2543","CodeVersion":"2020","CustomName":"INJ PIPERACILLIN SOD\/TAZOBACTAM SOD 1 G\/0.125 G"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2620","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7983","CodeVersion":"2020","CustomName":"CLOSURE OF SALIVARY FISTULA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1012","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM AGILEMD"},{"ServiceGroup":"15516","CodeType":"HCPCS","Code":"S9375","CodeVersion":"2020","CustomName":"HIT HYDRATION TX; >1 LITER NO>2 LITERS DAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2425","CodeVersion":"2020","CustomName":"INJECTION PALIFERMIN 50 MICROGRAMS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9027","CodeVersion":"2020","CustomName":"INJECTION CLOFARABINE 1 MG"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6095","CodeVersion":"2020","CustomName":"REPAIR IMPLANT ABUTMENT BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3010","CodeVersion":"2020","CustomName":"INJECTION FENTANYL CITRATE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1001","CodeVersion":"2020","CustomName":"NURSING ASSESSMENT\/EVALUATION"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0280","CodeVersion":"2020","CustomName":"BED CRADLE ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8475","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB TX NOT PRESCRIBED RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2627","CodeVersion":"2020","CustomName":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT&CABLES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1027","CodeVersion":"2020","CustomName":"IMAGING OF THE HEAD WAS OBTAINED"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"70042","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"10107","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"22406","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"13052","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"43323","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"885","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"288","CodeVersion":"2020","CustomName":"Operating room procedures for obesity"},{"ServiceGroup":"28121","CodeType":"DRG","Code":"469","CodeVersion":"2020","CustomName":"Principal diagnosis invalid as discharge diagnosis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107273","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1032F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3475F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107544","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0338T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0603T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0507","CodeVersion":"2020","CustomName":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3040","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7502","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2010","CodeVersion":"2020","CustomName":"INJECTION LINCOMYCIN HCL UP TO 300 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6500","CodeVersion":"2020","CustomName":"ABVE ELB MOLD SCKT ENDOSKEL W\/SFT PROSTH TISS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5535","CodeVersion":"2020","CustomName":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END"},{"ServiceGroup":"18539","CodeType":"HCPCS","Code":"A0130","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4006","CodeVersion":"2020","CustomName":"GASTROENTEROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"74839","CodeType":"HCPCS","Code":"G0162","CodeVersion":"2020","CustomName":"SKILLED SERVICE RN M&E PLAN OF CARE; EA 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9623","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN NO SCR UNHLTHY ALCOHL USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0297","CodeVersion":"2020","CustomName":"HOSP BED TOTAL ELEC W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3472","CodeVersion":"2020","CustomName":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9066","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7877","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DEBRIDEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2251","CodeVersion":"2020","CustomName":"BRIEF COMM TECH-BASED SRVC VR C\/I QUAL HCP"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9215","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-N3 250,000 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8754","CodeVersion":"2020","CustomName":"MOST RECENT DIASTOLIC BLOOD PRESSURE < 90MM HG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0015","CodeVersion":"2020","CustomName":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9246","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN EVOMELA 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4011","CodeVersion":"2020","CustomName":"INTERNAL MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0381","CodeVersion":"2020","CustomName":"CONE BM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9918","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0572","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL <\/=TO 3 MG BPN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9269","CodeVersion":"2020","CustomName":"INJECTION TAGRAXOFUSP-ERZS 10 MCG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4352","CodeVersion":"2020","CustomName":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0844","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"6","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"555","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72042","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104722","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26205","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0353T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0475T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99145","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100262","CodeType":"CPT","Code":"12021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"61863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0261U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4136","CodeVersion":"2020","CustomName":"E-Z DERM PER SQUARE CENTIMETER"},{"ServiceGroup":"29978","CodeType":"HCPCS","Code":"E2402","CodeVersion":"2020","CustomName":"NEG PRESS WOUND THERAPY ELEC PUMP STATION\/PRTBLE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9036","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8880","CodeVersion":"2020","CustomName":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5920","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS AK\/HIP DISARTIC ALIGNABLE SYS"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5517","CodeVersion":"2020","CustomName":"HIT ALL SPL NECES RESTOR CATH PATENCY\/DECLOT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8501","CodeVersion":"2020","CustomName":"APREPITANT ORAL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5850","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS AK\/HIP DISARTIC KNEE EXT ASST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"79937","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0517","CodeVersion":"2020","CustomName":"INJECTION BENRALIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9984","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 15 M"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D7230","CodeVersion":"2020","CustomName":"REMOVAL IMPACT TOOTH - PARTLY BONY"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"87968","CodeType":"ICD10P","Code":"0DB63Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH PERCUTANEOUS APPROACH VERTICAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9975","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT PRFRM A DILATED MACULAR EXAM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1930","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5972","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8756","CodeVersion":"2020","CustomName":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4198","CodeVersion":"2020","CustomName":"GENESIS AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0043","CodeVersion":"2020","CustomName":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2146","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 1 YR PO>=3.0 DEM CHANG 5 PNT\/>"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"9793","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0539","CodeVersion":"2020","CustomName":"Osteopathic Services - Other Osteopathic Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"422","CodeVersion":"2020","CustomName":"Viral illness and fever of unknown origin, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4144F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112812","CodeType":"CPT","Code":"99000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0304T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0314U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.98","CodeVersion":"2017","CustomName":"CONTROL OF HEMORRHAGE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91025","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0108U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0117U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.43","CodeVersion":"2017","CustomName":"REMOVAL OF ARTERIOVENOUS SHUNT RENAL DIALYSIS"},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.23","CodeVersion":"2017","CustomName":"OPEN & OTH REPLACEMNT MITRL VALVE W\/TISSUE GRAFT"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1725","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9740","CodeVersion":"2020","CustomName":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1860","CodeVersion":"2020","CustomName":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB"},{"ServiceGroup":"36137","CodeType":"ICD10P","Code":"3E0J3U0","CodeVersion":"2020","CustomName":"INTRO AUTO PANC ISLET CELLS BILI PANC TRACT PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9022","CodeVersion":"2020","CustomName":"INJECTION ATEZOLIZUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6883","CodeVersion":"2020","CustomName":"REPL SOCKET BE\/WD MOLDED TO PATIENT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6535","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 40-50 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5260","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4223","CodeVersion":"2020","CustomName":"INFUS SPL NOT USED W\/EXT INFUS PUMP CASSETTE\/BAG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5460","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABVE KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B5000","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARBS RENL-AMIROSYN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2805","CodeVersion":"2020","CustomName":"INJECTION SINCALIDE 5 MICROGRAMS"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4321","CodeVersion":"2020","CustomName":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2035","CodeVersion":"2020","CustomName":"KAFO FULL PLSTC STAT PED W\/O FREE MOT ANK PRFAB"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6248","CodeVersion":"2020","CustomName":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ"},{"ServiceGroup":"103846","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1097","CodeVersion":"2020","CustomName":"PHEN 10.16 & KET 2.88 MG\/ML OPHT IRR SOL 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9313","CodeVersion":"2020","CustomName":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0217","CodeVersion":"2020","CustomName":"WATER CIRCULATING HEAT PAD WITH PUMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6005","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 11-19 ME"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5960","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS MODIFICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1038","CodeVersion":"2020","CustomName":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO&INCL 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6229","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL>16 BUT<\/=48 SQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3761","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"15789","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"48085","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"51784","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0810","CodeVersion":"2020","CustomName":"Acquisition of Body Components - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0469","CodeVersion":"2020","CustomName":"Pulmonary Function - Other Pulmonary"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3386F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"16000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107545","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92085","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75885","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0221T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89404","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99145","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"74.0","CodeVersion":"2017","CustomName":"CLASSICAL CESAREAN SECTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3372F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0161U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0584F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0606T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82806","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.84","CodeVersion":"2017","CustomName":"REVISION OF CAROTID SINUS STIMULATION LEADS ONLY"},{"ServiceGroup":"111603","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6061","CodeVersion":"2020","CustomName":"ABUT PORCLN TO MTL CROWN NOBLE MTL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5228","CodeVersion":"2020","CustomName":"IMMEDIATE MANDIBULAR PARTIAL DENTURE - FLEX BASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5651","CodeVersion":"2020","CustomName":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0462","CodeVersion":"2020","CustomName":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1015","CodeVersion":"2020","CustomName":"CLINIC VISIT\/ENCOUNTER ALL-INCLUSIVE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7204","CodeVersion":"2020","CustomName":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7503","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG"},{"ServiceGroup":"68262","CodeType":"HCPCS","Code":"G0161","CodeVersion":"2020","CustomName":"SERVICE SLP HH EST\/DEL SPCH-LANG PATH MP EA 15 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1003","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/O SHEAR RDUC"},{"ServiceGroup":"95761","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9426","CodeVersion":"2020","CustomName":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1303","CodeVersion":"2020","CustomName":"INJECTION RAVULIZUMAB-CWVZ 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4035","CodeVersion":"2020","CustomName":"STIM INTRAUTERINE INSEMINATION CASE RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2545","CodeVersion":"2020","CustomName":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7876","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DISCECTOMY"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6252","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS >16 <\/=48 SQ W\/O ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H1002","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5570","CodeVersion":"2020","CustomName":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC\/=DIR FORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9203","CodeVersion":"2020","CustomName":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4194F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6101","CodeVersion":"2020","CustomName":"DEBR PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"93013","CodeType":"HCPCS","Code":"G0121","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7100","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 40500 ML"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1237","CodeVersion":"2020","CustomName":"WHLCHAIR PED SZ RIGD ADJUSTBL W\/O SEATING SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1018","CodeVersion":"2020","CustomName":"PATIENTS ACTV DX\/HX CA PT HVY TOB SMKR LC SCR PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2409","CodeVersion":"2020","CustomName":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC"},{"ServiceGroup":"43283","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"90318","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12692","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92019","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90436","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14187","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"544","CodeVersion":"2020","CustomName":"MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.6","CodeVersion":"2017","CustomName":"FORCEPS APPLICATION TO AFTERCOMING HEAD"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1128F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90418","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10985","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.13","CodeVersion":"2017","CustomName":"(AORTO)CORONARY BYPASS THREE CORONARY ARTERIES"},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0464T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92194","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.06","CodeVersion":"2017","CustomName":"TRANSAPICAL REPLACEMENT OF AORTIC VALVE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41406","CodeType":"ICD9P","Code":"37.23","CodeVersion":"2017","CustomName":"COMBINED RIGHT&LEFT HEART CARD CATHETERIZATION"},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.0","CodeVersion":"2017","CustomName":"ARTIFICIAL RUPTURE OF MEMBRANES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6620","CodeVersion":"2020","CustomName":"UPPER EXT ADD FLEX\/EXT WRIST UNIT W\/WO FRICTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2360","CodeVersion":"2020","CustomName":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2777","CodeVersion":"2020","CustomName":"INJECTION FARICIMAB-SVOA 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0380","CodeVersion":"2020","CustomName":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4184","CodeVersion":"2020","CustomName":"CELLESTA OR CELLESTA DUO PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1120","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7911","CodeVersion":"2020","CustomName":"COMPLICATED SUTURE UP TO 5CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0701","CodeVersion":"2020","CustomName":"PANORAMIC RADIOGRAPHIC IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9286","CodeVersion":"2020","CustomName":"ABX REGIMEN PRSC W\/I 10 DA AFTER ONSET SX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5964","CodeVersion":"2020","CustomName":"ADD ENDOSKEL AK FLXIBLE PROTVE OUTR SURF COVR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0481","CodeVersion":"2020","CustomName":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4352","CodeVersion":"2020","CustomName":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7300","CodeVersion":"2020","CustomName":"REMOVAL OF TEMPORARY ANCHORAGE DEVICE W\/O FLAP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9943","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD ADJUSTMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5250","CodeVersion":"2020","CustomName":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9354","CodeVersion":"2020","CustomName":"ACELLULAR PERICARDIAL TISS MATRIX NONHUMAN SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0460","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5765","CodeVersion":"2020","CustomName":"SOFT LINER FOR CMPL\/PRTL REM DENTURE - INDIRECT"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"88432","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0845","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0902","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Milieu Therapy"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"29815","CodeType":"DRG","Code":"207","CodeVersion":"2020","CustomName":"Disorders of the biliary tract with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0239U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0568T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88824","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58516","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0416T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.38","CodeVersion":"2017","CustomName":"FETAL PULSE OXIMETRY"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5972","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3145","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE UNDECANOATE 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9305","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED NOS10 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9001","CodeVersion":"2020","CustomName":"ASSESSMENT BY CHAPLAIN SERVICES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7321","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV HYALGAN\/SUPARTZ IA INJ PER DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9960","CodeVersion":"2020","CustomName":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3251","CodeVersion":"2020","CustomName":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9408","CodeVersion":"2020","CustomName":"PATIENTS W\/CT &\/PERICARDIOCENTESIS OCR WI 30 DA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9786","CodeVersion":"2020","CustomName":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W\/I 7 D"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1558","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0455","CodeVersion":"2020","CustomName":"INFUSION PUMP UNINTERRUPTED PARENTERAL ADMIN MED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2040","CodeVersion":"2020","CustomName":"FINANCIAL MGMT SELF-DIRECTED WAIVER; PER 15 MIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1571","CodeVersion":"2020","CustomName":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3351","CodeVersion":"2020","CustomName":"APEXIFICATION\/RECALCIFICATION INITIAL VISIT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5057","CodeVersion":"2020","CustomName":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9145","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1644","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 1000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4027","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1235","CodeVersion":"2020","CustomName":"WHLCHAIR PED SIZE RIGD ADJUSTBL W\/SEATING SYSTEM"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113991","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4481F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99173","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67069","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0504T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4187F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105259","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46857","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.03","CodeVersion":"2017","CustomName":"CLOSED HEART VALVOTOMY PULMONARY VALVE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3376F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4179F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0469T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5782","CodeVersion":"2020","CustomName":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3334","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL PER INCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4034","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; SYRINGE FED PER DAY"},{"ServiceGroup":"113463","CodeType":"HCPCS","Code":"C9761","CodeVersion":"2020","CustomName":"CS URS&\/PYELOSCPY LITH & VAC ASPIR K COLL SYS&U"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2209","CodeVersion":"2020","CustomName":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2029","CodeVersion":"2020","CustomName":"SPECIALIZED MEDICAL EQUIPMENT NOS WAIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8500","CodeVersion":"2020","CustomName":"ARTIFICIAL LARYNX ANY TYPE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3591","CodeVersion":"2020","CustomName":"UNCLASS RX\/BIOLOGICAL USED FOR ESRD ON DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9543","CodeVersion":"2020","CustomName":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9317","CodeVersion":"2020","CustomName":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5700","CodeVersion":"2020","CustomName":"REPLACEMENT SOCKET BELOW KNEE MOLDED PT MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2142","CodeVersion":"2020","CustomName":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8815","CodeVersion":"2020","CustomName":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0012","CodeVersion":"2020","CustomName":"BUTORPHANOL TARTRATE NASAL SPRAY 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0001","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG ASSESSMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8597","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2637","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED YTTERBIUM-169 PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2400","CodeVersion":"2020","CustomName":"REPR CONGN DIAPHRAGMAT HERN FETUS PROC IN UTERO"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0364","CodeVersion":"2020","CustomName":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5261","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL BTE"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7941","CodeVersion":"2020","CustomName":"OSTEOTOMY - MANDIBULAR RAMI"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0494","CodeVersion":"2020","CustomName":"EMERGENCY HAND PUMP REPLACEMENT ONLY"},{"ServiceGroup":"103730","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"46111","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"14066","CodeType":"REV","Code":"0650","CodeVersion":"2020","CustomName":"Hospice Service - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"581","CodeVersion":"2020","CustomName":"SYSTEMIC INFECT \"&\" PARASITIC DISORD PROCEDURES W MAJOR CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2512","CodeVersion":"2020","CustomName":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0221","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE (ALS)"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9111","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA; M1 METASTATC LOC RECUR"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7526","CodeVersion":"2020","CustomName":"TRACHEOSTOMY TUBE COLLAR\/HOLDER EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7181","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII A-SUBUNIT PER IU"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0234","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - CCU"},{"ServiceGroup":"59425","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"59425","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"22814","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"44106","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0904","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Activity Therapy"},{"ServiceGroup":"79377","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0872","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Specialized Biologic Processing and Storage - Prior to Transport"},{"ServiceGroup":"22409","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"573","CodeVersion":"2020","CustomName":"Major Bladder Procedures"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"565","CodeVersion":"2020","CustomName":"Respiratory System Diagnosis with Ventilator Support 96+ Hours"},{"ServiceGroup":"107734","CodeType":"DRG","Code":"796","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/ CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.2","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION AND EXTRACTION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96799","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.22","CodeVersion":"2017","CustomName":"PERCUTANEOUS ANGIOSCOPY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0232T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4255F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91592","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9314","CodeVersion":"2020","CustomName":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1877","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVR WITHOUT DELIV SYSTEM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6534","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7328","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B9998","CodeVersion":"2020","CustomName":"NOC FOR ENTERAL SUPPLIES"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9847","CodeVersion":"2020","CustomName":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104720","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0546T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107045","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0113","CodeVersion":"2020","CustomName":"CRTCH UNDARM WOOD EA ADJSTBL\/FIX PAD TIP&HNDGRIP"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0275","CodeVersion":"2020","CustomName":"ALPROSTADIL URETHRAL SUPPOSITORY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4396","CodeVersion":"2020","CustomName":"STATIC\/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3911","CodeVersion":"2020","CustomName":"INTRAORIFICE BARRIER"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3302","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7637","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9330","CodeVersion":"2020","CustomName":"INJECTION TEMSIROLIMUS 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6122","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAINER FOR METAL FPD - NOBLE AL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2108","CodeVersion":"2020","CustomName":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6530","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0491","CodeVersion":"2020","CustomName":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W\/O ESRD"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3003","CodeVersion":"2020","CustomName":"FOOT INSERT REMV MOLDED PT MODEL SILICONE GEL EA"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8684","CodeVersion":"2020","CustomName":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4038","CodeVersion":"2020","CustomName":"VASCULAR SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2035","CodeVersion":"2020","CustomName":"UTIL SRVC SUPP MED EQP&ASSTIV TECH\/DEVC WAIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2266","CodeVersion":"2020","CustomName":"INDUCED ABORTION 29 TO 31 WEEKS"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64725","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0112","CodeVersion":"2020","CustomName":"ALL POTASSIUM HYDROXIDE PREPARATIONS"},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10T23ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC PERQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9436","CodeVersion":"2020","CustomName":"CHILDBIRTH PREP\/LAMAZE CLASS NON-MD PER SESS"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0138","CodeVersion":"2020","CustomName":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4032","CodeVersion":"2020","CustomName":"RHEUMATOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9033","CodeVersion":"2020","CustomName":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9960","CodeVersion":"2020","CustomName":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9274","CodeVersion":"2020","CustomName":"BP SYS=140 DIA=90\/SYS<140 DIA=90\/SYS=140 DIA <90"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"31213","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0988","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CONSULTATION"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"16420","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"13249","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"29815","CodeType":"DRG","Code":"004","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.31","CodeVersion":"2017","CustomName":"HIGH FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0054T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0301T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4164F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0710T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0166U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75639","CodeType":"ICD9P","Code":"94.63","CodeVersion":"2017","CustomName":"ALCOHOL REHABILITATION AND DETOXIFICATION"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.9","CodeVersion":"2017","CustomName":"UNSPECIFIED INSTRUMENTAL DELIVERY"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0092U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82751","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10364","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1355","CodeVersion":"2020","CustomName":"CARIES PREVENTIVE MEDICAMENT APPLIC - PER TOOTH"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2008","CodeVersion":"2020","CustomName":"THERAGENESIS PER SQ CM"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0695","CodeVersion":"2020","CustomName":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0596","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3301","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9455","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0967","CodeVersion":"2020","CustomName":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4185","CodeVersion":"2020","CustomName":"CELLESTA FLOWABLE AMNION; PER 0.5 CC"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3257","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0280","CodeVersion":"2020","CustomName":"MEDICAL HOME PROG COMP CARE COORD INITIAL PLAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5502","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1571","CodeVersion":"2020","CustomName":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0215","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; PER MILE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9880","CodeVersion":"2020","CustomName":"MDPP BNF ACHV AL 5% WL BW MO 1-12 MDPP SP UND EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9990","CodeVersion":"2020","CustomName":"SERVICES PROVIDED AS PART PHASE II CLIN TRIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2002","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1134","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C 1-2 VST D\/T SPC MD EVT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2212","CodeVersion":"2020","CustomName":"INJECTION METHYLNALTREXONE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0167","CodeVersion":"2020","CustomName":"PAIL OR PAN USE W\/COMMODE CHAIR REPLACEMENT ONLY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0070","CodeVersion":"2020","CustomName":"REAR WHL ASM COMP PNEUM TIRE SPKS\/MLD RPL ONLY E"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3844","CodeVersion":"2020","CustomName":"DNA ANALY CONNEXIN 26 GENE CONGN PFND DEAFNESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4611","CodeVersion":"2020","CustomName":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0270","CodeVersion":"2020","CustomName":"MED NUT TX; REASSESS FLW 2 REF YR W\/PT EA 15 MIN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4103","CodeVersion":"2020","CustomName":"OASIS BURN MATRIX PER SQ CM"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5095","CodeVersion":"2020","CustomName":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2193","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE <6 YOA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9955","CodeVersion":"2020","CustomName":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6412","CodeVersion":"2020","CustomName":"EYE PATCH OCCLUSIVE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0223","CodeVersion":"2020","CustomName":"IV INJ BEBTELOVIMAB INC INJ & PA MON HOME\/RES;"},{"ServiceGroup":"13641","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"78537","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1999","CodeVersion":"2020","CustomName":"MISC TX ITEMS & SUPPLIES RETAIL PURCHASESMISC TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9060","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0166","CodeVersion":"2020","CustomName":"INJECTION OLANZAPINE 2.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9646","CodeVersion":"2020","CustomName":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0402","CodeVersion":"2020","CustomName":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0593","CodeVersion":"2020","CustomName":"INJECTION LANADELUMAB-FLYO 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4005","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0100","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION; TAXI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4256F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6087","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - NOBLE ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0843","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9765","CodeVersion":"2020","CustomName":"REV EVAR LE AA;IV LITHOTRIPSY & TL STENT PLCMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9613","CodeVersion":"2020","CustomName":"DOCUMENTATION OF POST-SURGICAL ANATOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1952","CodeVersion":"2020","CustomName":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3595","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION MARCH BAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1776","CodeVersion":"2020","CustomName":"JOINT DEVICE"},{"ServiceGroup":"3420","CodeType":"ICD10P","Code":"0FB44ZZ","CodeVersion":"2020","CustomName":"EXCISION GALLBLADDER PERQ ENDOSCOPIC APPROACH"},{"ServiceGroup":"33831","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"10708","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"70050","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"80","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"38650","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"33261","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107118","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90425","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0275U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3321F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3760F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"958","CodeType":"ICD9P","Code":"96.72","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT 96 CONSECUTIVE HRS\/MORE"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0067U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0345T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46593","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0447T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1014","CodeVersion":"2020","CustomName":"TELEHLTH TRNSMS-MIN PROFESSIONAL SRVC BILL SEP"},{"ServiceGroup":"105282","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"13217","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"626","CodeVersion":"2020","CustomName":"NEONATE, BWT OVER 2499G, W\/O SIG OR PROC, W MULT MAJOR PROB-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"012","CodeVersion":"2020","CustomName":"Degenerative nervous system disorders"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107175","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0716T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0593T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0140U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0035U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58755","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37516","CodeType":"ICD9P","Code":"96.72","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT 96 CONSECUTIVE HRS\/MORE"},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J0885","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3465","CodeVersion":"2020","CustomName":"INJECTION VORICONAZOLE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0850","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9778","CodeVersion":"2020","CustomName":"COLPOPEXY VAGINAL; MI EXTRAPERITONEAL APPROACH"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5119","CodeVersion":"2020","CustomName":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1786","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0052","CodeVersion":"2020","CustomName":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0130","CodeVersion":"2020","CustomName":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5654","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9023","CodeVersion":"2020","CustomName":"INJECTION AVELUMAB 10 MG"},{"ServiceGroup":"103947","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2920","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 40 MG"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2362","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 24 NON-SEALED LEAD ACID BATT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6241","CodeVersion":"2020","CustomName":"PONTIC-PORCLN FUSD PREDOM BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9453","CodeVersion":"2020","CustomName":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8110","CodeVersion":"2020","CustomName":"PEAK EXPIRATORY FLOW RATE"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3354","CodeVersion":"2020","CustomName":"PUPAL REGENERATION; NOT INCL FINAL RESTORATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5910","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"22404","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0601","CodeVersion":"2020","CustomName":"HOME HEALTH (HH) - OXYGEN - OXYGEN - STAT EQUIP\/SUPPLY\/CONTENT"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"795","CodeVersion":"2020","CustomName":"LUNG TRANSPLANT-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4115","CodeVersion":"2020","CustomName":"ALLOSKIN PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6696","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB CSTM CNGN\/TRAUMAT AMP INIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2206","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER OVR 6.00D CYL-EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0592","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2035","CodeVersion":"2020","CustomName":"KAFO FULL PLSTC STAT PED W\/O FREE MOT ANK PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9054","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0514","CodeVersion":"2020","CustomName":"PHRM DISPENSING FEE INHALATION RX; PER 90 DAYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5258","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL CIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8044","CodeVersion":"2020","CustomName":"HEMI-FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7995","CodeVersion":"2020","CustomName":"SYNTH GFT-MAND\/FACE BONES BY RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8845","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8955","CodeVersion":"2020","CustomName":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0285","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5124","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7993","CodeVersion":"2020","CustomName":"SURGICAL PLCMT OF CRANIOFACIAL IMPL - EXTRA ORAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7030","CodeVersion":"2020","CustomName":"FULL FACE MASK USED W\/POS ARWAY PRESS DEVICE EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9119","CodeVersion":"2020","CustomName":"INJECTION CEMIPLIMAB-RWLC 1 MG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1895","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL DUAL COIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2624","CodeVersion":"2020","CustomName":"SKIN PROTECT & POSITIONING WC CUSH WIDTH < 22 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1840","CodeVersion":"2020","CustomName":"LENS INTRAOCULAR TELESCOPIC"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0850","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"33312","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"13811","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"9879","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0875","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Injection of Modified Cells"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"369","CodeVersion":"2020","CustomName":"Menstrual and other female reproductive system disorders"},{"ServiceGroup":"81620","CodeType":"DRG","Code":"798","CodeVersion":"2020","CustomName":"TUBERCULOSIS W\/ OPERATING ROOM PROCEDURES-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.62","CodeVersion":"2017","CustomName":"OSTEOPATHIC MANIP TX HI-VELOCITY-LOW-AMPLITUDE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1036F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0445T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0060U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3092F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3351F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0660T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0262U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0585T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98498","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0016U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81058","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0584F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.99","CodeVersion":"2017","CustomName":"OTHER RESPIRATORY THERAPY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"59.12","CodeVersion":"2017","CustomName":"LAPAROSCOPIC LYSIS OF PERIVESICAL ADHESIONS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0435T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44248","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90361","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3570F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4053F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0239T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0428T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92406","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0277T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69687","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46588","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113727","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88242","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0033U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80877","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87524","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3397","CodeVersion":"2020","CustomName":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9735","CodeVersion":"2020","CustomName":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3472","CodeVersion":"2020","CustomName":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2097","CodeVersion":"2020","CustomName":"EP PT HAD COMPETING DX W\/IN 3 DAYS AFTER EP DATE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9293","CodeVersion":"2020","CustomName":"INJECTION MITOXANTRONE HCL PER 5 MG"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6025","CodeVersion":"2020","CustomName":"GEL SHEET FOR DERMAL\/EPIDERMAL APPLICATION EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0430","CodeVersion":"2020","CustomName":"PRTBLE GASEOUS O2 SYS PURCH; FLWMTR HUMIDFR&MASK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q3001","CodeVersion":"2020","CustomName":"ADJUNCTIVE PROCEDURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4042","CodeVersion":"2020","CustomName":"MANAGEMENT OF OVULATION INDUCTION PER CYCLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0310","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/OTH Q HCP VAC NA SAME DOS 5-15 MM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0090","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT-MILE-VEH PROV IND W\/VESTED INT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6715","CodeVersion":"2020","CustomName":"TERM DEV MX ARTIC DIGIT W\/MOTORS INIT ISSUE\/REPL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0282","CodeVersion":"2020","CustomName":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6011","CodeVersion":"2020","CustomName":"COLLEGEN BASED WOUND FILLR GEL\/PASTE STERL PER G"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1945","CodeVersion":"2020","CustomName":"INJECTION LEPIRUDIN 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9336","CodeVersion":"2020","CustomName":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0481","CodeVersion":"2020","CustomName":"ELECTRON MICROSCOPY DIAGNOSTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5916","CodeVersion":"2020","CustomName":"OCULAR PROSTHESIS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2354","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ\/IV INJ 25 MCG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0360","CodeVersion":"2020","CustomName":"INJECTION HYDRALAZINE HCL UP TO 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2615","CodeVersion":"2020","CustomName":"TELESCOPIC & OTH COMPOUND LENS SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"13651","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"83545","CodeType":"REV","Code":"0343","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic Radiopharmaceuticals"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"42434","CodeType":"REV","Code":"0412","CodeVersion":"2020","CustomName":"Respiratory Services - Inhalation Services"},{"ServiceGroup":"59714","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"59427","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113854","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.93","CodeVersion":"2017","CustomName":"NONMECHANICAL METHODS OF RESUSCITATION"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3750F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1152F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0070U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0264U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7665","CodeVersion":"2020","CustomName":"MANNITOL ADMINISTERED THROUGH AN INHALER 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2722","CodeVersion":"2020","CustomName":"CROWN - RESIN WITH NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9648","CodeVersion":"2020","CustomName":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7900","CodeVersion":"2020","CustomName":"MALE VACUUM ERECTION SYSTEM"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4617","CodeVersion":"2020","CustomName":"MOUTHPIECE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0020","CodeVersion":"2020","CustomName":"ALCOHL &OR RX SRVC; METHADONE ADMIN &OR SERVICE"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89822","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7950","CodeVersion":"2020","CustomName":"OSSEOUS OSTEOPERIOSTEAL\/CARTILAGE GRAFT MAND\/MAX"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8043","CodeVersion":"2020","CustomName":"UPPER FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1876","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVERED W\/DELIVERY SYSTEM"},{"ServiceGroup":"27718","CodeType":"HCPCS","Code":"G0339","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS"},{"ServiceGroup":"45334","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5919","CodeVersion":"2020","CustomName":"FACIAL PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0075","CodeVersion":"2020","CustomName":"CELLULAR THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4158","CodeVersion":"2020","CustomName":"KERECIS OMEGA3 PER SQUARE CM"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2635","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRND PALLADIUM-103 >2.2 MCI PER SRC"},{"ServiceGroup":"103302","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0019U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89947","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0624","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOTIC RIGD\/SEMI-RIGD PANELS CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3846","CodeVersion":"2020","CustomName":"GENETIC TESTING HEMOGLOBIN E BETA-THALASSEMIA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2020","CodeVersion":"2020","CustomName":"FRAMES PURCHASES"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1730","CodeVersion":"2020","CustomName":"INJECTION DIAZOXIDE UP TO 300 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8569","CodeVersion":"2020","CustomName":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9225","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT VANTAS 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9148","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9042","CodeVersion":"2020","CustomName":"INJECTION BRENTUXIMAB VEDOTIN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6910","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE NO FNGR REMAIN"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0888","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9563","CodeVersion":"2020","CustomName":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1036F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8840","CodeVersion":"2020","CustomName":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4216","CodeVersion":"2020","CustomName":"ARTACENT CORD PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8513","CodeVersion":"2020","CustomName":"CLEANING DEVC USED W\/TRACHEOESOPH VOICE PROS PIP"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9923","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0813","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unknown Donor"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"18006","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"33164","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"16033","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"44391","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"70044","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0962","CodeVersion":"2020","CustomName":"Professional Fees - Ophthalmology"},{"ServiceGroup":"17083","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"909","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Injuries without CC\/MCC"},{"ServiceGroup":"30623","CodeType":"DRG","Code":"783","CodeVersion":"2020","CustomName":"ACUTE LEUKEMIA W\/O MAJOR O.R. PROCEDURE AGE OVER 17 W\/O CC-NYDRG"},{"ServiceGroup":"20902","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69964","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83837","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0687T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90568","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41.06","CodeVersion":"2017","CustomName":"CORD BLOOD STEM CELL TRANSPLANT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0419T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7608","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5281","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM SYS MONAURL ANY TYPE"},{"ServiceGroup":"10425","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"31477","CodeType":"REV","Code":"0814","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unsuccessful Organ Search - Donor Bank Charges"},{"ServiceGroup":"12031","CodeType":"REV","Code":"0290","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - General Classification"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"17624","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"46549","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91037","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0328T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"68.15","CodeVersion":"2017","CustomName":"CLOSED BIOPSY OF UTERINE LIGAMENTS"},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.33","CodeVersion":"2017","CustomName":"FETAL BLOOD SAMPLING AND BIOPSY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107792","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93020","CodeType":"CPT","Code":"0202T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3272F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99144","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.92","CodeVersion":"2017","CustomName":"INJECTION OF THERAPEUTIC SUBSTANCE INTO HEART"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87524","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0021U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0169U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1162","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1710","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM PHOSPHATE TO 50 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9986","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 40 M"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6013","CodeVersion":"2020","CustomName":"SURGICAL PLACEMENT OF MINI IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2511","CodeVersion":"2020","CustomName":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9171","CodeVersion":"2020","CustomName":"INJECTION DOCETAXEL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0249","CodeVersion":"2020","CustomName":"PAD WATER CIRCULATING HEAT UNIT REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0402","CodeVersion":"2020","CustomName":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H1004","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC; F\/U HOM VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9097","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3473","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8435","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9109","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA; T1-T2&N0 M0 NO PROGRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4223","CodeVersion":"2020","CustomName":"INFUS SPL NOT USED W\/EXT INFUS PUMP CASSETTE\/BAG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4010","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1813","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE INFLATABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2651","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-2 SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9011","CodeVersion":"2020","CustomName":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0305T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0669","CodeVersion":"2020","CustomName":"WC ACCESS WC SEAT\/BACK CUSHION NO DME PDAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8660","CodeVersion":"2020","CustomName":"PREORTHODONTIC TREATMENT VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0745","CodeVersion":"2020","CustomName":"ABSRB WD DR HOM MDL PRT PAD>16 SQ IN<\/= 48 SQ IN"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9699","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL THERAPEUTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2954","CodeVersion":"2020","CustomName":"PREFABR POST&CORE ADDITION CROWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1781","CodeVersion":"2020","CustomName":"MESH"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8875","CodeVersion":"2020","CustomName":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1447","CodeVersion":"2020","CustomName":"INJECTION TBO-FILGRASTIM 1 MICROGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1813","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE INFLATABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4384","CodeVersion":"2020","CustomName":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8509","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1013","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECH EVIDNCECARE IMAG ADV"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8100","CodeVersion":"2020","CustomName":"HOLDING CHAMB\/SPACR W\/INHAL\/NEBULIZR; W\/O MASK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9731","CodeVersion":"2020","CustomName":"PT UNABLE COMPL ANK\/FT FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3655","CodeVersion":"2020","CustomName":"ANTISPERM ANTIBODIES TEST"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9017","CodeVersion":"2020","CustomName":"INJECTION ARSENIC TRIOXIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7201","CodeVersion":"2020","CustomName":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U."},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9207","CodeVersion":"2020","CustomName":"INJECTION IXABEPILONE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9055","CodeVersion":"2020","CustomName":"INJECTION CETUXIMAB 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0330","CodeVersion":"2020","CustomName":"PANORAMIC RADIOGRAPHIC IMAGE"},{"ServiceGroup":"87965","CodeType":"ICD10P","Code":"0DB60Z3","CodeVersion":"2020","CustomName":"EXCISION \/ OF STOMACH \/ OPEN APPROACH \/ VERTICAL"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2981","CodeVersion":"2020","CustomName":"INLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7169","CodeVersion":"2020","CustomName":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0187","CodeVersion":"2020","CustomName":"TAMOXIFEN CITRATE ORAL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6212","CodeVersion":"2020","CustomName":"PONTIC - CAST NOBLE METAL"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"16034","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"977","CodeType":"REV","Code":"0335","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - IV"},{"ServiceGroup":"3165","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"23703","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"29817","CodeType":"DRG","Code":"797","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/OUT CC-NYDRG"},{"ServiceGroup":"20752","CodeType":"DRG","Code":"620","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W NORMAL NEWB DIAG-NYDRG"},{"ServiceGroup":"51263","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89949","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16321","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0309U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16778","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107656","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0118U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0352T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4480F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"83857","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"64202","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"712","CodeVersion":"2020","CustomName":"HIV W MAJ RELAT DIAG W\/O MULT MAJ OR SIGNIF DIAG W\/O TB-NYDRG"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"087","CodeVersion":"2020","CustomName":"Pulmonary edema and respiratory failure"},{"ServiceGroup":"30595","CodeType":"DRG","Code":"010","CodeVersion":"2020","CustomName":"Nervous system neoplasms with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62261","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3278F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90802","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0682T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0264T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3753F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0525T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3358","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG"},{"ServiceGroup":"111994","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1016","CodeVersion":"2020","CustomName":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2721","CodeVersion":"2020","CustomName":"CROWN - RESIN W\/PREDOM BASE METAL"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0049","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SCREENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0398","CodeVersion":"2020","CustomName":"HST W\/TYPE II PRTBLE MON UNATTENDED MIN 7 CH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8450","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED DIGIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9032","CodeVersion":"2020","CustomName":"PLATELETS IRRADIATED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0342","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; 4TH QTR\/STAGE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2050","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2004","CodeVersion":"2020","CustomName":"COMP 60 MINUTES IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0517T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3353F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.94","CodeVersion":"2017","CustomName":"PUBIOTOMY TO ASSIST DELIVERY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2305","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 4.25-6.00 CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0115","CodeVersion":"2020","CustomName":"POST-COITAL DIRECT QUAL EXAM VAGINAL\/CERV MUCOS"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6570","CodeVersion":"2020","CustomName":"INTRSCAP THOR MOLD SCKT ENDOSKEL W\/SFT PROS TISS"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1021","CodeVersion":"2020","CustomName":"EXSUFFLATION BELT INCLUDES ALL SUPPLIES & ACCES"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1455","CodeVersion":"2020","CustomName":"INJECTION FOSCARNET SODIUM PER 1000 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0140","CodeVersion":"2020","CustomName":"SAQUINAVIR 200 MG"},{"ServiceGroup":"76847","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6404","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 48 SQ W\/O ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9486","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 10 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6721","CodeVersion":"2020","CustomName":"TERM DEVC HOOK\/HND HVY-DUTY MECH VOL OPN ANY SZ"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1840","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9662","CodeVersion":"2020","CustomName":"PREVIOUSLY DIAGNOSED\/HAVE ACTIVE DX CLIN ASCVD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9293","CodeVersion":"2020","CustomName":"INJECTION GLUCARPIDASE 10 UNITS"},{"ServiceGroup":"86863","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0970","CodeVersion":"2020","CustomName":"TLSO CORSET FRONT"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0073","CodeVersion":"2020","CustomName":"INJECTION AZTREONAM 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9999","CodeVersion":"2020","CustomName":"DOCUM REAS FOR INTERVAL <3 YR SINCE LAST COLONOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6883","CodeVersion":"2020","CustomName":"REPL SOCKET BE\/WD MOLDED TO PATIENT MODEL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4233","CodeVersion":"2020","CustomName":"SURFACTOR OR NUDYN PER 0.5 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2511","CodeVersion":"2020","CustomName":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6706","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9502","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL; Q8 HRS PER DIEM"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"30031","CodeType":"ICD10P","Code":"4A023N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS LT HEART PERQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2604","CodeVersion":"2020","CustomName":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7196","CodeVersion":"2020","CustomName":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8542","CodeVersion":"2020","CustomName":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"32108","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0242","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - Comprehensive"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0984","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - MEDICAL SOCIAL SERVICES"},{"ServiceGroup":"68362","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0289","CodeVersion":"2020","CustomName":"Oncology - Other Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"166","CodeVersion":"2020","CustomName":"Appendectomy without complicated principal diagnosis with CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"515","CodeVersion":"2020","CustomName":"Cardiac defibrillator implant without cardiac catheterization"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.78","CodeVersion":"2017","CustomName":"OTHER REHABILITATION FOR THE BLIND"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16679","CodeType":"ICD9P","Code":"68.51","CodeVersion":"2017","CustomName":"LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0218U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20305","CodeType":"ICD9P","Code":"54.21","CodeVersion":"2017","CustomName":"LAPAROSCOPY"},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9525","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10657","CodeType":"CPT","Code":"99350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0201U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78286","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91862","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3110","CodeVersion":"2020","CustomName":"INJECTION TERIPARATIDE 10 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5984","CodeVersion":"2020","CustomName":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7037","CodeVersion":"2020","CustomName":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9261","CodeVersion":"2020","CustomName":"INJECTION NELARABINE 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8756","CodeVersion":"2020","CustomName":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0588","CodeVersion":"2020","CustomName":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7312","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0249","CodeVersion":"2020","CustomName":"IV TCZ HP PT 2 & > COVID-19 INC INF & PA MON FD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0281","CodeVersion":"2020","CustomName":"E-STIM 1\/> AREAS CHRONIC STAGE III&IV ULCERS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2751","CodeVersion":"2020","CustomName":"CROWN-PORCELN FUSD PREDOM BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2034","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG ABS HALFWAY HOUSE SRVC PER DIEM"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0170","CodeVersion":"2020","CustomName":"TRANSPORTATION ANCILLARY: PARKING FEES TOLLS OTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1310","CodeVersion":"2020","CustomName":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9600","CodeVersion":"2020","CustomName":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1945","CodeVersion":"2020","CustomName":"INJECTION LEPIRUDIN 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7451","CodeVersion":"2020","CustomName":"REMV BEN ODONTOGNIC TUMR >1.25 CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9229","CodeVersion":"2020","CustomName":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7871","CodeVersion":"2020","CustomName":"NON-ARTHROSCOPIC LYSIS AND LAVAGE"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"66168","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"18076","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"75639","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"283","CodeVersion":"2020","CustomName":"Minor skin disorders with CC"},{"ServiceGroup":"69679","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"545","CodeVersion":"2020","CustomName":"REVISION OF HIP OR KNEE REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.1","CodeVersion":"2017","CustomName":"OTHER SURGICAL INDUCTION OF LABOR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4133F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3515F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3141F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0187T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0520T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0201","CodeVersion":"2020","CustomName":"PARTIAL HOSITALIZATION SERVICES < 24 HR PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5090","CodeVersion":"2020","CustomName":"DISPENSING FEE UNSPECIFIED HEARING AID"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0988","CodeVersion":"2020","CustomName":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5966","CodeVersion":"2020","CustomName":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1781","CodeVersion":"2020","CustomName":"MESH"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4185","CodeVersion":"2020","CustomName":"CELLESTA FLOWABLE AMNION; PER 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7292","CodeVersion":"2020","CustomName":"PLCMT TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0835","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1019","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM LOGICNETS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2140","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 3 MNT PO<=3.0 DEM CHNG 5 PNT\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6625","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD ROTATION WRST UNIT W\/CABLE LOCK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1037","CodeVersion":"2020","CustomName":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9157","CodeVersion":"2020","CustomName":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103927","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6457","CodeVersion":"2020","CustomName":"TUBULAR DRSG W\/WO ELASTIC ANY WDTH PER LINEAR YD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6199","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GEL DRESS WND FIL STERL 6 IN"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9591","CodeVersion":"2020","CustomName":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1630","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL HIP JNT SEMI-FLEX CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1436","CodeVersion":"2020","CustomName":"INJECTION ETIDRONATE DISODIUM PER 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9538","CodeVersion":"2020","CustomName":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7880","CodeVersion":"2020","CustomName":"OCCLUSAL ORTHOTIC APPLIANCE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0691","CodeVersion":"2020","CustomName":"INJECTION LEFAMULIN 1 MG"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0824","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"10667","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"123","CodeVersion":"2020","CustomName":"Circulatory disorders with acute MI, expired"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"827","CodeVersion":"2020","CustomName":"NON-EXTENSIVE BURNS W INHAL INJ, CC OR SIGNIFICANT TRAUMA-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91568","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19923","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113145","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92365","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0193U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93726","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9266","CodeVersion":"2020","CustomName":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0062","CodeVersion":"2020","CustomName":"AUDIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4187","CodeVersion":"2020","CustomName":"OMEGAVEN 10 G LIPIDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4558","CodeVersion":"2020","CustomName":"CONDUCTIVE GEL\/PASTE FOR USE W\/ELECTRICAL DEVICE"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0200","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLRY: LODGNG-ESCORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A8001","CodeVersion":"2020","CustomName":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4021","CodeVersion":"2020","CustomName":"IVF PROC CANCELLED AFTER ASPIRATION CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2000","CodeVersion":"2020","CustomName":"GASTR SUCTION PUMP HOM MODEL PRTBLE\/STATION ELEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2066","CodeVersion":"2020","CustomName":"BREAST RECON W\/GLUTEAL ART PERFORATOR FLAP UNI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1040","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 80 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1710","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM PHOSPHATE TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2768","CodeVersion":"2020","CustomName":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0463","CodeVersion":"2020","CustomName":"HOSPITAL OUTPATIENT CLIN VISIT ASSESS & MGMT PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1778","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR"},{"ServiceGroup":"913","CodeType":"ICD10P","Code":"GZB2ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY BILAT-SINGLE SEIZURE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6100","CodeVersion":"2020","CustomName":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9819","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0290","CodeVersion":"2020","CustomName":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0420","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5108","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9658","CodeVersion":"2020","CustomName":"A TRANSFER OF CARE PROT\/HANDOFF TOOL\/CHECKLIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0467","CodeVersion":"2020","CustomName":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7950","CodeVersion":"2020","CustomName":"OSSEOUS OSTEOPERIOSTEAL\/CARTILAGE GRAFT MAND\/MAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3765","CodeVersion":"2020","CustomName":"EWHFO RIGID W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8566","CodeVersion":"2020","CustomName":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0067","CodeVersion":"2020","CustomName":"DENTISTRY MIPS SPECIALTY SET"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"84502","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"42871","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"22407","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"088","CodeVersion":"2020","CustomName":"Chronic obstructive pulmonary disease (COPD)"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6102F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113672","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0083A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113686","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0637T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0691T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.50","CodeVersion":"2017","CustomName":"REPAIR UNSPEC SEPTAL DEFECT HEART W\/PROSTHESIS"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0651T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0139","CodeVersion":"2020","CustomName":"MINOXIDIL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0403","CodeVersion":"2020","CustomName":"ECG RTN ECG W\/12 LEADS SCR INIT PREVNTV PE W\/I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2321","CodeVersion":"2020","CustomName":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3260","CodeVersion":"2020","CustomName":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4018","CodeVersion":"2020","CustomName":"OBSTETRICS\/GYNECOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6250","CodeVersion":"2020","CustomName":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9280","CodeVersion":"2020","CustomName":"INJECTION MITOMYCIN 5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1460","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2795","CodeVersion":"2020","CustomName":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0276","CodeVersion":"2020","CustomName":"BED PAN FRACTURE METAL OR PLASTIC"},{"ServiceGroup":"42973","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8866","CodeVersion":"2020","CustomName":"DOC PT RSN NOT ADM\/PREV RECV PNEUMOCOCCAL VAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0869","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO & = 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2323","CodeVersion":"2020","CustomName":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5161","CodeVersion":"2020","CustomName":"EMERGENCY RESPONSE SYSTEM; SERVICE FEE PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0252","CodeVersion":"2020","CustomName":"PET IMAG INIT DX BREST CA&\/SURG PLAN NOT COV MCR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2615","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POSTLAT WIDTH < 22 IN ANY HT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9644","CodeVersion":"2020","CustomName":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG\/PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1028","CodeVersion":"2020","CustomName":"PS & CTRL ELEC U O DVC\/APPL NM ELEC STIM TNG M"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0395","CodeVersion":"2020","CustomName":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7404","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7607","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9823","CodeVersion":"2020","CustomName":"ENDOMETRIAL SAMPLE\/HYSTEROSCOPY BX & RSLT DC 12M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9620","CodeVersion":"2020","CustomName":"PATIENT NOT SCR UTERINE MALIG\/NO U\/S RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9981","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1401","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4161","CodeVersion":"2020","CustomName":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4542","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2101","CodeVersion":"2020","CustomName":"BLD GLU MONITOR W\/INTEGRATED LANCING\/BLD SAMPLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7750","CodeVersion":"2020","CustomName":"MALAR AND\/OR ZYGOMATIC ARCH-OPEN REDUCTION"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0945","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Alcohol Rehabilitation"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0233","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - ICU"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0300","CodeVersion":"2020","CustomName":"Laboratory - General Classifiaction"},{"ServiceGroup":"58463","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0329U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.10","CodeVersion":"2017","CustomName":"AORTOCORONARY BYPASS HEART REVASCULARIZATION NOS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0213T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.08","CodeVersion":"2017","CustomName":"TRANSAPICAL REPLACEMENT OF PULMONARY VALVE"},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.91","CodeVersion":"2017","CustomName":"EXTERNAL VERSION TO ASSIST DELIVERY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65350","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3117F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0024U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11068","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9914","CodeVersion":"2020","CustomName":"PATIENT RECEIVING AN ANTI-TNFAGENT"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7326","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0384","CodeVersion":"2020","CustomName":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2394","CodeVersion":"2020","CustomName":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10A07ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION VIA NAT\/ART OPG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0210","CodeVersion":"2020","CustomName":"ELECTRIC HEAT PAD STANDARD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9017","CodeVersion":"2020","CustomName":"INJECTION ARSENIC TRIOXIDE 1 MG"},{"ServiceGroup":"30031","CodeType":"ICD10P","Code":"4A023N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART PERQ"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9618","CodeVersion":"2020","CustomName":"DOCUMENTATION OF SCR UTEN MALIG\/US&\/ENDOMET SAMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2025","CodeVersion":"2020","CustomName":"DELUXE FRAME"},{"ServiceGroup":"34389","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9999","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7682","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3428","CodeVersion":"2020","CustomName":"BONE GRAFT W\/PERIRADICULAR SURG PER TOOTH 1 SITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7042","CodeVersion":"2020","CustomName":"5% DEXTROSE\/NORMAL SALINE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5105","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 100 UNITS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104115","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9293","CodeVersion":"2020","CustomName":"INJECTION GLUCARPIDASE 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0476","CodeVersion":"2020","CustomName":"INF AGT DETECT DNA\/RNA; HPV PERF ADD TO PAP TEST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4527","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR\/PULLON LG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5523","CodeVersion":"2020","CustomName":"HIT INSERT MIDLINE CVC NRS SRVC ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9766","CodeVersion":"2020","CustomName":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0301","CodeVersion":"2020","CustomName":"FABRIC WRAPPING OF ABDOMINAL ANEURYSM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9230","CodeVersion":"2020","CustomName":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN"},{"ServiceGroup":"14654","CodeType":"ICD10P","Code":"0SWB0JZ","CodeVersion":"2020","CustomName":"REVISION SYNTH SUBST LT HIP JOINT OPEN APPRCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2013","CodeVersion":"2020","CustomName":"INNOVAMATRIX FS PER SQ CM"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"17140","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0340","CodeVersion":"2020","CustomName":"Nuclear Medicine - General Classification"},{"ServiceGroup":"32595","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0544","CodeVersion":"2020","CustomName":"Ambulance - Oxygen"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26002","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35556","CodeType":"REV","Code":"0380","CodeVersion":"2020","CustomName":"Blood and Blood Components - General Classification"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"34923","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"11223","CodeType":"DRG","Code":"558","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH DRUG ELUTING STENT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"639","CodeVersion":"2020","CustomName":"NEONATE, TRANSFERRED UNDER 5 DAYS OF BIRTH, BORN HERE-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0265U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107075","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93029","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93014","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105758","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0629T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0373T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0016U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0719T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.73","CodeVersion":"2017","CustomName":"ENDOVASCULAR IMPLANTATION GRAFT THORACIC AORTA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.03","CodeVersion":"2017","CustomName":"INCISION OF UPPER LIMB VESSELS"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"116021","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"Q2050","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1783","CodeVersion":"2020","CustomName":"OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1172","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS W\/O FOOT\/LEGRESTS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0167","CodeVersion":"2020","CustomName":"DRONABINOL 2.5 MG ORAL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"73283","CodeType":"HCPCS","Code":"G0340","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4251","CodeVersion":"2020","CustomName":"VIM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3415","CodeVersion":"2020","CustomName":"INJECTION PYRIDOXINE HCL 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0402","CodeVersion":"2020","CustomName":"INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8703","CodeVersion":"2020","CustomName":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3560","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION TOE TAP HORSESHOE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8042","CodeVersion":"2020","CustomName":"MAGNETIC RESONANCE IMAGING LOW-FIELD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9896","CodeVersion":"2020","CustomName":"DOCUMENT PT RSN NOT RX\/ADMN AD TX COM EBRT PROS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6020","CodeVersion":"2020","CustomName":"PARTIAL HAND NO FINGER REMAINING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0420","CodeVersion":"2020","CustomName":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8909","CodeVersion":"2020","CustomName":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5682","CodeVersion":"2020","CustomName":"ADD LW EXTRM BELW KNEE THI LACER GLUTL\/ISCH MOLD"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"16030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79586","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32607","CodeType":"ICD9P","Code":"81.56","CodeVersion":"2017","CustomName":"TOTAL ANKLE REPLACEMENT"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0055T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3388F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0176U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0024","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH PREV INFORM DISSEMIN SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2033","CodeVersion":"2020","CustomName":"RESIDENTIAL CARE NOS WAIVER; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7000","CodeVersion":"2020","CustomName":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5422","CodeVersion":"2020","CustomName":"ADJUST PARTIAL DENTURE - MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0472","CodeVersion":"2020","CustomName":"HEPATITIS C ABO SC IND HIGH RISK&OTH CVRD INDIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5566","CodeVersion":"2020","CustomName":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 300 U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1021","CodeVersion":"2020","CustomName":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2116","CodeVersion":"2020","CustomName":"AFO TIB FX ORTHOS RIGID PRFAB W\/FIT & ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0493","CodeVersion":"2020","CustomName":"SKILLED SERVICES RN OBV & ASMT PT COND EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4412","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE BARRIER W\/FLNGE W\/O FLTR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7197","CodeVersion":"2020","CustomName":"ANTITHROMBIN III PER IU"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7301","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6920","CodeVersion":"2020","CustomName":"WRST DISARTIC OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2350","CodeVersion":"2020","CustomName":"INJECTION OCRELIZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4159","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7441","CodeVersion":"2020","CustomName":"EXC MALIG TUMOR\/LES > 1.25CM"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9348","CodeVersion":"2020","CustomName":"HIT SYMPATHOMIMETIC\/INOTROPIC AGENT PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0284","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9340","CodeVersion":"2020","CustomName":"INJECTION THIOTEPA 15 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2280","CodeVersion":"2020","CustomName":"INJECTION MOXIFLOXACIN 100 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5988","CodeVersion":"2020","CustomName":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0501","CodeVersion":"2020","CustomName":"SHOWER COVER ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4670","CodeVersion":"2020","CustomName":"AUTOMATIC BLOOD PRESSURE MONITOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6450","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH >\/= 5 IN PER YARD"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"14497","CodeType":"REV","Code":"0900","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - General Classification"},{"ServiceGroup":"12491","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"68186","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"36093","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"58456","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44322","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"R0075","CodeVersion":"2020","CustomName":"TRANS PRTBL XRAY EQP&PERS HOM\/NRS HOM-TRIP>1 PT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2176","CodeVersion":"2020","CustomName":"O\/P ED\/OBS VISITS RSLT IN INPATIENT ADMISSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2118","CodeVersion":"2020","CustomName":"ANISEIKONIC LENS SINGLE VISION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2027","CodeVersion":"2020","CustomName":"PSYCHOEDUCATIONAL SERVICE PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2306","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER OVR 6.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9751","CodeVersion":"2020","CustomName":"PATIENT DIED ANY TIME DUR 24-MONTH MSR PERIOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4154","CodeVersion":"2020","CustomName":"BIOVANCE PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1301","CodeVersion":"2020","CustomName":"INJECTION EDARAVONE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0190","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6010","CodeVersion":"2020","CustomName":"PARTIAL HAND LITTLE & OR RING FINGER REMAINING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9326","CodeVersion":"2020","CustomName":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0647","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training Patient\/Caregiver, Peripheral Line\""},{"ServiceGroup":"96201","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"12287","CodeType":"REV","Code":"0404","CodeVersion":"2020","CustomName":"Other Imaging Services - Positron Emission Tomography"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"536","CodeVersion":"2020","CustomName":"Cardiac Defibrillator Implant with Cardiac Catheterization without Acute Myocardial Infarction, Heart Failure, or Shock"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"975","CodeVersion":"2020","CustomName":"HIV with Major Related Condition with CC"},{"ServiceGroup":"28956","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113719","CodeType":"CPT","Code":"26591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0259U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0048U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1036F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85681","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0673T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56242","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0015U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103948","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2035","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM AFLURIA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1120","CodeVersion":"2020","CustomName":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6386","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/EARLY FIT EA ADD CAST CHG&REALIGN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7510","CodeVersion":"2020","CustomName":"I&D ABSCESS-INTRAORAL SOFT TISS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5638","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0839","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4540","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9940","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4533","CodeVersion":"2020","CustomName":"YOUTH SIZED DISPBL INCONT PRODUCT BRF\/DIAPER EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8598","CodeVersion":"2020","CustomName":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9043","CodeVersion":"2020","CustomName":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5% 50 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6122","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAINER FOR METAL FPD - NOBLE AL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4010","CodeVersion":"2020","CustomName":"INFECTIOUS DISEASE MIPS SPECIALTY SET"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1844","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF CUSTOM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6195","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN - PORCLN FUSED TO TIT & TIT ALY"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0692","CodeVersion":"2020","CustomName":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4257","CodeVersion":"2020","CustomName":"RELESE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5080","CodeVersion":"2020","CustomName":"GLASSES BONE CONDUCTION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3752F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4148F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0425","CodeVersion":"2020","CustomName":"STATION COMPRS GAS SYS PURCH; FLWMTR HUMIDFR NEB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3670","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS ACROMIO\/CLAVICULAR PREFAB"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7294","CodeVersion":"2020","CustomName":"PLACEMENT TEMP ANC DEVC W\/O FLAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0330","CodeVersion":"2020","CustomName":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5256","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2512","CodeVersion":"2020","CustomName":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5812","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FRICT SWING&STANCE CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0350","CodeVersion":"2020","CustomName":"ORAL\/FACIAL PHOTO IMAGE OBTAIN INTRA\/EXTRAORLLY"},{"ServiceGroup":"14610","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"68185","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"45883","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0541","CodeVersion":"2020","CustomName":"Ambulance - Supplies"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"20162","CodeType":"DRG","Code":"619","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MINOR PROB-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.54","CodeVersion":"2017","CustomName":"OTHER TOTAL BREECH EXTRACTION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106177","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0591T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0659T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0071A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103327","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0154A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0770","CodeVersion":"2020","CustomName":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8418","CodeVersion":"2020","CustomName":"BMI DOC BLW NML PARAM & A F\/U PLAN IS DOCUMENTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0032","CodeVersion":"2020","CustomName":"MENTAL HEALTH SERVICE PLAN DVLP NON-PHYSICIAN"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5935","CodeVersion":"2020","CustomName":"MANDIB RES PROSTH W\/O GUIDE FLANGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5696","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE\/KNEE DISARTIC PELV JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0181","CodeVersion":"2020","CustomName":"PHYS\/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1403","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3380","CodeVersion":"2020","CustomName":"INJECTION VEDOLIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7250","CodeVersion":"2020","CustomName":"REMOVAL OF RESIDUAL TOOTH ROOTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1405","CodeVersion":"2020","CustomName":"OXYGEN&WATER VAPOR ENRICHING SYS W\/HEATED DELIV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2641","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED PALLADIUM-103 PER SRC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3489","CodeVersion":"2020","CustomName":"INJECTION ZOLEDRONIC ACID 1 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2792","CodeVersion":"2020","CustomName":"CROWN - FULL CAST NOBLE METAL"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"079T00Z","CodeVersion":"2020","CustomName":"DRAINAGEN BONE MARROW DRAINAGE DEVICE OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4355","CodeVersion":"2020","CustomName":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0823","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO &=300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0492","CodeVersion":"2020","CustomName":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5259","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1017","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM HEALTHHELP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0154","CodeVersion":"2020","CustomName":"PLATFORM ATTACHMENT WALKER EACH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4023","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9365","CodeVersion":"2020","CustomName":"HOM INFUS TX TPN; 1 LITER-DAY DIEM"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0546","CodeVersion":"2020","CustomName":"Ambulance - Neonatal Ambulance Services"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0471","CodeVersion":"2020","CustomName":"Audiology - Diagnostic"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"16778","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"79177","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"37015","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0931","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Half Day"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104851","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11049","CodeType":"ICD9P","Code":"98.59","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OTHER SITES"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106240","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16526","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33987","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.80","CodeVersion":"2017","CustomName":"INSRT PERM PACEMAKER INIT\/REPLCMT-TYPE NOT SPEC"},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44132","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0477T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9413","CodeVersion":"2020","CustomName":"PT NOT ADM WI 180 DAYS POST CIED W\/INF DEVC REMV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3254","CodeVersion":"2020","CustomName":"NONSTANDARD SIZE OR WIDTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0435","CodeVersion":"2020","CustomName":"FIXED WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2745","CodeVersion":"2020","CustomName":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2795","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6880","CodeVersion":"2020","CustomName":"ELEC HND SWTCH\/MYOLELEC CNTRL INDEP ARTC DIG MTR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0126","CodeVersion":"2020","CustomName":"INJECTION FOLLITROPIN ALFA 75 IU"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9179","CodeVersion":"2020","CustomName":"INJECTION ERIBULIN MESYLATE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9992","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE EXTENDED-RELEASE >100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2391","CodeVersion":"2020","CustomName":"RESIN COMPOS - 1 SURFACE POSTERIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2210","CodeVersion":"2020","CustomName":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"84778","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6064","CodeVersion":"2020","CustomName":"ABUT SUPP CAST METL CROWN NOBL METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6070","CodeVersion":"2020","CustomName":"ABUT RETN PORCLN METL FPD BASE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1945","CodeVersion":"2020","CustomName":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM"},{"ServiceGroup":"100961","CodeType":"HCPCS","Code":"A0225","CodeVersion":"2020","CustomName":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9000","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL 10 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9151","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES"},{"ServiceGroup":"34173","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46028","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0586","CodeVersion":"2020","CustomName":"INJECTION ABOBOTULINUMTOXINA 5 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9055","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1006","CodeVersion":"2020","CustomName":"ALCOHOL &OR SUBSTANCE ABS SRVC FAM\/COUPLE CNSL"},{"ServiceGroup":"13482","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"12683","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"23929","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0647","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training Patient\/Caregiver, Peripheral Line\""},{"ServiceGroup":"12886","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"76093","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"45183","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"2047","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"70439","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"23259","CodeType":"DRG","Code":"792","CodeVersion":"2020","CustomName":"CRANIOTOMY FOR MULT SIG TRAUMA W NON-TRAUMATIC MAJOR CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"974","CodeVersion":"2020","CustomName":"HIV with Major Related Condition with MCC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"579","CodeVersion":"2020","CustomName":"Postoperative or Post-traumatic Infections with O.R. Procedure"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.21","CodeVersion":"2017","CustomName":"MID FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112115","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88739","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34550","CodeType":"ICD9P","Code":"88.38","CodeVersion":"2017","CustomName":"OTHER COMPUTERIZED AXIAL TOMOGRAPHY"},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0713","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME PER 500 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4055","CodeVersion":"2020","CustomName":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1553","CodeVersion":"2020","CustomName":"RE-CEMENT\/RE-BOND UNI SPACE MAINTAINR - PER QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5270","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE TELEVISN AMPLIFIER TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8563","CodeVersion":"2020","CustomName":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2078","CodeVersion":"2020","CustomName":"TAKE HOME SUP METHADONE; UP TO 7 ADD DAY SUP;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3121","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE ENANTHATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4435","CodeVersion":"2020","CustomName":"OST POUCH DRAIN HI OP EXT WEAR BARR W\/WO FLTR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5014","CodeVersion":"2020","CustomName":"5% DEXTROSE\/45% NL SALINE W\/KCL&MGSO4 1500 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9693","CodeVersion":"2020","CustomName":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5616","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4100","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE FDA CLEARED AS A DEVICE NOS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2626","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE TEMPORARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7280","CodeVersion":"2020","CustomName":"EXPOSURE OF AN UNERUPTED TOOTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0138","CodeVersion":"2020","CustomName":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9347","CodeVersion":"2020","CustomName":"HIT UNINTRPED LNG-TERM CNTRL RATE IV\/SUBQ;-DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2323","CodeVersion":"2020","CustomName":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1439","CodeVersion":"2020","CustomName":"INJECTION FERRIC CARBOXYMALTOSE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6693","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2971","CodeVersion":"2020","CustomName":"ADD PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2013","CodeVersion":"2020","CustomName":"EXTSV 75 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8417","CodeVersion":"2020","CustomName":"PROSTH SHEATH\/SOCK W\/GEL CUSHN LAY BK\/AK EA"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3117F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5688","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE WAIST BELT WEBBING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9699","CodeVersion":"2020","CustomName":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2072","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPLANT I & R; WEEKLY BUNDLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6582","CodeVersion":"2020","CustomName":"PREP WRST DISRTC\/BELW ELB 1 WALL SCKT DIR FORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3610","CodeVersion":"2020","CustomName":"TRNSF ORTHOS ONE SHOE TO ANOTHER CALIP PLATE NEW"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1451","CodeVersion":"2020","CustomName":"INJECTION FOMEPIZOLE 15 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4113","CodeVersion":"2020","CustomName":"GRAFTJACKET XPRESS INJECTABLE 1 CC"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9025","CodeVersion":"2020","CustomName":"INJECTION AZACITIDINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0077","CodeVersion":"2020","CustomName":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"9936","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0976","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RESPIRATORY THERAPY"},{"ServiceGroup":"38650","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0919","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Other Behavioral Health Treatments"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113971","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84933","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4261F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0040U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49544","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112111","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104844","CodeType":"CPT","Code":"99510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8470","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5115","CodeVersion":"2020","CustomName":"HOME CARE TRAINING NON-FAMILY; PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4008","CodeVersion":"2020","CustomName":"GERIATRICS MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0714","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME & AVIBACTAM 0.5 G\/0.125 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4102","CodeVersion":"2020","CustomName":"ENTRAL FORMULA ADLT REPL FLS&LYTES 500 ML = 1 U"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0823","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2182","CodeVersion":"2020","CustomName":"PATIENT RECV FRST-TM BIOL DZ MOD ANTIRHEUM DX TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0209","CodeVersion":"2020","CustomName":"WHEELCHAIR VAN MILEAGE PER MILE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9795","CodeVersion":"2020","CustomName":"PATIENT IS NOT CUR ON A DAILY ASPIRIN\/OTH AP"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0245","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION BAMLANIVIMAB AND ETESEVIMAB"},{"ServiceGroup":"104188","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2621","CodeVersion":"2020","CustomName":"PACEMAKER OTHER THAN SINGLE OR DUAL CHAMBER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9480","CodeVersion":"2020","CustomName":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6198","CodeVersion":"2020","CustomName":"REMOVE INTERIM IMPLANT COMPONENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9989","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN NOT ADMINIS PNEUMOCOCCAL VACCINE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9000","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL 10 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9208","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9542","CodeVersion":"2020","CustomName":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W\/I 3 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9513","CodeVersion":"2020","CustomName":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4590","CodeVersion":"2020","CustomName":"SPECIAL CASTING MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C5271","CodeVersion":"2020","CustomName":"APPL SKN GRFT TRUNK ARM LEG 100 CM; 1ST 25 CM\/<"},{"ServiceGroup":"76094","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1460F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9642","CodeVersion":"2020","CustomName":"CURRENT SMOKER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7951","CodeVersion":"2020","CustomName":"SINUS AUGMENTATION BONE\/BONE SUBST LAT OPEN APPR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2363","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0069","CodeVersion":"2020","CustomName":"REAR WHL ASM CMPL SLD TIRE SPKE\/MLD REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2371","CodeVersion":"2020","CustomName":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5983","CodeVersion":"2020","CustomName":"RADIATION CARRIER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4730","CodeVersion":"2020","CustomName":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2061","CodeVersion":"2020","CustomName":"DONOR LOBECTOMY FOR TRANSPLANTATION LIVING DONOR"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"68820","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"32595","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"4109","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0320","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - General Classification"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"13052","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"596","CodeVersion":"2020","CustomName":"Major Skin Disorders without MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"672","CodeVersion":"2020","CustomName":"Urethral Procedures without CC\/MCC"},{"ServiceGroup":"21826","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"982","CodeVersion":"2020","CustomName":"Extensive O.R. Procedure Unrelated to Principal Diagnosis with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"539","CodeVersion":"2020","CustomName":"Lymphoma and Leukemia with Major O.R. Procedure with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"669","CodeVersion":"2020","CustomName":"Transurethral Procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.3","CodeVersion":"2017","CustomName":"OTHER INTRAUTERINE OPERATIONS FETUS AND AMNION"},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.8","CodeVersion":"2017","CustomName":"OTHER SPECIFIED INSTRUMENTAL DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35966","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0153U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113717","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113463","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0398T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3498F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84934","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0251U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.87","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF ABDOMINAL VEINS"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105551","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87122","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.56","CodeVersion":"2017","CustomName":"REPAIR OF BLOOD VESSEL WITH TISSUE PATCH GRAFT"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90398","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107076","CodeType":"CPT","Code":"21046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0315T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0251","CodeVersion":"2020","CustomName":"HOSP BED FIX HT W\/ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5130","CodeVersion":"2020","CustomName":"BINAURAL IN THE EAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0021","CodeVersion":"2020","CustomName":"AMB SERVICE OUTSIDE STATE PER MILE TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4350","CodeVersion":"2020","CustomName":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4231","CodeVersion":"2020","CustomName":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4219","CodeVersion":"2020","CustomName":"SURGIGRAFT-DUAL PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7182","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2629","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB M ARM SUPP FRICTION ARM SUPP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9284","CodeVersion":"2020","CustomName":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4242","CodeVersion":"2020","CustomName":"AMNIOCYTE PLUS PER 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2136","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS RIGD PRFAB W\/FIT & ADJ"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5647","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2698","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE STRANDED NOS PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4590","CodeVersion":"2020","CustomName":"SPECIAL CASTING MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4557","CodeVersion":"2020","CustomName":"LEAD WIRES PER PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5312","CodeVersion":"2020","CustomName":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5141","CodeVersion":"2020","CustomName":"FOSTER CARE ADULT; PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1435","CodeVersion":"2020","CustomName":"INJECTION ESTRONE PER 1 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5121","CodeVersion":"2020","CustomName":"CHORE SERVICES; PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3852","CodeVersion":"2020","CustomName":"DNA ANALY APOE EPSILON 4 ALLELE SUSECPT ALZS DZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9646","CodeVersion":"2020","CustomName":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1594","CodeVersion":"2020","CustomName":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9205","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN LIPOSOME 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3357","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8698","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND FIXED RETAINER - MAXILLAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6611","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST HIGH NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0710","CodeVersion":"2020","CustomName":"Recovery Room - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0969","CodeVersion":"2020","CustomName":"Professional Fees - Other Professional Fee"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0770","CodeVersion":"2020","CustomName":"Preventive Care Services - General Classification"},{"ServiceGroup":"33813","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"15663","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"70044","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"388","CodeVersion":"2020","CustomName":"Prematurity without major problems"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90376","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86583","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83960","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104736","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104171","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5213","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8825","CodeVersion":"2020","CustomName":"PATIENT NOT DISCHARGED TO HOME BY POSTOP DAY #7"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0595","CodeVersion":"2020","CustomName":"INJECTION BUTORPHANOL TARTRATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4350","CodeVersion":"2020","CustomName":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0027","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG PREVENTION ENVIR SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5103","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0148","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMERS CERV\/VAG AUTO SYS W\/MNL RESCR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0422","CodeVersion":"2020","CustomName":"COLLECTION & PREPARATION OF GENETIC SAMPLE MATL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2798","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9773","CodeVersion":"2020","CustomName":"AT LEAST 1 BT MSR =\/>35.5 DEGC NOT ACHV ANES ET"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6655","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4737","CodeVersion":"2020","CustomName":"INJECTABLE ANESTHETIC FOR DIALYSIS PER 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0162","CodeVersion":"2020","CustomName":"ONDANSETRON 1 MG ORL NOT EXCEED 48 HR DOSE REG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0455","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9370","CodeVersion":"2020","CustomName":"HOME THERAPY INTERMITTENT ANTI-EMETIC INJ TX;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2022","CodeVersion":"2020","CustomName":"CASE MANAGEMENT; PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0951","CodeVersion":"2020","CustomName":"HEEL LOOP\/HOLDER TYPE W\/WO ANKLE STRAP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0150","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74","CodeVersion":"2017","CustomName":"CESAREAN SECTION AND REMOVAL OF FETUS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1550","CodeVersion":"2020","CustomName":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8936","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB\/ARB TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1442","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0190","CodeVersion":"2020","CustomName":"POSITIONING CUSH\/PILLOW\/WEDGE INCL ALL COMPONENT"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9100","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9053","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0580","CodeVersion":"2020","CustomName":"NEBULIZR DURABLE GLASS\/AUTOCLAVABLE PLSTC BOTTLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1129","CodeVersion":"2020","CustomName":"ONGO CAR NOT POSS PT D\/C EARLY D\/T SPC MED EVENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1039","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3070","CodeVersion":"2020","CustomName":"INJECTION PENTAZOCINE 30 MG"},{"ServiceGroup":"12197","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"86607","CodeType":"REV","Code":"0918","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Testing"},{"ServiceGroup":"70049","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93023","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0163U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0217U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107494","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0393T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0470","CodeVersion":"2020","CustomName":"DIAGNOSTIC CASTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3671","CodeVersion":"2020","CustomName":"SHOULDER ORTHOTIC JOINT DESIGN W\/O JNTS CUSTOM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9190","CodeVersion":"2020","CustomName":"INJECTION FLUOROURACIL 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0976","CodeVersion":"2020","CustomName":"LSO FULL CORSET"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0422","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4164","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; CARBS 50%\/LESS - HOM MIX"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1882","CodeVersion":"2020","CustomName":"CARDIOVERT-DEFIB OTH THAN SINGLE\/DUAL CHAMB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4608","CodeVersion":"2020","CustomName":"TRANSTRACHEAL OXYGEN CATHETER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1120","CodeVersion":"2020","CustomName":"PROPHYLAXIS - CHILD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1428","CodeVersion":"2020","CustomName":"INJECTION ETEPLIRSEN 10 MG"},{"ServiceGroup":"73523","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"87520","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5506","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/OFF SET HEEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6111","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0219","CodeVersion":"2020","CustomName":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG"},{"ServiceGroup":"36668","CodeType":"CPT","Code":"90736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4373","CodeVersion":"2020","CustomName":"OST SKN BARR W\/FLNGE W\/BUILT-IN CONVXITY SZ EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4159","CodeVersion":"2020","CustomName":"AFFINITY PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0520","CodeVersion":"2020","CustomName":"INJ BETHANCHOL CHLORID MYTONCHOL\/URECHOLN UP 5MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2087","CodeVersion":"2020","CustomName":"OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3923","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS W\/O JOINT PREFAB CUSTOM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9383","CodeVersion":"2020","CustomName":"PATIENT RECV SCREENING HCV INF W\/I 12 MO PERIOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9904","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN FOR NOT SCR TOBACCO USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5060","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BEHIND THE EAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2597","CodeVersion":"2020","CustomName":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG"},{"ServiceGroup":"23130","CodeType":"REV","Code":"0230","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"948","CodeVersion":"2020","CustomName":"OTHER THERAPEUTIC SERVICES-PULMONARY REHABILITATION"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0981","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EMERGENCY ROOM SERVICES"},{"ServiceGroup":"3055","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0260","CodeVersion":"2020","CustomName":"IV Therapy - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0472","CodeVersion":"2020","CustomName":"Audiology - Treatment"},{"ServiceGroup":"33267","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"262","CodeVersion":"2020","CustomName":"Breast biopsy and local excision for non-malignancy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"025","CodeVersion":"2020","CustomName":"Seizure and headache, age greater than 17 without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"268","CodeVersion":"2020","CustomName":"Skin, subcutaneous tissue, and breast plastic procedures"},{"ServiceGroup":"329","CodeType":"DRG","Code":"288","CodeVersion":"2020","CustomName":"Operating room procedures for obesity"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9525","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0271T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39542","CodeType":"ICD9P","Code":"00.91","CodeVersion":"2017","CustomName":"TRANSPLANT FROM LIVE RELATED DONOR"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9522","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0333U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0323T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48968","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3452F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41406","CodeType":"ICD9P","Code":"37.22","CodeVersion":"2017","CustomName":"LEFT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29369","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9899","CodeVersion":"2020","CustomName":"IMPL PROS DEVC PAYBLE IP WHO DO NOT HAVE IP COV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2510","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR QUADRI-LAT BRIM MOLD PT"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0145","CodeVersion":"2020","CustomName":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0746","CodeVersion":"2020","CustomName":"ABSORB WND DRSG HOM MDL PRTBLE PAD SZ > 48 SQ IN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0173","CodeVersion":"2020","CustomName":"TRIMETHOBENZAMIDE HCL 250 MG ORL NOT>48 HR DOSE"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5190","CodeVersion":"2020","CustomName":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8844","CodeVersion":"2020","CustomName":"APNEA HYPOPNA IND\/RDI NOT MSR TM DX RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4529","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD BRF\/DIAPER SM\/MED EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0009","CodeVersion":"2020","CustomName":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9275","CodeVersion":"2020","CustomName":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1124","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSS PT D\/C EARLY D\/T MED EVENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3145","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE UNDECANOATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4016","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9689","CodeVersion":"2020","CustomName":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9215","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-N3 250,000 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9033","CodeVersion":"2020","CustomName":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3725F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3520","CodeVersion":"2020","CustomName":"ORTHOPED SHOE ADDITION INSOLE FELT COVR W\/LEATHR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3020","CodeVersion":"2020","CustomName":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL\/MT SUPP EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0114","CodeVersion":"2020","CustomName":"FERN TEST"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1740","CodeVersion":"2020","CustomName":"INJECTION IBANDRONATE SODIUM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0270","CodeVersion":"2020","CustomName":"BITEWING - SINGLE RADIOGRAPHIC IMAGE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5676","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3397","CodeVersion":"2020","CustomName":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"1942","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"58459","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0824","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"73602","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"24598","CodeType":"DRG","Code":"946","CodeVersion":"2020","CustomName":"Rehabilitation without CC\/MCC"},{"ServiceGroup":"28164","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3762F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4149F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0299U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0058U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3273F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111201","CodeType":"CPT","Code":"90868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2036","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0641","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0457","CodeVersion":"2020","CustomName":"CHEST SHELL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0875","CodeVersion":"2020","CustomName":"INJECTION DALBAVANCIN 5MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9912","CodeVersion":"2020","CustomName":"PRE-VISIT PATIENT SCREENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0360","CodeVersion":"2020","CustomName":"INJECTION HYDRALAZINE HCL UP TO 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1907","CodeVersion":"2020","CustomName":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0980","CodeVersion":"2020","CustomName":"SAFETY VEST WHEELCHAIR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8470","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1443","CodeVersion":"2020","CustomName":"INJ FEPP CIT SOLUTION TRIFERIC 0.1 MG IRON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9480","CodeVersion":"2020","CustomName":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8908","CodeVersion":"2020","CustomName":"MR IMAG W\/O CONTRST FLWED W\/CONTRST BRST; BIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0117","CodeVersion":"2020","CustomName":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5725","CodeVersion":"2020","CustomName":"REBASE HYBRID PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2030","CodeVersion":"2020","CustomName":"ASSISTED LIVING WAIVER; PER MONTH"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0601","CodeVersion":"2020","CustomName":"SCREENING PROCTOSCOPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0274","CodeVersion":"2020","CustomName":"OVER-BED TABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5L7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION LEFT LUNG NATURAL ARTIFICIAL OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2644","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAM - 4\/MORE SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8752","CodeVersion":"2020","CustomName":"MOST RECENT SYSTOLIC BLOOD PRESSURE < 140MM HG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7613","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5653","CodeVersion":"2020","CustomName":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0130","CodeVersion":"2020","CustomName":"WALKER RIGID ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"45949","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"147","CodeType":"REV","Code":"0661","CodeVersion":"2020","CustomName":"Respite Care - Hourly Charge - Nursing"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"63381","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"51322","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"33828","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"032","CodeVersion":"2020","CustomName":"Concussion, age greater than 17, without CC"},{"ServiceGroup":"20272","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0317U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0233U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0402T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3344F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0193T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74.0","CodeVersion":"2017","CustomName":"CLASSICAL CESAREAN SECTION"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20305","CodeType":"ICD9P","Code":"44.5","CodeVersion":"2017","CustomName":"REVISION OF GASTRIC ANASTOMOSIS"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8934","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST UPPER EXTREMITY"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2524","CodeVersion":"2020","CustomName":"CONTACT LENS HPI SPH PC ADDITIVE PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4103","CodeVersion":"2020","CustomName":"OASIS BURN MATRIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4015","CodeVersion":"2020","CustomName":"NEUROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6026","CodeVersion":"2020","CustomName":"TRANSCARPAL\/MC\/PART HAND DISARTICULATION PROS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0051","CodeVersion":"2020","CustomName":"CAM RLS ASSEM FOOTREST\/LEGREST REPL ONLY EACH"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9395","CodeVersion":"2020","CustomName":"INJECTION FULVESTRANT 25 MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8944","CodeVersion":"2020","CustomName":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5271","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4081","CodeVersion":"2020","CustomName":"NASOGASTRIC TUBING WITH STYLET"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2790","CodeVersion":"2020","CustomName":"CROWN - FULL CAST HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8724","CodeVersion":"2020","CustomName":"PT CAT PN CAT&HISTOL GR NOT DOC PATH RPT NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2004","CodeVersion":"2020","CustomName":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8310","CodeVersion":"2020","CustomName":"TRUSS DOUBLE WITH STANDARD PADS"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4570","CodeVersion":"2020","CustomName":"SPLINTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4530","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD BRF\/DIAPER LG SZ EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9501","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q12 HRS DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9106","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; R1\/R2 RESECT NO PROGRESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6086","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - PREDOMINANTLY BASE ALY"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2718","CodeVersion":"2020","CustomName":"PRESS-ON LENS FRESNELL PRISM PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9251","CodeVersion":"2020","CustomName":"DOC PT PAIN NOT BROUGHT COMFORT 48 HR INIT ASMT"},{"ServiceGroup":"46482","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"177","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0984","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - MEDICAL SOCIAL SERVICES"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0844","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59358","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108518","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107069","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4221F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0354U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0075T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0018","CodeVersion":"2020","CustomName":"BHVAL HEALTH; SHORT-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0591","CodeVersion":"2020","CustomName":"INJECTION DEOXYCHOLIC ACID 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4322","CodeVersion":"2020","CustomName":"SPLINT - INTRA-COR; NATURAL TEETH\/PROSTH CROWNS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9319","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2621","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN\/>"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7177","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9280","CodeVersion":"2020","CustomName":"INJECTION MITOMYCIN 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1702","CodeVersion":"2020","CustomName":"PFIZER-BIONTECH COVID-19"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2951","CodeVersion":"2020","CustomName":"PIN RETN - PER TOOTH ADDITION REST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3905","CodeVersion":"2020","CustomName":"WHO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4602","CodeVersion":"2020","CustomName":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9047","CodeVersion":"2020","CustomName":"INJECTION CAPLACIZUMAB-YHDP 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5000","CodeVersion":"2020","CustomName":"PART FT SHOE INSERT W\/LONGTUDNL ARCH TOE FILLER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0860","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1002","CodeVersion":"2020","CustomName":"RN SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"10528","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2325","CodeVersion":"2020","CustomName":"HIP CORE DECOMPRESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9542","CodeVersion":"2020","CustomName":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W\/I 3 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4388","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE W\/EXT WEAR BARRIER ATTCH EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0830","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0426","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 50 MIN W\/PT TELEHLTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4117","CodeVersion":"2020","CustomName":"HYALOMATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0140","CodeVersion":"2020","CustomName":"SAQUINAVIR 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2204","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4268","CodeVersion":"2020","CustomName":"SURGICAL REVISION PROC PER TOOTH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9727","CodeVersion":"2020","CustomName":"INSERTION IMPL TO SOFT PALATE; MINIMUM 3 IMPL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1940","CodeVersion":"2020","CustomName":"INJECTION FUROSEMIDE UP TO 20 MG"},{"ServiceGroup":"913","CodeType":"ICD10P","Code":"GZB0ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY UNILAT-SINGLE SEIZURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2005","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION; STRETCHER VAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4261","CodeVersion":"2020","CustomName":"TAG PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"14048","CodeType":"REV","Code":"0947","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Complex Medical Equipment - Ancillary"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"4109","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0307","CodeVersion":"2020","CustomName":"Laboratory - Urology"},{"ServiceGroup":"17079","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34343","CodeType":"ICD9P","Code":"98.5","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY"},{"ServiceGroup":"104110","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64322","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106669","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91009","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4188F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46585","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0603T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0185U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0470T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9808","CodeVersion":"2020","CustomName":"ANY PT HAD NO ASTHMA CONTR MED DISP DUR MSR YR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4224","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION ADMINISTRATION KIT PER DAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0136","CodeVersion":"2020","CustomName":"CLOZAPINE 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8418","CodeVersion":"2020","CustomName":"BMI DOC BLW NML PARAM & A F\/U PLAN IS DOCUMENTED"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7670","CodeVersion":"2020","CustomName":"ALVEOLUS-CLOSED REDUCTION W\/STABILIZATION TEETH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1180","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5930","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6013","CodeVersion":"2020","CustomName":"SURGICAL PLACEMENT OF MINI IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4027","CodeVersion":"2020","CustomName":"STORAGE OF PREVIOUSLY FROZEN EMBRYOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0838","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8540","CodeVersion":"2020","CustomName":"FUNC O\/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8914","CodeVersion":"2020","CustomName":"PT DOC HAVE EXPERNCD HOSP TRNSF\/ADM UPON D\/C ASC"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8513","CodeVersion":"2020","CustomName":"CLEANING DEVC USED W\/TRACHEOESOPH VOICE PROS PIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1800","CodeVersion":"2020","CustomName":"DYN ADJUSTBL ELB EXT\/FLX DEVC W\/SFT INTRFCE MATL"},{"ServiceGroup":"81839","CodeType":"HCPCS","Code":"S9981","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2026","CodeVersion":"2020","CustomName":"INJECTION RADIESSE 0.1ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7412","CodeVersion":"2020","CustomName":"EXCISION BENIGN LESION COMPLICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6257","CodeVersion":"2020","CustomName":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1860","CodeVersion":"2020","CustomName":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB"},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2406","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN KIMYRSA 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1728","CodeVersion":"2020","CustomName":"CATHETER BRACHYTHERAPY SEED ADMINISTRATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1097","CodeVersion":"2020","CustomName":"PHEN 10.16 & KET 2.88 MG\/ML OPHT IRR SOL 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1817","CodeVersion":"2020","CustomName":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8432","CodeVersion":"2020","CustomName":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6624","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD FLX\/EXT ROTATION WRIST UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2840","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOS TIB LENGTH SOCK FX\/= EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0604","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1141","CodeVersion":"2020","CustomName":"FUNC STATUS NOT MSR OKS\/ KOOS JR 1 YR POST OP"},{"ServiceGroup":"60132","CodeType":"REV","Code":"0802","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"33370","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0637","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Self-Administrable Drugs"},{"ServiceGroup":"3077","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"79644","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"22401","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38","CodeVersion":"2017","CustomName":"INCISION EXCISION AND OCCLUSION OF VESSELS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93091","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104856","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0141U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0265T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0043","CodeVersion":"2020","CustomName":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2150","CodeVersion":"2020","CustomName":"BN MARROW\/BLD DERIVD STEM CELLS HARV TPLNT&COMP;"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6123","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN METAL FPD - TIT & TIT ALY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9047","CodeVersion":"2020","CustomName":"INJECTION CARFILZOMIB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1147","CodeVersion":"2020","CustomName":"ONG CRE NOT MED PSS PT D\/C E D\/T MED EVT DOC MR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9920","CodeVersion":"2020","CustomName":"BEHAVIOR MANAGEMENT BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0628","CodeVersion":"2020","CustomName":"LUMBAR-SCARAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4634","CodeVersion":"2020","CustomName":"REPLCMT BULB THERAPEUTIC LIGHT BOX TABOP MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4450","CodeVersion":"2020","CustomName":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0606","CodeVersion":"2020","CustomName":"MOLECULAR TESTG PH REL PA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2820","CodeVersion":"2020","CustomName":"INJECTION SARGRAMOSTIM 50 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4391","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/EXT WEAR BARRIER ATTCH EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2624","CodeVersion":"2020","CustomName":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1551","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND BIL SPACE MAINTAINER - MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9407","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV F\/U ON\/WI 7 DAYS AFTER D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0720","CodeVersion":"2020","CustomName":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3652","CodeVersion":"2020","CustomName":"SALIVA TST HORMONE LEVL; ASSESS PRTERM LABR RISK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2142","CodeVersion":"2020","CustomName":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9543","CodeVersion":"2020","CustomName":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1568","CodeVersion":"2020","CustomName":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7650","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4180","CodeVersion":"2020","CustomName":"REVITA PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0925","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Pregnancy Test"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"006","CodeVersion":"2020","CustomName":"Carpal tunnel release"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"592","CodeVersion":"2020","CustomName":"Skin Ulcers with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"206","CodeVersion":"2020","CustomName":"Disorders of liver except malignancy, cirrhosis and alcoholic hepatitis without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"392","CodeVersion":"2020","CustomName":"Splenectomy, age greater than 17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0038U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45333","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19613","CodeType":"DRG","Code":"114","CodeVersion":"2020","CustomName":"Upper limb and toe amputation for circulatory system disorders"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94363","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0277U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64323","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107014","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.97","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REMV GASTRIC RESTRICTIVE DEVICE(S)"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0416T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37202","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93093","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104740","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0044U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1356","CodeVersion":"2020","CustomName":"O2 ACCESS BTTRY PACK\/CRTRDGE PRTBLE CONC REPL EA"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9262","CodeVersion":"2020","CustomName":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"9053","CodeType":"ICD10P","Code":"0D168KA","CodeVersion":"2020","CustomName":"BYPASS STOMACH JEJUN NAUTO TISS NAT\/ART OP ENDO"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4331","CodeVersion":"2020","CustomName":"EXT DRN TUBING W\/CNCTOR\/ADAPTR FOR LEG BAG EA"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4240","CodeVersion":"2020","CustomName":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0348","CodeVersion":"2020","CustomName":"INJECTION ANIDULAFUNGIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1027","CodeVersion":"2020","CustomName":"FAMILY TRAIN & COUNSEL CHILD DEVELOPMENT 15 MINS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0248","CodeVersion":"2020","CustomName":"INJECTION REMDESIVIR 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9120","CodeVersion":"2020","CustomName":"INJECTION DACTINOMYCIN 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0492","CodeVersion":"2020","CustomName":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0914","CodeVersion":"2020","CustomName":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0618","CodeVersion":"2020","CustomName":"APNEA MONITOR WITHOUT RECORDING FEATURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0960","CodeVersion":"2020","CustomName":"WC ACSS SHLDR HRNSS\/STRAPS\/CHST STRAP W\/TYPE MOU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0617","CodeVersion":"2020","CustomName":"EXTERNAL DEFIB W\/INTEGRATED ECG ANALY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0077","CodeVersion":"2020","CustomName":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9325","CodeVersion":"2020","CustomName":"HIT PAIN MANAGEMENT INFUSION; PER DIEM"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6509","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9596","CodeVersion":"2020","CustomName":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3350","CodeVersion":"2020","CustomName":"HEEL WEDGE"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4191F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0223U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3345F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2350","CodeVersion":"2020","CustomName":"INJECTION OCRELIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2370","CodeVersion":"2020","CustomName":"PWR WC COMP INT DR WHL MTR&GR BOX COMB REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0009","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; ACUTE DTOX HOSP IP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9273","CodeVersion":"2020","CustomName":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1876","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVERED W\/DELIVERY SYSTEM"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0290","CodeVersion":"2020","CustomName":"INJECTION AMPICILLIN SODIUM 500 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7518","CodeVersion":"2020","CustomName":"MYCOPHENOLIC ACID ORAL 180 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9709","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2036","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLULAVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9118","CodeVersion":"2020","CustomName":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2208","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV ADJUVANT TREATMENT COURSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7199","CodeVersion":"2020","CustomName":"HEMOPHILIA CLOTTING FACTOR NOC"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1752","CodeVersion":"2020","CustomName":"CATHETER HEMODIALYSIS SHORT-TERM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1822","CodeVersion":"2020","CustomName":"GEN NEUROSTIM HIGH FREQ RECHARG BATT & CHARG SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0186","CodeVersion":"2020","CustomName":"AIR PRESSURE MATTRESS"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8999","CodeVersion":"2020","CustomName":"RESUSCITATION BAG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3472F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38004","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5626","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5814","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5899","CodeVersion":"2020","CustomName":"UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0352","CodeVersion":"2020","CustomName":"DISPBL PACK USE W\/THE ELEC BOWEL IRRIG\/EVAC SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2252","CodeVersion":"2020","CustomName":"BRIEF COM TECH-B SRVC VR C\/I PHYS\/OTH QUAL HCP"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0250","CodeVersion":"2020","CustomName":"EXTRA-ORAL - 2D PROJECTION X-RAY"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0946","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Complex Medical Equipment - Routine"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"22954","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"269","CodeVersion":"2020","CustomName":"Other skin, subcutaneous tissue, and breast procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"637","CodeVersion":"2020","CustomName":"NEONATE, DIED W\/IN ONE DAY OF BIRTH, BORN HERE-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33980","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3352F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4070","CodeVersion":"2020","CustomName":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7185","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8923","CodeVersion":"2020","CustomName":"TTE FLW W\/CNTRST R-T DOC 2D INCL M-MODE REC CMPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0554","CodeVersion":"2020","CustomName":"RECEIVER DEDICATED FOR USE W\/THERAPEUTIC GCM SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2190","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6074","CodeVersion":"2020","CustomName":"ABUT RETN CAST METL FPD NOBL METL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5694","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD&LN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0130","CodeVersion":"2020","CustomName":"INJECTION ABCIXIMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0483","CodeVersion":"2020","CustomName":"DRUG TST DEFINITV DR ID METH P DAY 22\/MORE DR CL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4910","CodeVersion":"2020","CustomName":"PERIODONTAL MAINTENANCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9050","CodeVersion":"2020","CustomName":"INJECTION CARMUSTINE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9595","CodeVersion":"2020","CustomName":"PT HAS DOC VENTRICULAR SHUNT BT\/COAGULOPATHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1170","CodeVersion":"2020","CustomName":"INJECTION HYDROMORPHONE UP TO 4 MG"},{"ServiceGroup":"33262","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"14221","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"15363","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0340","CodeVersion":"2020","CustomName":"Nuclear Medicine - General Classification"},{"ServiceGroup":"13365","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"45965","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"9879","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"27713","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"843","CodeVersion":"2020","CustomName":"Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD9P","Code":"74.99","CodeVersion":"2017","CustomName":"OTHER CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.25","CodeVersion":"2017","CustomName":"OTH LAPAROSCOPIC LOCAL EXCISION\/DESTRUC OVARY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3378F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0105U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91592","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0108U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0444T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7210","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII AFSTYLA 1 I.U."},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4045","CodeVersion":"2020","CustomName":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0606","CodeVersion":"2020","CustomName":"POSTURAL DRAINAGE BOARD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4315","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH2-WAY ALL SILCON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0039","CodeVersion":"2020","CustomName":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0999","CodeVersion":"2020","CustomName":"UNLISTED AMBULANCE SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4190","CodeVersion":"2020","CustomName":"ARTACENT AC PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1757","CodeVersion":"2020","CustomName":"CATHETER THROMBECTOMY\/EMBOLECTOMY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1558","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5212","CodeVersion":"2020","CustomName":"MANDIBULAR PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4557","CodeVersion":"2020","CustomName":"LEAD WIRES PER PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1087","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"C9067","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87522","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9497","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q3 HRS DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9986","CodeVersion":"2020","CustomName":"NOT MEDICALLY NECESSARY SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5631","CodeVersion":"2020","CustomName":"ADD LW EXT ABVE KNEE\/KNEE DISARTIC ACRYLC SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9312","CodeVersion":"2020","CustomName":"SURGICAL SITE INFECTION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6081","CodeVersion":"2020","CustomName":"SCAL&DEBR PRES INF\/MUCOSIT 1 IMPL NO F ENT&CLOS"},{"ServiceGroup":"11795","CodeType":"HCPCS","Code":"S9342","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7045","CodeVersion":"2020","CustomName":"ELEC HOOK SWITCH\/MYOELECTRIC CONTOL PEDIATRIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9818","CodeVersion":"2020","CustomName":"DOCUMENTATION OF SEXUAL ACTIVITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0852","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9280","CodeVersion":"2020","CustomName":"INJECTION MITOMYCIN 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2355","CodeVersion":"2020","CustomName":"INJECTION OPRELVEKIN 5 MG"},{"ServiceGroup":"58459","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0261","CodeVersion":"2020","CustomName":"IV Therapy - Infusion Pump"},{"ServiceGroup":"22817","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"896","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy with MCC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"502","CodeVersion":"2020","CustomName":"Knee procedure with principal diagnosis of infection without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0333T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90372","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0021U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0704T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61999","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0064U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.37","CodeVersion":"2017","CustomName":"AMNIOINFUSION"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105013","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2031","CodeVersion":"2020","CustomName":"MENTAL HEALTH CLUBHOUSE SERVICES PER DIEM"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0408","CodeVersion":"2020","CustomName":"F\/U IP CNSLT CMPLX PHYS 35 MIN\/>PT VIA TELEHLTH"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8838","CodeVersion":"2020","CustomName":"PATIENT NOT D\/C TO HOME BY POSTOP DAY #2 FLW CEA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1402","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9646","CodeVersion":"2020","CustomName":"PATIENTS WITH 90 DAY MRS SCORE OF 0 TO 2"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5060","CodeVersion":"2020","CustomName":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9325","CodeVersion":"2020","CustomName":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"C1783","CodeVersion":"2020","CustomName":"OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST DEVICE"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"31017","CodeType":"DRG","Code":"468","CodeVersion":"2020","CustomName":"Extensive operating room procedure unrelated to principal diagnosis"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"91658","CodeType":"DRG","Code":"806","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"605","CodeVersion":"2020","CustomName":"NEONATE, BIRTHWT 750-999G, DIED-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"122","CodeVersion":"2020","CustomName":"Circulatory disorders with acute MI without major complications, discharged alive"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.34","CodeVersion":"2017","CustomName":"DIATHERMY"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0392T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58516","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3341F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4248F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16732","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0535F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0685T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0318U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2128","CodeVersion":"2020","CustomName":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3245","CodeVersion":"2020","CustomName":"INJECTION TILDRAKIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8570","CodeVersion":"2020","CustomName":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0005","CodeVersion":"2020","CustomName":"ULTRALIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8662","CodeVersion":"2020","CustomName":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2614","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POST WIDTH 22 IN\/> ANY HEIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2630","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL MONOSUSP ARM HAND SUPP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6695","CodeVersion":"2020","CustomName":"ADD UP EXT PROS BELW\/ABVE ELB CSTM W\/O LOCK MECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8635","CodeVersion":"2020","CustomName":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2178","CodeVersion":"2020","CustomName":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP;"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4250","CodeVersion":"2020","CustomName":"AMNIOAMP-MP PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6015","CodeVersion":"2020","CustomName":"INTENSITY MODULATED TX DEL 1\/MX FLDS PER TX SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0121","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8433","CodeVersion":"2020","CustomName":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0396","CodeVersion":"2020","CustomName":"ALS SPCLIZED SERVICE DISPBL SPL; ESOPH INTUBAT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6231","CodeVersion":"2020","CustomName":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ\/<"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0011","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG IP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1956","CodeVersion":"2020","CustomName":"INJECTION LEVOFLOXACIN 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9820","CodeVersion":"2020","CustomName":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F\/U"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3273F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0651","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS SEG HOM MDL NO CALBRTD GRDNT PRSS"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6950","CodeVersion":"2020","CustomName":"ABVE ELB OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1021","CodeVersion":"2020","CustomName":"HOME HEALTH AIDE\/CERTIFIED NURSE ASST PER VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2928","CodeVersion":"2020","CustomName":"PREFABRICATED PORCELAIN\/CER CROWN - PERM TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2635","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRND PALLADIUM-103 >2.2 MCI PER SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1768","CodeVersion":"2020","CustomName":"GRAFT VASCULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0420","CodeVersion":"2020","CustomName":"DEMURRAGE ON OXY TANK"},{"ServiceGroup":"103731","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"28221","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"51543","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"44008","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"70045","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"320","CodeVersion":"2020","CustomName":"Kidney and urinary tract infections, age greater than 17, with CC"},{"ServiceGroup":"40589","CodeType":"DRG","Code":"030","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95108","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87059","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67066","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0653T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107643","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0494T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89945","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65284","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6511","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT LW TRNK W\/LEG OPENING CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0429","CodeVersion":"2020","CustomName":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3358","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0243","CodeVersion":"2020","CustomName":"TOILET RAIL EACH"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5255","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9628","CodeVersion":"2020","CustomName":"PT SUSTN BOWEL INJ SURG\/DISC SUBSEQ 30D PST SRG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1599","CodeVersion":"2020","CustomName":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4256","CodeVersion":"2020","CustomName":"MLG-COMPLETE PER SQ CM"},{"ServiceGroup":"45567","CodeType":"HCPCS","Code":"L8000","CodeVersion":"2020","CustomName":"BREAST PROS MASTECTOMY BRA W\/O INTEG PROS FORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1014","CodeVersion":"2020","CustomName":"CLINICL DECN SUPP MECH INVENIQA SMNTC ANSWRS MED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3245","CodeVersion":"2020","CustomName":"INJECTION TILDRAKIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4470","CodeVersion":"2020","CustomName":"GRAVLEE JET WASHER"},{"ServiceGroup":"65421","CodeType":"HCPCS","Code":"V2783","CodeVersion":"2020","CustomName":"LENS INDX >\/= 1.66 PLSTC\/>\/= 1.80 GLASS LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6960","CodeVersion":"2020","CustomName":"SHLDR DISARTIC OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1772","CodeVersion":"2020","CustomName":"INFUSION PUMP PROGRAMMABLE"},{"ServiceGroup":"104334","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0672","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7640","CodeVersion":"2020","CustomName":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2940","CodeVersion":"2020","CustomName":"INJECTION SOMATREM 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7674","CodeVersion":"2020","CustomName":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7291","CodeVersion":"2020","CustomName":"TRNSSEPTL\/SUPRA CRESTAL FIBEROT RPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6213","CodeVersion":"2020","CustomName":"FOAM DRESS >16 SQ BUT <\/= 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7608","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1831","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH TOE DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2930","CodeVersion":"2020","CustomName":"PRFABR STAINLESS STEEL CROWN-PRIM"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2761","CodeVersion":"2020","CustomName":"MIRROR COAT TYPE SOLID GRADENT\/= LENS MATL-LENS"},{"ServiceGroup":"51786","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"60057","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"84721","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"684","CodeVersion":"2020","CustomName":"Renal Failure without CC\/MCC"},{"ServiceGroup":"69681","CodeType":"DRG","Code":"470","CodeVersion":"2020","CustomName":"Ungroupable"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"562","CodeVersion":"2020","CustomName":"Seizure, Age Greater than 17 with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"9003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72042","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.31","CodeVersion":"2017","CustomName":"OPERATIONS ON PAPILLARY MUSCLE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3497F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3215F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0319U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0123T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.5","CodeVersion":"2017","CustomName":"HEART REPLACEMENT PROCEDURES"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96354","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0272U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87120","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.20","CodeVersion":"2017","CustomName":"OPEN & OTHER REPLACEMENT UNSPECIFIED HEART VALVE"},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.78","CodeVersion":"2017","CustomName":"INSERTION TEMPORARY TRANSVENOUS PACEMAKER SYSTEM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6012","CodeVersion":"2020","CustomName":"SURG PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0850","CodeVersion":"2020","CustomName":"TRACTION STAND FREESTANDING CERVICAL TRACTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0642","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS MOBILE DYNAMIC ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0710","CodeVersion":"2020","CustomName":"INJECTION CEPHAPIRIN SODIUM UP TO 1 G"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0520","CodeVersion":"2020","CustomName":"INJ BETHANCHOL CHLORID MYTONCHOL\/URECHOLN UP 5MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3650","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9420","CodeVersion":"2020","CustomName":"HOSPITAL CALL"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9819","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5118","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9309","CodeVersion":"2020","CustomName":"NO UNPLANNED HOSP RDM W\/I 30 DAY PRINCIPAL PROC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1069","CodeVersion":"2020","CustomName":"PATIENT SCREENED FOR FUTURE FALL RISK"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2009","CodeVersion":"2020","CustomName":"SYMPHONY PER SQ CM"},{"ServiceGroup":"108065","CodeType":"HCPCS","Code":"C1767","CodeVersion":"2020","CustomName":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1813","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE INFLATABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0942","CodeVersion":"2020","CustomName":"CERVICAL HEAD HARNESS\/HALTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9893","CodeVersion":"2020","CustomName":"DILATED MACULAR EX WAS NOT PERFORMED REASON NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1960","CodeVersion":"2020","CustomName":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5720","CodeVersion":"2020","CustomName":"REBASE MAXILLARY PARTIAL DENTURE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"61577","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"32595","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"46631","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"13297","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"350","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"883","CodeVersion":"2020","CustomName":"LAPROSCOPIC APPENDECTOMY -NYDRG"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"934","CodeVersion":"2020","CustomName":"Full Thickness Burn without Skin Graft or Inhalation Injury"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82737","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92370","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0072T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68546","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107658","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0340U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0521F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0094A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0605","CodeVersion":"2020","CustomName":"ANTIBODY TST FOR A PH REL PATHOGEN INCL COV"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7351","CodeVersion":"2020","CustomName":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0348","CodeVersion":"2020","CustomName":"INJECTION ANIDULAFUNGIN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9003","CodeVersion":"2020","CustomName":"COUNSELING GROUP BY CHAPLAIN SERVICES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9057","CodeVersion":"2020","CustomName":"INJECTION COPANLISIB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5213","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4353","CodeVersion":"2020","CustomName":"INTERMIT URINARY CATHETER W\/INSERTION SUPPLIES"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0001","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG ASSESSMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1756","CodeVersion":"2020","CustomName":"INJECTION IRON SUCROSE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4261","CodeVersion":"2020","CustomName":"OSSEOUS SURG 1-3 CONTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1726","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5212","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1833","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6121","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN METAL FPD - PREDOM BASE AL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8854","CodeVersion":"2020","CustomName":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4016","CodeVersion":"2020","CustomName":"FROZEN IN VITRO FERTILIZATION CYCLE CASE RATE"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D00Z2","CodeVersion":"2020","CustomName":"EXTRACTION POC EXTRAPERITONEAL OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5100","CodeVersion":"2020","CustomName":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT"},{"ServiceGroup":"30958","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2214","CodeVersion":"2020","CustomName":"INIT\/SUB PSY CCM 1ST 30 M IN MO OF BH CARE ACTY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2118","CodeVersion":"2020","CustomName":"METL-ON-METL TOT HIP RESRFC ACETAB&FEM CMPNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2628","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC RECLINING"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E8000","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ POST SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0630","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5952","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS PEDIATRIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2798","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2216","CodeVersion":"2020","CustomName":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9687","CodeVersion":"2020","CustomName":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR"},{"ServiceGroup":"14557","CodeType":"HCPCS","Code":"A0130","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2115","CodeVersion":"2020","CustomName":"OSTEOTOMY PERIACETABULAR WITH INTERNAL FIXATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0442","CodeVersion":"2020","CustomName":"STATIONARY O2 CONTENTS LQD 1 MO SUPPLY = 1 UNIT"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"17307","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"104172","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"202","CodeVersion":"2020","CustomName":"Cirrhosis and alcoholic hepatitis"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"935","CodeVersion":"2020","CustomName":"Nonextensive Burns"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88358","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3700F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83641","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12587","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0261T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0099T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14096","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0014A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7321","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV HYALGAN\/SUPARTZ IA INJ PER DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6250","CodeVersion":"2020","CustomName":"PONTIC - RESIN W\/HIGH NOBLE METAL"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10D07Z7","CodeVersion":"2020","CustomName":"EXTRACTION POC INTERNAL VERSION NAT\/ART OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5913","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0720","CodeVersion":"2020","CustomName":"TENS DEVICE TWO LEAD LOCALIZED STIMULATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5859","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KN-SHIN PROG FLX\/EXT ANY MOTOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9514","CodeVersion":"2020","CustomName":"PT RQR A RETURN TO THE OR W\/I 90 DAYS OF SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0342","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; 4TH QTR\/STAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9757","CodeVersion":"2020","CustomName":"LAMINOTOMY DECOMP NERVE ROOT; 1 INTERSPACE LUMB"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0461","CodeVersion":"2020","CustomName":"INJECTION ATROPINE SULFATE 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0130","CodeVersion":"2020","CustomName":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0342","CodeVersion":"2020","CustomName":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH&INFUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0429","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"31505","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0944","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Drug Rehabilitation"},{"ServiceGroup":"30275","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"10632","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"9795","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"33829","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26775","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90434","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113664","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100259","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113594","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0422T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0210","CodeVersion":"2020","CustomName":"INJECTION METHYLDOPATE HCL UP TO 250 MG"},{"ServiceGroup":"113662","CodeType":"HCPCS","Code":"T2042","CodeVersion":"2020","CustomName":"HOSPICE ROUTINE HOME CARE; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2035","CodeVersion":"2020","CustomName":"KAFO FULL PLSTC STAT PED W\/O FREE MOT ANK PRFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4030","CodeVersion":"2020","CustomName":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED"},{"ServiceGroup":"46030","CodeType":"ICD10P","Code":"0DB80ZZ","CodeVersion":"2020","CustomName":"EXCISION \/ OF SMALL INTESTINE \/ OPEN \/ APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1005","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/PWR SHEAR RDUC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5110","CodeVersion":"2020","CustomName":"COMPLETE DENTURE - MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0970","CodeVersion":"2020","CustomName":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9357","CodeVersion":"2020","CustomName":"INJECTION VALRUBICIN INTRAVESICAL 200 MG"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3404","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4244","CodeVersion":"2020","CustomName":"ALCOHOL OR PEROXIDE PER PINT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7631","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1931","CodeVersion":"2020","CustomName":"INJECTION LARONIDASE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9318","CodeVersion":"2020","CustomName":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0593","CodeVersion":"2020","CustomName":"INJECTION LANADELUMAB-FLYO 1 MG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5826","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9911","CodeVersion":"2020","CustomName":"CLINIC NODE NEG IBC BEF\/AFT NEOADJUVANT SYS TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8189","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SUPPLY NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J1190","CodeVersion":"2020","CustomName":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0155","CodeVersion":"2020","CustomName":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9360","CodeVersion":"2020","CustomName":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0431","CodeVersion":"2020","CustomName":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0743","CodeVersion":"2020","CustomName":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0592","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1830","CodeVersion":"2020","CustomName":"POWERED BONE MARROW BIOPSY NEEDLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1759","CodeVersion":"2020","CustomName":"CATHETER INTRACARDIAC ECHOCARDIOGRAPHY"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1120","CodeVersion":"2020","CustomName":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9041","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0762","CodeVersion":"2020","CustomName":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9776","CodeVersion":"2020","CustomName":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2026","CodeVersion":"2020","CustomName":"SPECIALIZED CHILDCARE WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4261","CodeVersion":"2020","CustomName":"OSSEOUS SURG 1-3 CONTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8695","CodeVersion":"2020","CustomName":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0090","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT-MILE-VEH PROV IND W\/VESTED INT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0249","CodeVersion":"2020","CustomName":"INJ TOCILIZUMAB HP PT 2 YRS & > COVID-19 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7040","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION STERILE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1050","CodeVersion":"2020","CustomName":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0008","CodeVersion":"2020","CustomName":"CUSTOM MANUAL WHEELCHAIR\/BASE"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"102100","CodeType":"REV","Code":"0329","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Other Radiology - Diagnostic"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0643","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - IV Start\/Care, Peripheral Line\""},{"ServiceGroup":"88398","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"384","CodeVersion":"2020","CustomName":"Other antepartum diagnoses without medical complications"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"453","CodeVersion":"2020","CustomName":"Complications of treatment without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"820","CodeVersion":"2020","CustomName":"MALFUNCTIONS, REACTIONS \"&\" COMP OF GU DEVICE\/GRAFT\/TRANSPLANT-NYDRG"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"454","CodeVersion":"2020","CustomName":"Other injury, poisoning, and toxic effect diagnosis with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104851","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0129U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3496F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89877","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86577","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5932","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS DEFINITIVE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3475","CodeVersion":"2020","CustomName":"INJECTION MAGNESIUM SULPHATE PER 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0588","CodeVersion":"2020","CustomName":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0460","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7637","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"86723","CodeType":"HCPCS","Code":"H2036","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2211","CodeVersion":"2020","CustomName":"VISIT CPLX INHERENT E&M ASSOC WITH MED CARE SRVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0593","CodeVersion":"2020","CustomName":"INJECTION LANADELUMAB-FLYO 1 MG"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4016","CodeVersion":"2020","CustomName":"NEUROSURGICAL MIPS SPECIALTY SET"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2095","CodeVersion":"2020","CustomName":"TRNSCATH OCCL\/EMBOLIZ TUMR DESTRUC PERQ METH USI"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5121","CodeVersion":"2020","CustomName":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10A08ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION NAT\/ART OPG ENDO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2499","CodeVersion":"2020","CustomName":"VARIABLE SPHERICITY LENS OTHER TYPE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0223","CodeVersion":"2020","CustomName":"INJECTION GIVOSIRAN 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2634","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRAND IODINE-125 >1.01 MCI PER SRC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0428","CodeVersion":"2020","CustomName":"COLL MENISCUS IMPL PROC FILLING MENISCAL DEFECTS"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3465","CodeVersion":"2020","CustomName":"HEEL THOMAS WITH WEDGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1642","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 10 UNITS"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"58461","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"107625","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"50906","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0292","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Purchase of New DME"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"29817","CodeType":"DRG","Code":"768","CodeVersion":"2020","CustomName":"SEIZURE \"&\" HEADACHE AGE UNDER 18 W CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91890","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109016","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4177F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1205F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0034A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0059U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0247U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90398","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88491","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0565T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4218","CodeVersion":"2020","CustomName":"SURGICORD PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4604","CodeVersion":"2020","CustomName":"TUBING W\/INTGR HEAT ELEM W\/POS AIRWAY PRESS DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8696","CodeVersion":"2020","CustomName":"ANTENNA FOR USE W\/IMPL DIA\/PN ST DEV REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2840","CodeVersion":"2020","CustomName":"INJECTION SEBELIPASE ALFA 1 MG"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.88","CodeVersion":"2017","CustomName":"REMOVAL CAROTID SINUS STIMULATION PULSE GEN ONLY"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9202","CodeVersion":"2020","CustomName":"GOSERELIN ACETATE IMPLANT PER 3.6 MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8806","CodeVersion":"2020","CustomName":"PERFORM TRANS-ABD\/TRANS-VAG U\/S & PREG LOC DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3570","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SPECIAL EXT INSTEP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7294","CodeVersion":"2020","CustomName":"PLACEMENT TEMP ANC DEVC W\/O FLAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9056","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5263","CodeVersion":"2020","CustomName":"HEARING AID DISPOSABLE ANY TYPE BINAURAL"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J1200","CodeVersion":"2020","CustomName":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5145","CodeVersion":"2020","CustomName":"FOSTER CARE THERAPEUTIC CHILD; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0888","CodeVersion":"2020","CustomName":"NONCOVERED AMBULANCE MILEAGE PER MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2543","CodeVersion":"2020","CustomName":"INJ PIPERACILLIN SOD\/TAZOBACTAM SOD 1 G\/0.125 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1029","CodeVersion":"2020","CustomName":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0397","CodeVersion":"2020","CustomName":"ALCOHOL &\/ SUBST MISUSE ST ASMT & INTERV >30 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4028","CodeVersion":"2020","CustomName":"PODIATRY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5266","CodeVersion":"2020","CustomName":"BATTERY FOR USE IN HEARING DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7035","CodeVersion":"2020","CustomName":"HEADGEAR USED W\/POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6511","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT LW TRNK W\/LEG OPENING CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3070","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT NONREMV ATTCH SHOE LNGTUDNL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4207","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 2 CC EACH"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"C1783","CodeVersion":"2020","CustomName":"OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST DEVICE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62258","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4413","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE HI OP BARRIER W\/FLNGE\/FLTR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1626","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4114","CodeVersion":"2020","CustomName":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6500","CodeVersion":"2020","CustomName":"ABVE ELB MOLD SCKT ENDOSKEL W\/SFT PROSTH TISS"},{"ServiceGroup":"80285","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0515","CodeVersion":"2020","CustomName":"INJECTION SERMORELIN ACETATE 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5105","CodeVersion":"2020","CustomName":"URINARY SUSPENSORY WITH LEG BAG W\/WO TUBE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1023","CodeVersion":"2020","CustomName":"CLINICAL DECN SUP MECH PERSIVIA CLIN DECN SUP"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0963","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (MD)"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"22410","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"26205","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"785","CodeVersion":"2020","CustomName":"OTHER RED BLOOD CELL DISORDERS AGE UNDER 18-NYDRG"},{"ServiceGroup":"23259","CodeType":"DRG","Code":"790","CodeVersion":"2020","CustomName":"WND DEBRID \"&\" SKN GRFT FOR OPEN WOUND, MS CONN TIS, EXC HND-NYDRG"},{"ServiceGroup":"69679","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103589","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106182","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91044","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0165T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0250T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.50","CodeVersion":"2017","CustomName":"REPAIR CURRENT OBSTETRIC LACERATION UTERUS NOS"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106670","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90563","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.34","CodeVersion":"2017","CustomName":"RESECTION OF AORTA WITH ANASTOMOSIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0272U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.12","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY MITRAL VALV WITHOUT REPLCMT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7410","CodeVersion":"2020","CustomName":"EXCISION BENIGN LESION UP TO 125 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9150","CodeVersion":"2020","CustomName":"EVALUATION BY OCCULARIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7856","CodeVersion":"2020","CustomName":"MYOTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4179","CodeVersion":"2020","CustomName":"FLOWERDERM PER SQUARE CM"},{"ServiceGroup":"68384","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3760","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3473","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0301","CodeVersion":"2020","CustomName":"FABRIC WRAPPING OF ABDOMINAL ANEURYSM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4025","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9301","CodeVersion":"2020","CustomName":"INJECTION OBINUTUZUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9507","CodeVersion":"2020","CustomName":"FR FRZ P HT COVID-19 CONV FRZ WI 8 HRS COLL EA U"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0179","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5123","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0428","CodeVersion":"2020","CustomName":"COLL MENISCUS IMPL PROC FILLING MENISCAL DEFECTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3000","CodeVersion":"2020","CustomName":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0586","CodeVersion":"2020","CustomName":"INJECTION ABOBOTULINUMTOXINA 5 UNITS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105220","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0553","CodeVersion":"2020","CustomName":"SUPPLY ALLOW FOR TX CGM1 MO SPL = 1 U OF SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0310","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/OTH Q HCP VAC NA SAME DOS 5-15 MM"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9254","CodeVersion":"2020","CustomName":"DOC PT D\/C HOME LATER THAN POST-OP DA 2 FLW CAS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0480","CodeVersion":"2020","CustomName":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP\/REPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2190","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1670","CodeVersion":"2020","CustomName":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS"},{"ServiceGroup":"3934","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"3178","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0975","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OPERATING ROOM"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"620","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W NORMAL NEWB DIAG-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30133","CodeType":"ICD9P","Code":"86.25","CodeVersion":"2017","CustomName":"DERMABRASION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0106U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4168F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86425","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113856","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4131F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0352U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110764","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0690T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33486","CodeType":"ICD9P","Code":"94.26","CodeVersion":"2017","CustomName":"SUBCONVULSIVE ELECTROSHOCK THERAPY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.1","CodeVersion":"2017","CustomName":"OPEN HEART VALVULOPLASTY WITHOUT REPLACEMENT"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8577","CodeVersion":"2020","CustomName":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC\/OTH RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0913","CodeVersion":"2020","CustomName":"IMPROV VISUAL FUNCT ACHV W\/I 90 DAY FLW CAT SURG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7405","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS SD\/INTERSCAP THOR ACRYLC MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4017","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1297","CodeVersion":"2020","CustomName":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2626","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC ADJUSTBLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2950","CodeVersion":"2020","CustomName":"CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4392","CodeVersion":"2020","CustomName":"OST POUCH URIN W\/STD WEAR BARRIER W\/CONVXITY EA"},{"ServiceGroup":"91","CodeType":"ICD10P","Code":"0TY10Z2","CodeVersion":"2020","CustomName":"TRANSPLANTATION LT KIDNEY ZOOPLASTIC OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9126","CodeVersion":"2020","CustomName":"ONC; CML HEMATOLOGIC CYTOGENIC\/MOLECULAR REMISS"},{"ServiceGroup":"14949","CodeType":"HCPCS","Code":"S5521","CodeVersion":"2020","CustomName":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1232","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W\/SEAT SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4194","CodeVersion":"2020","CustomName":"NOVACHOR PER SQ CM"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2017","CodeVersion":"2020","CustomName":"INJECTION TENIPOSIDE 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5698","CodeVersion":"2020","CustomName":"ADD LW EXTRM AK\/KNEE DISRTC SILESIAN BANDGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7640","CodeVersion":"2020","CustomName":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9060","CodeVersion":"2020","CustomName":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2620","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"958","CodeType":"ICD10P","Code":"5A1955Z","CodeVersion":"2020","CustomName":"RESPIRATORY VENTILATION > 96 CONSECUTIVE HOURS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8499","CodeVersion":"2020","CustomName":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2778","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB 0.1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0215","CodeVersion":"2020","CustomName":"INJECTION ALEFACEPT 0.5 MG"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7523","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SHOWER PROTECTOR EACH"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0984","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - MEDICAL SOCIAL SERVICES"},{"ServiceGroup":"26775","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"955","CodeVersion":"2020","CustomName":"Craniotomy for Multiple Significant Trauma"},{"ServiceGroup":"31125","CodeType":"DRG","Code":"794","CodeVersion":"2020","CustomName":"DIAG FOR MULTIPLE SIGNIF TRAUMA W NON-TRAUMATIC MAJOR CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108093","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52953","CodeType":"CPT","Code":"90853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44303","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101180","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3775F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101523","CodeType":"CPT","Code":"59320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46030","CodeType":"ICD9P","Code":"45.91","CodeVersion":"2017","CustomName":"SMALL-TO-SMALL INTESTINAL ANASTOMOSIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2136","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 3 MON PO<=3.0 IMPRV 5.0 PNT\/<"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7030","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 1000 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6102","CodeVersion":"2020","CustomName":"DEBR&OSS CNTR PERIIMPL DFCT;SURF&FLAP ENTRY&CLOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9218","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4458","CodeVersion":"2020","CustomName":"ENEMA BAG WITH TUBING REUSABLE"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0220","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT-1 WAY"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1730","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19\/<"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6686","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION SUCTION SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9988","CodeVersion":"2020","CustomName":"SERV PROVIDED AS PART OF PHASE 1 CLINICAL TRIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4001","CodeVersion":"2020","CustomName":"CASTING SPL BODY CAST ADULT W\/WO HEAD PLASTR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3591","CodeVersion":"2020","CustomName":"UNCLASS RX\/BIOLOGICAL USED FOR ESRD ON DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0630","CodeVersion":"2020","CustomName":"PATIENT LIFT HYDRAULIC\/MECH INCL SEAT SLING\/PAD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2920","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 40 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0883","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG NON-ESRD USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0046","CodeVersion":"2020","CustomName":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5848","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0899","CodeVersion":"2020","CustomName":"PWR MOBILTY DVC NOT CODED DME PDAC\/NOT MEET CRIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5504","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/WEDGE SHOE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2371","CodeVersion":"2020","CustomName":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9274","CodeVersion":"2020","CustomName":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4461","CodeVersion":"2020","CustomName":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5215","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC\/BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9995","CodeVersion":"2020","CustomName":"PT WHO USE PALLIATIVE CARE SERVICES DUR MEAS PER"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0783","CodeVersion":"2020","CustomName":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1002","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH MEDCURRENT DFIND MCR AUC PROG"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10D07Z3","CodeVersion":"2020","CustomName":"EXTRACTION POC LOW FORCEPS NATURAL\/ARTIF OPENING"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0544","CodeVersion":"2020","CustomName":"Ambulance - Oxygen"},{"ServiceGroup":"22408","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"25934","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0301","CodeVersion":"2020","CustomName":"Laboratory - Chemistry"},{"ServiceGroup":"59428","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"50942","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"16116","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"29702","CodeType":"DRG","Code":"260","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy without CC"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"107733","CodeType":"DRG","Code":"785","CodeVersion":"2020","CustomName":"OTHER RED BLOOD CELL DISORDERS AGE UNDER 18-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4069F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.92","CodeVersion":"2017","CustomName":"REPLACEMENT OF PROLAPSED UMBILICAL CORD"},{"ServiceGroup":"85040","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1039F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.51","CodeVersion":"2017","CustomName":"LIG&STRIPPING VARICOSE VEINS INTRACRAN VESSELS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2512","CodeVersion":"2020","CustomName":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9968","CodeVersion":"2020","CustomName":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0445","CodeVersion":"2020","CustomName":"SA HI INTENS CNSL PREV STI IND F\/F EDU CHNG BHVR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5510","CodeVersion":"2020","CustomName":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W\/O HEAT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0083","CodeVersion":"2020","CustomName":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0667","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL LEG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0039","CodeVersion":"2020","CustomName":"INJECTION SULFAMETHOXAZOLE&TRIMETHOPRIM 10 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7169","CodeVersion":"2020","CustomName":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG"},{"ServiceGroup":"3358","CodeType":"ICD10P","Code":"05HQ33Z","CodeVersion":"2020","CustomName":"INSERT INFUS DEVICE LT EXT JUG VN PERQ APPRCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0940","CodeVersion":"2020","CustomName":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR"},{"ServiceGroup":"17067","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0999","CodeVersion":"2020","CustomName":"Patient Convenience Items - Other Convenience Items"},{"ServiceGroup":"11336","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"49622","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"12117","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"605","CodeVersion":"2020","CustomName":"NEONATE, BIRTHWT 750-999G, DIED-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4171F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.32","CodeVersion":"2017","CustomName":"FETAL EKG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4176F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84939","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4172F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86577","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105249","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64732","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0030U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0316U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9956","CodeVersion":"2020","CustomName":"PATIENT RECEIVED COMBINATION THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2600","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS\/THRUST BEAR FREE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5814","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9604","CodeVersion":"2020","CustomName":"PATIENT SURVEY RESULTS NOT AVAILABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0890","CodeVersion":"2020","CustomName":"INJECTION PEGINESATIDE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9757","CodeVersion":"2020","CustomName":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1301","CodeVersion":"2020","CustomName":"INJECTION EDARAVONE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9915","CodeVersion":"2020","CustomName":"NO RECORD OF HBV RESULTS DOCUMENTED"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4102","CodeVersion":"2020","CustomName":"OASIS WOUND MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1290","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0652","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS SEG HOM MDL W\/CALBRTD GRADNT PRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4364","CodeVersion":"2020","CustomName":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1895","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL DUAL COIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4137","CodeVersion":"2020","CustomName":"AMNIOEXCEL AMNIOEXCEL PLUS\/BIODEXCEL PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0294","CodeVersion":"2020","CustomName":"HOSPITAL BED SEMI-ELEC W\/O SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0246","CodeVersion":"2020","CustomName":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W\/LOPS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8270","CodeVersion":"2020","CustomName":"ENURESIS ALARM AUDITORY BUZZER &\/ VIBRATION DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9942","CodeVersion":"2020","CustomName":"REPAIR &\/ RELINE OF OCCLUSAL GUARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4027","CodeVersion":"2020","CustomName":"PLASTIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0848","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD SLING SEAT PT TO & = 300 LBS"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4363","CodeVersion":"2020","CustomName":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0380","CodeVersion":"2020","CustomName":"LEVEL 1 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0607","CodeVersion":"2020","CustomName":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1767","CodeVersion":"2020","CustomName":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6609","CodeVersion":"2020","CustomName":"RETAINER ONLAY - PORCELAIN\/CERAMIC 3\/MORE SURF"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5668","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9057","CodeVersion":"2020","CustomName":"RBCS FRZN\/DEGLYCEROLIZED\/WASHED LEUKOCYTES RDUC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9739","CodeVersion":"2020","CustomName":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 1-3 IMPL"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"474","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"3138","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"63","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"588","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"056","CodeVersion":"2020","CustomName":"Rhinoplasty"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93011","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88158","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4053F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0089U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78098","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56462","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29098","CodeType":"ICD9P","Code":"92.31","CodeVersion":"2017","CustomName":"SINGLE SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0478T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106599","CodeType":"HCPCS","Code":"V5254","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL CIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0506","CodeVersion":"2020","CustomName":"BATTERY LITHIUM-ION ELEC\/PNEUMATIC VAD REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0142","CodeVersion":"2020","CustomName":"COLISTMTHATE SODIUM INHAL SOL CONC FORM-PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7620","CodeVersion":"2020","CustomName":"ALBUTEROL TO 2.5 MG & IPRATROPIUM BROM TO 0.5 MG"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9870","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMOTE ASYNC IMAGES 20\/> MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4221","CodeVersion":"2020","CustomName":"AMNIO WRAP2 PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1750","CodeVersion":"2020","CustomName":"INJECTION IRON DEXTRAN 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7351","CodeVersion":"2020","CustomName":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0144","CodeVersion":"2020","CustomName":"AZITHROMYCIN DIHYDRATE ORAL CAP\/POWDER 1 GRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1457","CodeVersion":"2020","CustomName":"INJECTION GALLIUM NITRATE 1 MG"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1298","CodeVersion":"2020","CustomName":"SPECIAL WHLCHAIR SEAT DEPTH &OR WIDTH CONSTRUCT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1227","CodeVersion":"2020","CustomName":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5190","CodeVersion":"2020","CustomName":"WELLNESS ASSESSMENT PERFORMED BY NONPHYSICIAN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3761F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1270","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9723","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5677","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR"},{"ServiceGroup":"115580","CodeType":"HCPCS","Code":"C9761","CodeVersion":"2020","CustomName":"CS URS&\/PYELOSCPY LITH & VAC ASPIR K COLL SYS&U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2384","CodeVersion":"2020","CustomName":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7168","CodeVersion":"2020","CustomName":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2176","CodeVersion":"2020","CustomName":"O\/P ED\/OBS VISITS RSLT IN INPATIENT ADMISSION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7009","CodeVersion":"2020","CustomName":"ELECTRIC HOOK SWITCH\/MYOELECTRIC CONTROL ADULT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0433","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT LEVEL 2"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4418","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOS; W\/O BARRIER ATTCH W\/FILTER EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9805","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0800","CodeVersion":"2020","CustomName":"LASER IN SITU KERATOMILEUSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1885","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY LASER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0860","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - GENERAL CLASSIFICATION"},{"ServiceGroup":"12343","CodeType":"REV","Code":"0404","CodeVersion":"2020","CustomName":"Other Imaging Services - Positron Emission Tomography"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"38444","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"30094","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"37266","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"511","CodeVersion":"2020","CustomName":"Non-extensive burns without CC or significant trauma"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"553","CodeVersion":"2020","CustomName":"OTHER VASCULAR PROCEDURES WITH CC WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104743","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.8","CodeVersion":"2017","CustomName":"INSERTION REPLACEMENT REMOVAL&REV PACEMKR DEVICE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0247T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98360","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91382","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7609","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7947","CodeVersion":"2020","CustomName":"LEFORT I MAXILLA SEGMENTED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4013","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9751","CodeVersion":"2020","CustomName":"PATIENT DIED ANY TIME DUR 24-MONTH MSR PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0010","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG IP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5730","CodeVersion":"2020","CustomName":"RELINE COMPLETE MAXILLARY DENTURE DIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9900","CodeVersion":"2020","CustomName":"SCR DX F DGTL\/DBT MAMMO RSLT NOT DOC&REV RSN NOS"},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"ICD9P","Code":"37.33","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OPN APPRCH"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0053A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"16025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0635T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81560","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0192U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0731T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5684","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1435","CodeVersion":"2020","CustomName":"INJECTION ESTRONE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4419","CodeVersion":"2020","CustomName":"OST POUCH CLOS; BARRIER W\/NON-LOCK FLNGE W\/FLTR"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5L8ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION LEFT LUNG NATURAL\/ARTFICL OP ENDO"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0455","CodeVersion":"2020","CustomName":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2440","CodeVersion":"2020","CustomName":"INJECTION PAPAVERINE HCL UP TO 60 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1600","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1028","CodeVersion":"2020","CustomName":"TK HM NASAL NALOXONE 2PK 8MG\/0.1 ML NASL SP PRIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6740","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN\/CERAMIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2325","CodeVersion":"2020","CustomName":"HIP CORE DECOMPRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0053","CodeVersion":"2020","CustomName":"ELEVATING FOOTRESTS ARTICULATING EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1710","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM PHOSPHATE TO 50 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9462","CodeVersion":"2020","CustomName":"INJECTION DELAFLOXACIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5658","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1142","CodeVersion":"2020","CustomName":"EMERGENT CASES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7046","CodeVersion":"2020","CustomName":"WATR CHAMB HUMDIFIR USED W\/POS ARWAY PRSS DEVC R"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4544","CodeVersion":"2020","CustomName":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4004","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS"},{"ServiceGroup":"58462","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"17079","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"95360","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"40147","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"100950","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"18932","CodeType":"DRG","Code":"806","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113705","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3572F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25518","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0052U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0270T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3218F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103538","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0026U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103771","CodeType":"CPT","Code":"23455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5298","CodeVersion":"2020","CustomName":"HEARING AID NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1704","CodeVersion":"2020","CustomName":"MODERNA COVID-19 VACCINE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1758","CodeVersion":"2020","CustomName":"CATHETER URETERAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1841","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9592","CodeVersion":"2020","CustomName":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7169","CodeVersion":"2020","CustomName":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4175","CodeVersion":"2020","CustomName":"MIRODERM PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9187","CodeVersion":"2020","CustomName":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2198","CodeVersion":"2020","CustomName":"DOC MED RSN NO SCR UH ALC USE SYS SCR METHOD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1000","CodeVersion":"2020","CustomName":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0745","CodeVersion":"2020","CustomName":"ABSRB WD DR HOM MDL PRT PAD>16 SQ IN<\/= 48 SQ IN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4225","CodeVersion":"2020","CustomName":"AMNIOBIND PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9065","CodeVersion":"2020","CustomName":"INJECTION CLADRIBINE PER 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1560","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1680","CodeVersion":"2020","CustomName":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0850","CodeVersion":"2020","CustomName":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0372","CodeVersion":"2020","CustomName":"PHYS SRVC RQR TO EST & DOC NEED PWR MOBIL DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4383","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1031","CodeVersion":"2020","CustomName":"NONPNEU CPRSN CTR W\/O CALIBRATED GRADIENT PRS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3100","CodeVersion":"2020","CustomName":"HALLUS-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0493","CodeVersion":"2020","CustomName":"EMERG PWR CABLE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0143","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG MNL SCR&RSCR UND PHYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9968","CodeVersion":"2020","CustomName":"PT REFERRED ANR PROV\/SPEC DUR PRFRM PER"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2401","CodeVersion":"2020","CustomName":"REPR URIN TRACT OBST FETUS PROC PRFRM UTERO"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5714","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9129","CodeVersion":"2020","CustomName":"ONC; LTD TO MX MYELOMA SYS DZ ST II\/HIGHER"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1132","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0248","CodeVersion":"2020","CustomName":"INJECTION REMDESIVIR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5111","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9900","CodeVersion":"2020","CustomName":"SRVC JOURNAL-LISTED CS PRACT HEALING PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2915","CodeVersion":"2020","CustomName":"RECEMENT CAST OR PREFABRICATED POST AND CORE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0593","CodeVersion":"2020","CustomName":"INJECTION LANADELUMAB-FLYO 1 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8691","CodeVersion":"2020","CustomName":"AUD OI DEVC EXT SP EXCL TRNSDUCR\/ACTUATR REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1250","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108461","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0972","CodeVersion":"2020","CustomName":"LSO CORSET FRONT"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9223","CodeVersion":"2020","CustomName":"INJECTION LURBINECTEDIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4020","CodeVersion":"2020","CustomName":"OPHTHALMOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"17621","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0543","CodeVersion":"2020","CustomName":"Ambulance - Heart Mobile"},{"ServiceGroup":"14221","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"26775","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"15122","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"31134","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"035","CodeVersion":"2020","CustomName":"Other disorders of nervous system without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"514","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"32539","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"21106","CodeType":"DRG","Code":"250","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, with CC"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4167F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91040","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3570F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4174F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0271T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0618T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107749","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.61","CodeVersion":"2017","CustomName":"REPAIR OF ATRIAL SEPTAL DEFECT WITH TISSUE GRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10615","CodeType":"CPT","Code":"99341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"93580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6720","CodeVersion":"2020","CustomName":"RETAINER CROWN - RESIN WITH HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9002","CodeVersion":"2020","CustomName":"COUNSELING INDIVIDUAL BY CHAPLAIN SERVICES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"64203","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"3029","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"13470","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"27815","CodeType":"DRG","Code":"281","CodeVersion":"2020","CustomName":"Trauma to the skin, subcutaneous tissue, and breast, age greater than 17, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"455","CodeVersion":"2020","CustomName":"Other injury, poisoning, and toxic effect diagnosis without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93596","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0109T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90372","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4189F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15403","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35261","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113981","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0136U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3291F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0081A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6236","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL >48 SQ NO ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3030","CodeVersion":"2020","CustomName":"INJECTION SUMATRIPTAN SUCCINATE 6 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0246","CodeVersion":"2020","CustomName":"TRANSFER TUB RAIL ATTACHMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6057","CodeVersion":"2020","CustomName":"CUSTOM FABRICATED ABUTMENT - INCLUDES PLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6443","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2999","CodeVersion":"2020","CustomName":"UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0882","CodeVersion":"2020","CustomName":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9975","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT PRFRM A DILATED MACULAR EXAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2603","CodeVersion":"2020","CustomName":"SKN PROTECTION WC SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"44424","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0715","CodeVersion":"2020","CustomName":"INJECTION CEFTIZOXIME SODIUM PER 500 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3262","CodeVersion":"2020","CustomName":"INJECTION TOCILIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9278","CodeVersion":"2020","CustomName":"RECEIVER MON; EXT INTERSTITIAL CONT GLU MON SYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0713","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME PER 500 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9012","CodeVersion":"2020","CustomName":"CRYOPRECIPITATE EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7614","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7175","CodeVersion":"2020","CustomName":"INJECTION FACTOR X 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"57204","CodeType":"HCPCS","Code":"G0340","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2037","CodeVersion":"2020","CustomName":"THERAPEUTIC CAMPING DAY WAIVER; EACH SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9456","CodeVersion":"2020","CustomName":"DOC MED\/PT RSN FOR NOT ORDERING\/PRFRM SCR HCC"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"696","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - PHYSICIAN SERVICES"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"45183","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"31702","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0504","CodeVersion":"2020","CustomName":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2181","CodeVersion":"2020","CustomName":"BMI NOT DOC D\/T MED RSN\/PT REFUS HGT\/WGT MSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9630","CodeVersion":"2020","CustomName":"PT NOT SUSTN BOWL INJ SRG\/DISC TO 30 D POST SURG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4212","CodeVersion":"2020","CustomName":"GING\/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2543","CodeVersion":"2020","CustomName":"ONLAY METALLIC THREE SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0616","CodeVersion":"2020","CustomName":"IMPL CARD EVENT RECORDR W\/MEM ACTIVATOR&PROGMMER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9247","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN FLUFENAMIDE 1 MG"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E03016","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C PERIHERAL VEIN OPN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4614","CodeVersion":"2020","CustomName":"PEAK EXPIRATORY FLOW RATE METER HAND HELD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5141","CodeVersion":"2020","CustomName":"FOSTER CARE ADULT; PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5267","CodeVersion":"2020","CustomName":"HEARING AID\/ALD\/SUPP\/ACCESS NOT OTHERWISE SPEC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0740","CodeVersion":"2020","CustomName":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0488","CodeVersion":"2020","CustomName":"POWER PACK BASE FOR USE W\/ELEC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5013","CodeVersion":"2020","CustomName":"5% DXTROS\/0.45% NL SALINE KCL&MGSO4 1000 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4051","CodeVersion":"2020","CustomName":"SPLINT SUPPLIES MISCELLANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9227","CodeVersion":"2020","CustomName":"FUNC O\/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2260","CodeVersion":"2020","CustomName":"INJECTION MILRINONE LACTATE 5 MG"},{"ServiceGroup":"75639","CodeType":"HCPCS","Code":"H0009","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; ACUTE DTOX HOSP IP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9439","CodeVersion":"2020","CustomName":"VBAC CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3906","CodeVersion":"2020","CustomName":"WHO W\/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9760","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"109","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0310","CodeVersion":"2020","CustomName":"Laboratory Pathology - General Classification"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"714","CodeVersion":"2020","CustomName":"HIV W SIGNIFICANT RELATED DIAGNOSIS-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59705","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.31","CodeVersion":"2017","CustomName":"LAPAROSCOPIC UNILATERAL OOPHORECTOMY"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107023","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41.01","CodeVersion":"2017","CustomName":"AUTOL BONE MARROW TRANSPLANT WITHOUT PURGING"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3376F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1121F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3570F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.28","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF TRICUSPID VALVE"},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0242T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0580F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103970","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29606","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37873","CodeType":"ICD9P","Code":"81.54","CodeVersion":"2017","CustomName":"TOTAL KNEE REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0269U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92194","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3294F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0138U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.10","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY WITHOUT REPLCMT UNSPEC VALV"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9226","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0256","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0180","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7201","CodeVersion":"2020","CustomName":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8395","CodeVersion":"2020","CustomName":"LVEF >=40% OR DOC NORMAL\/MILD DEPRESSED LVS FUNC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1660","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5010","CodeVersion":"2020","CustomName":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W\/TOE FILLER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8955","CodeVersion":"2020","CustomName":"MOST RECENT ASMT ADEQUACY VOLUME MGMT DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4015","CodeVersion":"2020","CustomName":"NEUROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2513","CodeVersion":"2020","CustomName":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4154","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1904","CodeVersion":"2020","CustomName":"ANKLE ORTH ANKLE GAUNTLET\/SIMILAR CUSTOM FAB"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9435","CodeVersion":"2020","CustomName":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1006","CodeVersion":"2020","CustomName":"SUCTION PUMP HOME MODEL ELEC USE EXT URINE MS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0978","CodeVersion":"2020","CustomName":"WHLCHAIR ACSS PSTN BELT\/SFTY BELT\/PELV STRAP EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3471","CodeVersion":"2020","CustomName":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0245","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION BAMLANIVIMAB AND ETESEVIMAB"},{"ServiceGroup":"30218","CodeType":"ICD10P","Code":"0FB44ZZ","CodeVersion":"2020","CustomName":"EXCISION GALLBLADDER PERQ ENDOSCOPIC APPROACH"},{"ServiceGroup":"23683","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88157","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0178","CodeVersion":"2020","CustomName":"INJECTION AFLIBERCEPT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2323","CodeVersion":"2020","CustomName":"INJECTION NATALIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9035","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4657","CodeVersion":"2020","CustomName":"SYRINGE WITH OR WITHOUT NEEDLE EACH"},{"ServiceGroup":"15515","CodeType":"HCPCS","Code":"S9374","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0737T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4400","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0468","CodeVersion":"2020","CustomName":"FEDERALLY QUALIFIED HEALTH CENTER VISIT IPPE\/AWV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5704","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9123","CodeVersion":"2020","CustomName":"ONC; CML; CHRON PHASE NOT HEMATOL CYT\/MOL REMISS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0390","CodeVersion":"2020","CustomName":"INJECTION CHLOROQUINE HCL UP TO 250 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3320","CodeVersion":"2020","CustomName":"INJ SPECTINOMYCIN DIHYDROCHLORIDE UP TO 2 GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9352","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8597","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9949","CodeVersion":"2020","CustomName":"REPAIR OF CUSTOM SLEEP APNEA APPLIANCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0486","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 PIECE W\/INTERFCE LINER CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1595","CodeVersion":"2020","CustomName":"INJECTION GLATIRAMER ACETATE 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0127","CodeVersion":"2020","CustomName":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5111","CodeVersion":"2020","CustomName":"HOME CARE TRAINING FAMILY; PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8910","CodeVersion":"2020","CustomName":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6715","CodeVersion":"2020","CustomName":"TERM DEV MX ARTIC DIGIT W\/MOTORS INIT ISSUE\/REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0626","CodeVersion":"2020","CustomName":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2310","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER&ONE PWR"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4007","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5716","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3845","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR ALPHA-THALASSEMIA"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4153","CodeVersion":"2020","CustomName":"DERMAVEST AND PLURIVEST PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2092","CodeVersion":"2020","CustomName":"ACE INHIB\/ARB\/ARNI TH PRSC\/CURRENTLY BEING TAKEN"},{"ServiceGroup":"37706","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"30089","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"28074","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"147","CodeType":"REV","Code":"0590","CodeVersion":"2020","CustomName":"Home Health (HH) Units of Service - General Classification"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"9826","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"33823","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"460","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"071","CodeVersion":"2020","CustomName":"Laryngotracheitis"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"542","CodeVersion":"2020","CustomName":"Tracheostomy with Mechanical Ventilation 96+ Hours or Principal Diagnosis Except Face, Mouth, and Neck Diagnoses without Major O.R. Procedure"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"494","CodeVersion":"2020","CustomName":"Laparoscopic cholecystectomy without common duct exploration without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.7","CodeVersion":"2017","CustomName":"OTHER&UNSPEC REPAIR ATRIAL&VENTRICULAR SEPTA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99147","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93029","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93598","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0197T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5711","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9902","CodeVersion":"2020","CustomName":"PATIENT SCR TOBACCO USE & ID AS TOBACCO USER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0050","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC BRF INTERVENTN PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7502","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 100 MG"},{"ServiceGroup":"104839","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"68383","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9757","CodeVersion":"2020","CustomName":"SURGICAL PROCEDURES THAT INCL USE SILICONE OIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4212","CodeVersion":"2020","CustomName":"NONCORING NEEDLE OR STYLET W\/WO CATHETER"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3354","CodeVersion":"2020","CustomName":"PUPAL REGENERATION; NOT INCL FINAL RESTORATION"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7972","CodeVersion":"2020","CustomName":"SURGICAL RDUC FIBROUS TUBEROSITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0053","CodeVersion":"2020","CustomName":"ELEVATING FOOTRESTS ARTICULATING EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2590","CodeVersion":"2020","CustomName":"INJECTION OXYTOCIN UP TO 10 UNITS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4186","CodeVersion":"2020","CustomName":"EPIFIX PER SQ CM"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2035","CodeVersion":"2020","CustomName":"UTIL SRVC SUPP MED EQP&ASSTIV TECH\/DEVC WAIVER"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4183","CodeVersion":"2020","CustomName":"SURGIGRAFT PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9151","CodeVersion":"2020","CustomName":"INJ DAUNORUBICIN CITRATE LIPOSOMAL FORM 10 MG"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"104295","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0976","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RESPIRATORY THERAPY"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"74586","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"983","CodeVersion":"2020","CustomName":"Extensive O.R. Procedure Unrelated to Principal Diagnosis without CC\/MCC"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"964","CodeVersion":"2020","CustomName":"Other Multiple Significant Trauma with CC"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"250","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.5","CodeVersion":"2017","CustomName":"MANUALLY ASSISTED DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4480F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84181","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63463","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0582T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0092U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0644T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92369","CodeType":"CPT","Code":"27696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90425","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0602T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1030","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM"},{"ServiceGroup":"80284","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5110","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0144","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG THIN LAY SCR AUTO UND PHYS"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2340","CodeVersion":"2020","CustomName":"CHEMODENERVATION ABDUCTOR MUSCLE VOCAL CORD"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5644","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9968","CodeVersion":"2020","CustomName":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1007","CodeVersion":"2020","CustomName":"ALCOHOL&\/SUBSTNC ABS SRVC TX PLAN DVLP&\/MOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5650","CodeVersion":"2020","CustomName":"ADD LW EXT TOTAL CONTACT ABVE KNEE\/KNEE DISARTC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6117","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0138","CodeVersion":"2020","CustomName":"FINASTERIDE 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4522","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER MED EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1113","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2360","CodeVersion":"2020","CustomName":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9361","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY DIURETIC IV TX; PER DIEM"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0FF8XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION IN CYSTIC DUCT EXTERNAL APPROACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9502","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2380","CodeVersion":"2020","CustomName":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1902","CodeVersion":"2020","CustomName":"CMNCT BD NON-ELEC AUG\/ALTERNATV CMNCT DEVICE"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7306","CodeVersion":"2020","CustomName":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL&SPL"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"22814","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0189","CodeVersion":"2020","CustomName":"Leave Of Absence - Other LOA"},{"ServiceGroup":"15363","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"11108","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"8960","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"12394","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"15659","CodeType":"REV","Code":"0332","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - Oral"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.96","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REVISION GASTRIC RESTRICTIVE PROC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88163","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81402","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0261U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113775","CodeType":"CPT","Code":"0450T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4721","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL >999<\/=1999CC PERITON DIALYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0743","CodeVersion":"2020","CustomName":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0310","CodeVersion":"2020","CustomName":"SIALOGRAPHY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2782","CodeVersion":"2020","CustomName":"LENS INDX 1.54-1.65 PLSTC\/1.60-1.79 GLASS LENS"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7050","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 250 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9733","CodeVersion":"2020","CustomName":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4104","CodeVersion":"2020","CustomName":"ADDITIVE FOR ENTERAL FORMULA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4257","CodeVersion":"2020","CustomName":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9057","CodeVersion":"2020","CustomName":"INJECTION COPANLISIB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8884","CodeVersion":"2020","CustomName":"CLIN DOC REASON PT BIOPSY RESULTS NOT REVIEWED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2617","CodeVersion":"2020","CustomName":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5110","CodeVersion":"2020","CustomName":"DISPENSING FEE BILATERAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0842","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO &=300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1752","CodeVersion":"2020","CustomName":"CATHETER HEMODIALYSIS SHORT-TERM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4411","CodeVersion":"2020","CustomName":"OST SKN BARRIER SOLID 4X4\/EQ W\/BUILT-IN CONVXITY"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"41406","CodeType":"ICD10P","Code":"4A023N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS LT HEART PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5124","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9719","CodeVersion":"2020","CustomName":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND"},{"ServiceGroup":"58847","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9553","CodeVersion":"2020","CustomName":"PRIOR THYROID DISEASE DIAGNOSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9698","CodeVersion":"2020","CustomName":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0832","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"9537","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0521","CodeVersion":"2020","CustomName":"FREE-STANDING CLINIC - CLINIC VISIT BY MEMBER TO RHC\/FQHC"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"537","CodeVersion":"2020","CustomName":"Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2024F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90427","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24805","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3285F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0047U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90357","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0465T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82764","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104357","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4034","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; SYRINGE FED PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0122","CodeVersion":"2020","CustomName":"INJECTION MENOTROPINS 75 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3246","CodeVersion":"2020","CustomName":"INJECTION TIROFIBAN HCI 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0277","CodeVersion":"2020","CustomName":"POWERED PRESSURE-REDUCING AIR MATTRESS"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0382","CodeVersion":"2020","CustomName":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9470","CodeVersion":"2020","CustomName":"PT NOT RECV CS >\/= 10 MG\/D PDN EQ 60\/GT CONS D"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2957","CodeVersion":"2020","CustomName":"EA ADD PREFABR POST - SAME TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q3028","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7031","CodeVersion":"2020","CustomName":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9116","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; PROGRSSN&\/PLATINM RSIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5150","CodeVersion":"2020","CustomName":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0881","CodeVersion":"2020","CustomName":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9171","CodeVersion":"2020","CustomName":"INJECTION DOCETAXEL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2725","CodeVersion":"2020","CustomName":"INJECTION PROTIRELIN PER 250 MCG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0348","CodeVersion":"2020","CustomName":"INJECTION ANIDULAFUNGIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9072","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST I\/II; ER&PR NEG;NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2125","CodeVersion":"2020","CustomName":"PT 81 YOA & OLDR AL 1 CLM FRAILTY DUR MSR PRD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5653","CodeVersion":"2020","CustomName":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1100","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0482","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/INTERFCE LINER CSTM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8692","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN"},{"ServiceGroup":"38704","CodeType":"ICD10P","Code":"4A020N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4313","CodeVersion":"2020","CustomName":"INSRT TRAY W\/O DRN BAG W\/CATH 3-WAY CONT IRRIG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2324","CodeVersion":"2020","CustomName":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"180","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"11301","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"46115","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0921","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Peripheral Vascular Lab"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"58459","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0303U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106218","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104909","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0669T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103564","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0072A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5125","CodeVersion":"2020","CustomName":"ATTENDANT CARE SERVICES; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"87799","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4159","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITN CMPL SOY BASD INTCT NUTRNTS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3370","CodeVersion":"2020","CustomName":"INJECTION VANCOMYCIN HCL 500 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5620","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7961","CodeVersion":"2020","CustomName":"BUCCAL\/LABIAL FRENECTOMY FRENULECTOMY"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5146","CodeVersion":"2020","CustomName":"FOSTER CARE THERAPEUTIC CHILD; PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1806","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH WRIST DEVICE"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1610","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9100","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9051","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS VST; TX DECISION MAKING OPTIONS"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5281","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM SYS MONAURL ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0421","CodeVersion":"2020","CustomName":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4737","CodeVersion":"2020","CustomName":"INJECTABLE ANESTHETIC FOR DIALYSIS PER 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4355","CodeVersion":"2020","CustomName":"FULL M DEBRID ENBL COMP OR EVAL & DX SUBQ VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2629","CodeVersion":"2020","CustomName":"PROSTHETIC EYE OTHER TYPE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"U0001","CodeVersion":"2020","CustomName":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7962","CodeVersion":"2020","CustomName":"LINGUAL FRENECTOMY FRENULECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2192","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH HIP JNT THI FLNGE&PELV BELT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0247","CodeVersion":"2020","CustomName":"TRANSFER BENCH TUB\/TOILET W\/WO COMMODE OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1891","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE PERMANENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9767","CodeVersion":"2020","CustomName":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0604","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Port Add-on"},{"ServiceGroup":"43","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0604","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Port Add-on"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0300","CodeVersion":"2020","CustomName":"Laboratory - General Classifiaction"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0859","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Other Outpatient CCPD"},{"ServiceGroup":"68187","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"70049","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"580","CodeVersion":"2020","CustomName":"SYST INFECT \"\"&\"\" PARASITIC DISORD EXC SEPTICEMIA W MAJOR CC-NYDRG"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"479","CodeVersion":"2020","CustomName":"Other vascular procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"16020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68280","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107662","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0034A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4189F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"ICD9P","Code":"36.07","CodeVersion":"2017","CustomName":"INSERTION OF DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0113U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0033U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92195","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100081","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74470","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14654","CodeType":"ICD9P","Code":"81.53","CodeVersion":"2017","CustomName":"REVISION OF HIP REPLACEMENT NOS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91588","CodeType":"CPT","Code":"93656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113668","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0692","CodeVersion":"2020","CustomName":"UV LT TX SYS PANL W\/BULB\/LAMP TIMER 4 FT PANEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2295","CodeVersion":"2020","CustomName":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3800","CodeVersion":"2020","CustomName":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1130","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5959","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTH MODIFICATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0859","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4605","CodeVersion":"2020","CustomName":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2215","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS BIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1013","CodeVersion":"2020","CustomName":"SIGN LANGUAGE\/ORAL INTEPR SERVICES PER 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2799","CodeVersion":"2020","CustomName":"VISION ITEM OR SERVICE MISCELLANEOUS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1733","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP NOT COOL-TIP"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9371","CodeVersion":"2020","CustomName":"INJECTION VINCRISTINE SULFATE LIPOSOME 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9042","CodeVersion":"2020","CustomName":"INJECTION BRENTUXIMAB VEDOTIN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1007","CodeVersion":"2020","CustomName":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0918","CodeVersion":"2020","CustomName":"SATISFACTION W\/CARE NOT ACHV 90 DAY FLW CAT SURG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2062","CodeVersion":"2020","CustomName":"LOXAPINE FOR INHALATION 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9917","CodeVersion":"2020","CustomName":"DOC ADV STAGE DEMENTIA & CAREGIVER KNWL LIMITED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4237","CodeVersion":"2020","CustomName":"CRYO-CORD PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4913","CodeVersion":"2020","CustomName":"MISCELLANEOUS DIALYSIS SUPPLIES NOS"},{"ServiceGroup":"80260","CodeType":"HCPCS","Code":"H0008","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2638","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED IODINE-125 PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3160","CodeVersion":"2020","CustomName":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9152","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1335","CodeVersion":"2020","CustomName":"INJECTION ERTAPENEM SODIUM 500 MG"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0987","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - HOSPITAL VISIT"},{"ServiceGroup":"70050","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"69048","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"17766","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"33829","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0542","CodeVersion":"2020","CustomName":"Ambulance - Medical Transport"},{"ServiceGroup":"32550","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91458","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91036","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0178U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3390F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3315F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0507T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68102","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0350U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52948","CodeType":"CPT","Code":"90809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49204","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93016","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.92","CodeVersion":"2017","CustomName":"UMBILICAL VEIN CATHETERIZATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0400","CodeVersion":"2020","CustomName":"GLOBAL FEE XTRACORP SHOCK WAVE LITH KIDNEY STONE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8704","CodeVersion":"2020","CustomName":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9610","CodeVersion":"2020","CustomName":"THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0176","CodeVersion":"2020","CustomName":"ACTV TX REL CARE&TX PTS DISABL MENTL HLTH-SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1717","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED HI DOSE IRIDIUM-192 PER SRC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0300","CodeVersion":"2020","CustomName":"INJECTION AMOBARBITAL UP TO 125 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7670","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9273","CodeVersion":"2020","CustomName":"BP HAS SYSTOLIC VALUE < 140 DIASTOLIC VALUE < 90"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7030","CodeVersion":"2020","CustomName":"FULL FACE MASK USED W\/POS ARWAY PRESS DEVICE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6570","CodeVersion":"2020","CustomName":"INTRSCAP THOR MOLD SCKT ENDOSKEL W\/SFT PROS TISS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7211","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII KOVALTRY 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0823","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD CAPTAINS CHAIR PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0731","CodeVersion":"2020","CustomName":"FORM-FITTING CONDUCTIVE GARMENT DELIV TENS\/NMES"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5123","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0630","CodeVersion":"2020","CustomName":"PATIENT LIFT HYDRAULIC\/MECH INCL SEAT SLING\/PAD"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8576","CodeVersion":"2020","CustomName":"NO POSTOP RENAL FAILURE\/DIALYSIS NOT REQUIRED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2371","CodeVersion":"2020","CustomName":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5520","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC\/=DIR FORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9215","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-N3 250,000 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4241","CodeVersion":"2020","CustomName":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9308","CodeVersion":"2020","CustomName":"INJECTION RAMUCIRUMAB 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7517","CodeVersion":"2020","CustomName":"MYCOPHENOLATE MOFETIL ORAL 250 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5200","CodeVersion":"2020","CustomName":"ABVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9782","CodeVersion":"2020","CustomName":"BLD PROC NYHA CLS II\/III HF\/CCS CLS III\/IV CRA;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5512","CodeVersion":"2020","CustomName":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7180","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0040","CodeVersion":"2020","CustomName":"ASSERTIVE COMMUNITY TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3722","CodeVersion":"2020","CustomName":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7670","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2006","CodeVersion":"2020","CustomName":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1729","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG"},{"ServiceGroup":"12834","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"80258","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"68191","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"33826","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0870","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - General Classification"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"50906","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"66480","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"51785","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"10639","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"27160","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"27813","CodeType":"DRG","Code":"280","CodeVersion":"2020","CustomName":"Trauma to the skin, subcutaneous tissue, and breast, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"723","CodeVersion":"2020","CustomName":"Malignancy, Male Reproductive System with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99160","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0020U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0018M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.91","CodeVersion":"2017","CustomName":"REPAIR OF ANEURYSM OF CORONARY VESSEL"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9911","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2028","CodeVersion":"2020","CustomName":"INJECTION SCULPTRA 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2184","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0230","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8697","CodeVersion":"2020","CustomName":"REPAIR OF ORTHODONTIC APPLIANCE - MANDIBULAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9251","CodeVersion":"2020","CustomName":"DOC PT PAIN NOT BROUGHT COMFORT 48 HR INIT ASMT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2928","CodeVersion":"2020","CustomName":"PREFABRICATED PORCELAIN\/CER CROWN - PERM TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7308","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMN 20% 1 U DOSE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1772","CodeVersion":"2020","CustomName":"INFUSION PUMP PROGRAMMABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0412","CodeVersion":"2020","CustomName":"OPN TX ILIAC SPINE TUBEROSITY AVUL\/ILIAC WING FX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8854","CodeVersion":"2020","CustomName":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7852","CodeVersion":"2020","CustomName":"DISC REPAIR"},{"ServiceGroup":"88262","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9225","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT VANTAS 50 MG"},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"45.90","CodeVersion":"2017","CustomName":"INTESTINAL ANASTOMOSIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70439","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2720","CodeVersion":"2020","CustomName":"INJECTION PROTAMINE SULFATE PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4210","CodeVersion":"2020","CustomName":"NEEDLE-FREE INJECTION DEVICE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2781","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST PREDOM BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2028","CodeVersion":"2020","CustomName":"SEXUAL OFFENDER TREATMENT SERVICE PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9270","CodeVersion":"2020","CustomName":"NONCOVERED ITEM OR SERVICE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9606","CodeVersion":"2020","CustomName":"PERQ TL REV AC TOTAL\/SUBTOTAL OCCLUSION 1 VES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0651","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS SEG HOM MDL NO CALBRTD GRDNT PRSS"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"49622","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"8960","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"170","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"3224","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"16684","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"868","CodeVersion":"2020","CustomName":"Other Infectious and Parasitic Diseases Diagnoses with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"389","CodeVersion":"2020","CustomName":"Full-term neonate with major problems"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28787","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD9P","Code":"74.1","CodeVersion":"2017","CustomName":"LOW CERVICAL CESAREAN SECTION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41337","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82807","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4053F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107129","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0419T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.5","CodeVersion":"2017","CustomName":"REVISION OF GASTRIC ANASTOMOSIS"},{"ServiceGroup":"39652","CodeType":"CPT","Code":"94003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91593","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1010","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH STANSON DEFINED MCR AUC PROG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0165","CodeVersion":"2020","CustomName":"COMMODE CHAIR MOBILE\/STATIONARY W\/DETACHBLE ARMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0570","CodeVersion":"2020","CustomName":"BUPRENORPHINE IMPLANT 74.2 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1453","CodeVersion":"2020","CustomName":"INJECTION FOSAPREPITANT 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3398","CodeVersion":"2020","CustomName":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9401","CodeVersion":"2020","CustomName":"ANTICOAGULAT CLIN INCL ALL SERV NO LAB PER SESS"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8509","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8864","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4161","CodeVersion":"2020","CustomName":"ENTRAL F PED HYDROLYZED\/AA&PEPTIDE CHAIN PROTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2621","CodeVersion":"2020","CustomName":"PROSTHETIC,EYE,PLASTIC,STOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2326","CodeVersion":"2020","CustomName":"PWR WC ACSS BREATH TUBE KIT SIP&PUFF INTERFCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9486","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 10 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0059","CodeVersion":"2020","CustomName":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0427","CodeVersion":"2020","CustomName":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5976","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8600","CodeVersion":"2020","CustomName":"MELPHALAN ORAL 2 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7659","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1035","CodeVersion":"2020","CustomName":"SENSOR; INVASV DSPBL USE ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1559","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0287","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5652","CodeVersion":"2020","CustomName":"ADD LW EXT SUCTN SUSP ABVE KNEE\/KNEE DISARTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5978","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK\/FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5590","CodeVersion":"2020","CustomName":"PREP AK-DISARTIC NON-ALIGN LAMINATED SCKT MOLD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0916","CodeVersion":"2020","CustomName":"SATISFACTION W\/CARE ACHV W\/I 90 DAY FLW CAT SURG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0875","CodeVersion":"2020","CustomName":"INJECTION DALBAVANCIN 5MG"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0319","CodeVersion":"2020","CustomName":"Laboratory Pathology - Other Laboratory Pathology"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0694","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - CONSULTATION AND EDUCATION"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"33313","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"64916","CodeType":"DRG","Code":"934","CodeVersion":"2020","CustomName":"Full Thickness Burn without Skin Graft or Inhalation Injury"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97464","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0633T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1461F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87819","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0094A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82765","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0091A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0428T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0072U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79758","CodeType":"CPT","Code":"00120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0189","CodeVersion":"2020","CustomName":"LAMBSWOOL SHEEPSKIN PAD ANY SIZE"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8695","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATTERY W\/IMPL NEUROSTIM REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0603","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP ALKALINE 1.5 VOLT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9248","CodeVersion":"2020","CustomName":"NON-INTRAVENOUS CONSCIOUS SEDATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2320","CodeVersion":"2020","CustomName":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1022","CodeVersion":"2020","CustomName":"CONTRACT HOME HEALTH SRVC UNDER CONTRACT DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1788","CodeVersion":"2020","CustomName":"PORT INDWELLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1229","CodeVersion":"2020","CustomName":"WHEELCHAIR PEDIATRIC SIZE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5212","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7620","CodeVersion":"2020","CustomName":"MAXILLA-CLOSED REDUCTION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6712","CodeVersion":"2020","CustomName":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2100","CodeVersion":"2020","CustomName":"SPHERE SINGLE VISION PLANO +\/- 4.00 PER LENS"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1620","CodeVersion":"2020","CustomName":"INJECTION GONADORELIN HYDROCHLORIDE PER 100 MCG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2698","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE STRANDED NOS PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0078","CodeVersion":"2020","CustomName":"INJECTION FOSPHENYTOIN SODIUM 750 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2026","CodeVersion":"2020","CustomName":"ONGOING SUPPORT TO MAINTAIN EMPLOYMENT PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9264","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9810","CodeVersion":"2020","CustomName":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0290","CodeVersion":"2020","CustomName":"INJECTION AMPICILLIN SODIUM 500 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0091","CodeVersion":"2020","CustomName":"SCREEN PAP SMEAR; OBTAIN PREP &C ONVEY TO LAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2545","CodeVersion":"2020","CustomName":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0220","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB & CILGAVIMAB CERT ADT&PED 300 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6250","CodeVersion":"2020","CustomName":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"87965","CodeType":"ICD10P","Code":"0DB63ZZ","CodeVersion":"2020","CustomName":"EXCISION \/ OF STOMACH \/ PERCUTANEOUS \/ APPROACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3471","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - ANTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1847","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4136","CodeVersion":"2020","CustomName":"E-Z DERM PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9248","CodeVersion":"2020","CustomName":"NON-INTRAVENOUS CONSCIOUS SEDATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A8000","CodeVersion":"2020","CustomName":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2962","CodeVersion":"2020","CustomName":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2950","CodeVersion":"2020","CustomName":"INJECTION PROMAZINE HCL UP TO 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1570","CodeVersion":"2020","CustomName":"ADJUSTABLE CHAIR FOR ESRD PATIENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9110","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA;T3-4&\/N1-3 M0 NO PROGRS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6241","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0605","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7606","CodeVersion":"2020","CustomName":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"34346","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"3165","CodeType":"REV","Code":"0456","CodeVersion":"2020","CustomName":"Emergency Room - Urgent Care"},{"ServiceGroup":"69685","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"113919","CodeType":"REV","Code":"0946","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Complex Medical Equipment - Routine"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0569","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Other Med. Social Service"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106709","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37122","CodeType":"ICD9P","Code":"81.51","CodeVersion":"2017","CustomName":"TOTAL HIP REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89502","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD9P","Code":"36.07","CodeVersion":"2017","CustomName":"INSERTION OF DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89884","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107089","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91860","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7951","CodeVersion":"2020","CustomName":"SINUS AUGMENTATION BONE\/BONE SUBST LAT OPEN APPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6647","CodeVersion":"2020","CustomName":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0430","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0746","CodeVersion":"2020","CustomName":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0672","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0459","CodeVersion":"2020","CustomName":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5639","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4170","CodeVersion":"2020","CustomName":"CYGNUS PER SQ CM"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10E0XZZ","CodeVersion":"2020","CustomName":"DELIVERY PRODUCTS OF CONCEPTION EXTERNAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0130","CodeVersion":"2020","CustomName":"INJECTION ABCIXIMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0325","CodeVersion":"2020","CustomName":"URINAL; MALE JUG-TYPE ANY MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5995","CodeVersion":"2020","CustomName":"PERIO MEDICAMNT CARR PERIPH SEAL - LAB PROCD-MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9023","CodeVersion":"2020","CustomName":"INJECTION AVELUMAB 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3520","CodeVersion":"2020","CustomName":"EDETATE DISODIUM PER 150 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0210","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-ESCORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5639","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9929","CodeVersion":"2020","CustomName":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9329","CodeVersion":"2020","CustomName":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3272F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4245F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0248","CodeVersion":"2020","CustomName":"TRNSF BENCH HEVY DUTY TUB\/TOILET W\/WO COMMODE OP"},{"ServiceGroup":"95779","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0841","CodeVersion":"2020","CustomName":"INJECTION CROTALIDAE IMMUNE F120 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9190","CodeVersion":"2020","CustomName":"INJECTION FLUOROURACIL 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9455","CodeVersion":"2020","CustomName":"PT UNDRWNT ABD IMAG U\/S CE CT\/CONT MRI FOR HCC"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4720","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL >249<\/=999 CC PERITON DIALYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1322","CodeVersion":"2020","CustomName":"INJECTION ELOSULFASE ALFA 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2190","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT"},{"ServiceGroup":"22403","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"33659","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0384","CodeVersion":"2020","CustomName":"Blood and Blood Components - Platelets"},{"ServiceGroup":"47250","CodeType":"DRG","Code":"887","CodeVersion":"2020","CustomName":"Other Mental Disorder Diagnoses"},{"ServiceGroup":"20968","CodeType":"DRG","Code":"480","CodeVersion":"2020","CustomName":"Liver Transplant and\/or Intestinal Transplant"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83881","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3750F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4133F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.94","CodeVersion":"2017","CustomName":"REPLACEMENT OF VESSEL-TO-VESSEL CANNULA"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0027U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26427","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0173U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99144","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59840","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0003M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6610","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST HIGH NOBLE METAL 2 SURFACES"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1610","CodeVersion":"2020","CustomName":"RVRS OSMOSIS H2O PURIFICATION SYSTEM HEMODIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2982","CodeVersion":"2020","CustomName":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0065","CodeVersion":"2020","CustomName":"SPOKE PROTECTORS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3460","CodeVersion":"2020","CustomName":"ENDODONTIC ENDOSSEOUS IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8915","CodeVersion":"2020","CustomName":"PT DOC NOT EXPERNCD HOSP TRNSF\/ADM UPON D\/C ASC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2001","CodeVersion":"2020","CustomName":"NON-EMERG TRANSPORTATION; PT ATTENDANT\/ESCORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2508","CodeVersion":"2020","CustomName":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL & CNTCT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1889","CodeVersion":"2020","CustomName":"IMPLANTABLE\/INSERTABLE DEVICE NOT OTRW CLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3265","CodeVersion":"2020","CustomName":"PLASTAZOTE SANDAL EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9363","CodeVersion":"2020","CustomName":"HIT ANTI-SPASMOTIC TX; CARE SPL&EQP PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7511","CodeVersion":"2020","CustomName":"I & D ABSC INTRAORAL SOFT TISS COMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9310","CodeVersion":"2020","CustomName":"CONSULT DX SERV DENT\/PHY NOT REQUESTING DENT\/PHY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6087","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - NOBLE ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2219","CodeVersion":"2020","CustomName":"BIFOCAL SEG WIDTH OVER 28MM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9243","CodeVersion":"2020","CustomName":"INTRAVENOUS MOD SED\/ANAL-EA SUBSQT 15 MIN INCR"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9260","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5865","CodeVersion":"2020","CustomName":"OVERDENTURE - COMPLETE MANDIBULAR"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4392","CodeVersion":"2020","CustomName":"OST POUCH URIN W\/STD WEAR BARRIER W\/CONVXITY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2504","CodeVersion":"2020","CustomName":"SPCH GEN DEVC DIGTIZD>20 MINS<\/=40 MINS REC TIME"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86234","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4150","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITIONALLY CMPL W\/INTACT NUTRIENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7508","CodeVersion":"2020","CustomName":"HOUS&INTGR ADHES TRACHEOSTOMA EXCHG SYS &\/ VALV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9727","CodeVersion":"2020","CustomName":"INSERTION IMPL TO SOFT PALATE; MINIMUM 3 IMPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2440","CodeVersion":"2020","CustomName":"INJECTION PAPAVERINE HCL UP TO 60 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0484","CodeVersion":"2020","CustomName":"MONITOR FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1016","CodeVersion":"2020","CustomName":"TRANSCUT ELEC NERVE STIM FOR ELEC STIM TG NERVE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5816","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0396","CodeVersion":"2020","CustomName":"ALS SPCLIZED SERVICE DISPBL SPL; ESOPH INTUBAT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9613","CodeVersion":"2020","CustomName":"DOCUMENTATION OF POST-SURGICAL ANATOMY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7298","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4341","CodeVersion":"2020","CustomName":"PRDNTL SCAL&ROOT PLAN 4\/>TEETH-QUAD"},{"ServiceGroup":"42785","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"360","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"36589","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"74694","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0832","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"16141","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"096","CodeVersion":"2020","CustomName":"Bronchitis and asthma, age greater than 17, with CC"},{"ServiceGroup":"51276","CodeType":"DRG","Code":"006","CodeVersion":"2020","CustomName":"Carpal tunnel release"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"849","CodeVersion":"2020","CustomName":"CARDIAC DEFIB IMPLANT W\/ CARDIAC CATH W\/ AMI\/HF\/SHOCK-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0164U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"9002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100288","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4240F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104006","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11223","CodeType":"ICD9P","Code":"36.07","CodeVersion":"2017","CustomName":"INSERTION OF DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0064A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110678","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3304","CodeVersion":"2020","CustomName":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5284","CodeVersion":"2020","CustomName":"ASSIST LIST DEVICE PERS FM\/DM EAR LEVEL RECEIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4040","CodeVersion":"2020","CustomName":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"104837","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2113","CodeVersion":"2020","CustomName":"PT RECV >5 MG DA PRD>6 MO & IMP\/NO CHNGE DZ ACT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3060","CodeVersion":"2020","CustomName":"INJECTION TALIGLUCERACE ALFA 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9947","CodeVersion":"2020","CustomName":"CUSTOM SLEEP APNEA APPL FABRICATION & PLACEMENT"},{"ServiceGroup":"104232","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9946","CodeVersion":"2020","CustomName":"BP NOT MSR BY VAS W\/I 3 MOS PREOP & AT 1 YR P\/O"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5112","CodeVersion":"2020","CustomName":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0502","CodeVersion":"2020","CustomName":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8542","CodeVersion":"2020","CustomName":"FCN OUTCOME ASMT DOC; NO DEFICT ID PLAN NOT RQR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3472","CodeVersion":"2020","CustomName":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0175","CodeVersion":"2020","CustomName":"PERPHENZAINE 4 MG ORAL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4019","CodeVersion":"2020","CustomName":"ONCOLOGY\/HEMATOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4346","CodeVersion":"2020","CustomName":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0952","CodeVersion":"2020","CustomName":"TOE LOOP\/HOLDER ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1836","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1504F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6706","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2112","CodeVersion":"2020","CustomName":"1 VISN +\/- 7.25 +\/- 12.00D SPH 2.25D-400D CYL EA"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9357","CodeVersion":"2020","CustomName":"INJECTION VALRUBICIN INTRAVESICAL 200 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4191","CodeVersion":"2020","CustomName":"RESTORIGIN PER SQ CM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4203","CodeVersion":"2020","CustomName":"DERMA-GIDE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5181","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY NOS PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8842","CodeVersion":"2020","CustomName":"AHI\/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7500","CodeVersion":"2020","CustomName":"AZATHIOPRINE ORAL 50 MG"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D2392","CodeVersion":"2020","CustomName":"RESIN COMPOS - 2 SURFACES POSTERIOR"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0802","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"12031","CodeType":"REV","Code":"0291","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Rental"},{"ServiceGroup":"9795","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"390","CodeVersion":"2020","CustomName":"Neonates with other significant problems"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42550","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22018","CodeType":"CPT","Code":"99602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77486","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10985","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72286","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101320","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87059","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0703T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0717T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.09","CodeVersion":"2017","CustomName":"ENDOVASCULAR REPLACEMENT UNSPECIFIED HEART VALVE"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105254","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0106T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0852","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB"},{"ServiceGroup":"82451","CodeType":"HCPCS","Code":"A0434","CodeVersion":"2020","CustomName":"SPECIALTY CARE TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0460","CodeVersion":"2020","CustomName":"AUTOLOGOUS PLATELET-RICH PLASMA CHRONIC WOUND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0513","CodeVersion":"2020","CustomName":"PRLNG PREV SRVC OFC\/OTH O\/P RQR DIR CTC;1ST 30 M"},{"ServiceGroup":"52243","CodeType":"HCPCS","Code":"H0020","CodeVersion":"2020","CustomName":"ALCOHL &OR RX SRVC; METHADONE ADMIN &OR SERVICE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6544","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STOCKING GARTER BELT"},{"ServiceGroup":"48399","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4189","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 10-51 GMS PROT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4030","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7034","CodeVersion":"2020","CustomName":"NASL INTRFCE POS ARWAY PRSS DEVC W\/WO HEAD STRAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9353","CodeVersion":"2020","CustomName":"INJECTION MARGETUXIMAB-CMKB 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1353","CodeVersion":"2020","CustomName":"REGULATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5212","CodeVersion":"2020","CustomName":"MANDIBULAR PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9020","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE 10000 UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3301","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0499","CodeVersion":"2020","CustomName":"BELT\/VEST\/BAG CARRY ANY TYPE VAD REPLACE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4025","CodeVersion":"2020","CustomName":"PHYSICAL MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6611","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST HIGH NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7004","CodeVersion":"2020","CustomName":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL"},{"ServiceGroup":"46424","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1895","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL DUAL COIL"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0342","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"16374","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"15357","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.53","CodeVersion":"2017","CustomName":"LAP REMOVAL BOTH OVARIES@SAME OPERATIVE EPIS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4480F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0078T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90796","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99146","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0240T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23","CodeType":"ICD9P","Code":"41.02","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT WITH PURGING"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0301U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109120","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113855","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3752F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0507T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8576","CodeVersion":"2020","CustomName":"NO POSTOP RENAL FAILURE\/DIALYSIS NOT REQUIRED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6082","CodeVersion":"2020","CustomName":"IMPLANT SUPP CRWN - PORCELAIN FU PREDOM BASE ALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2360","CodeVersion":"2020","CustomName":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8839","CodeVersion":"2020","CustomName":"SLEEP APNEA SYMP ASSESS PRES\/ABS SNOR DAY SSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1321","CodeVersion":"2020","CustomName":"CNSL ORAL BEHAV & SYS HLTH EFF HI-RISK SUBST USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1430","CodeVersion":"2020","CustomName":"INJECTION ETHANOLAMINE OLEATE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8600","CodeVersion":"2020","CustomName":"IV T-PA INITIATED W\/IN 3 HRS TIME LAST KNWN WELL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6074","CodeVersion":"2020","CustomName":"ABUT RETN CAST METL FPD NOBL METL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7014","CodeVersion":"2020","CustomName":"FILTER NON-DISPBL USED W\/AROSL COMPRS\/US GEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0585","CodeVersion":"2020","CustomName":"BOTULINUM TOXIN TYPE A PER UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7048","CodeVersion":"2020","CustomName":"VACUUM DRAINAGE COLLECTION UNIT & TUBING KIT EA"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4404","CodeVersion":"2020","CustomName":"OSTOMY RING EACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3984","CodeVersion":"2020","CustomName":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT&ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9141","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGM F\/U VISIT MD PROVIDER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8400","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH BELOW KNEE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4709","CodeVersion":"2020","CustomName":"ACID CONCENTRATE SOLUTION HEMODIAL PER GALLON"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0696","CodeVersion":"2020","CustomName":"INJECTION CEFTRIAXONE SODIUM PER 250 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7168","CodeVersion":"2020","CustomName":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9614","CodeVersion":"2020","CustomName":"PHOTODOCUMENTATION <2 CECAL LSMK EST COMPLETE EX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3766","CodeVersion":"2020","CustomName":"EWHFO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4367","CodeVersion":"2020","CustomName":"OSTOMY BELT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4459","CodeVersion":"2020","CustomName":"MANUAL PUMP-OPERATED ENEMA SYS REUSABLE ANY TYPE"},{"ServiceGroup":"22092","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0981","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EMERGENCY ROOM SERVICES"},{"ServiceGroup":"36138","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"59427","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"22407","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"14320","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"22822","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0840","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"22402","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"958","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Multiple Significant Trauma with CC"},{"ServiceGroup":"34168","CodeType":"DRG","Code":"927","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20260","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92368","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0318T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4179F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107321","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4069F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0711T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0306T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113678","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0019T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.28","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF TRICUSPID VALVE"},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37516","CodeType":"ICD9P","Code":"96.7","CodeVersion":"2017","CustomName":"OTHER CONTINUOUS INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"107102","CodeType":"CPT","Code":"41116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9215","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-N3 250,000 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3400","CodeVersion":"2020","CustomName":"METATARSAL BAR WEDGE ROCKER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3252","CodeVersion":"2020","CustomName":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2167","CodeVersion":"2020","CustomName":"RISK-ADJUSTED CHNG RS NCK IMPR SUC CALC & SC <0"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4220","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION SUPPLY KIT; PREMIX PER DAY"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3252","CodeVersion":"2020","CustomName":"FOOT SHOE MOLDED PT MDL PLASTAZOTE CSTM FABR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2075","CodeVersion":"2020","CustomName":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2099","CodeVersion":"2020","CustomName":"PT 66&>1 CLM FRLTY DUR MSR & DUR\/YR PRI MSR PRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2550","CodeVersion":"2020","CustomName":"INJECTION PROMETHAZINE HCL UP TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4005","CodeVersion":"2020","CustomName":"INTERIM LABOR FACILITY GLOBAL"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0300","CodeVersion":"2020","CustomName":"INJECTION AMOBARBITAL UP TO 125 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6885","CodeVersion":"2020","CustomName":"REPL SOCKET SD\/INTERSCAPULAR THOR MOLD PT MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0054","CodeVersion":"2020","CustomName":"COORD STROKE PREV CULTIVT +OUTCOM MIPS VAL PATHW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0820","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD PORT SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0882","CodeVersion":"2020","CustomName":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78096","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51274","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"70050","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"61916","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"22409","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"16173","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"13368","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"10708","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"22818","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0650","CodeVersion":"2020","CustomName":"Hospice Service - General Classification"},{"ServiceGroup":"44391","CodeType":"REV","Code":"0569","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Other Med. Social Service"},{"ServiceGroup":"76947","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"075","CodeVersion":"2020","CustomName":"Major chest procedures"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"516","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures with acute myocardial infarction (AMI)"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0187U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0053A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0161U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4188F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27344","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90384","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105762","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0448T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0665T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9968","CodeVersion":"2020","CustomName":"INJ NONRADIATIVE NONCONTRAST VIZ ADJUNCT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9360","CodeVersion":"2020","CustomName":"NO DOC NEGATIVE\/MANAGED POSITIVE TB SCREEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9610","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6606","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST NOBLE METAL TWO SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5505","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/MT BAR SHOE"},{"ServiceGroup":"26205","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"63119","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9852","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2624","CodeVersion":"2020","CustomName":"SKIN PROTECT & POSITIONING WC CUSH WIDTH < 22 IN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9551","CodeVersion":"2020","CustomName":"FINAL RPT IMAG STDY W\/O INCIDENTAL FND LES NOTED"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2122","CodeVersion":"2020","CustomName":"DEPRESS ANXIETY APATHY & PSYCHOSIS NOT ASSESSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3977","CodeVersion":"2020","CustomName":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2624","CodeVersion":"2020","CustomName":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2045","CodeVersion":"2020","CustomName":"HOSPICE GENERAL INPATIENT CARE; PER DIEM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7980","CodeVersion":"2020","CustomName":"SURGICAL SIALOLITHOTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2320","CodeVersion":"2020","CustomName":"TRIFOCAL ADD OVER 3.25D"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0035","CodeVersion":"2020","CustomName":"MENTAL HEALTH PARTIAL HOSP TX < 24 HOURS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2100","CodeVersion":"2020","CustomName":"SPHERE SINGLE VISION PLANO +\/- 4.00 PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2381","CodeVersion":"2020","CustomName":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2961","CodeVersion":"2020","CustomName":"LABIAL VENEER RESIN LAMINATE - INDIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2005","CodeVersion":"2020","CustomName":"EXTENSIVE 75 MINS IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8749","CodeVersion":"2020","CustomName":"ABSENCE SIGNS MELANOMA\/ABSENCE SYMPTOMS MELANOMA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8512","CodeVersion":"2020","CustomName":"GELATIN CAPS\/EQUVALNT W\/TRACHEOESOPH VOICE PROS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9604","CodeVersion":"2020","CustomName":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORATD TRIP CHRG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1560","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0021","CodeVersion":"2020","CustomName":"INJECTION CEFOPERAZONE SODIUM 1 GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1510","CodeVersion":"2020","CustomName":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38695","CodeType":"REV","Code":"0942","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Education\/Training"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0583","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Assessment"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"3081","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"22402","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0392","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS PROC &STORAGE"},{"ServiceGroup":"63058","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"001","CodeVersion":"2020","CustomName":"Craniotomy, age greater than 17 with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.34","CodeVersion":"2017","CustomName":"OTHER FETAL MONITORING"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.94","CodeVersion":"2017","CustomName":"PUBIOTOMY TO ASSIST DELIVERY"},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71.09","CodeVersion":"2017","CustomName":"OTHER INCISION OF VULVA AND PERINEUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99171","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69923","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29780","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0274U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0339U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91528","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3319F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0340U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0109T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7185","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1132","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1029","CodeVersion":"2020","CustomName":"COMP ENVIR LEAD INVESTIGAT NOT W\/LAB ANALY-DWELL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8020","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY FORM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1406","CodeVersion":"2020","CustomName":"OXYGEN&WATR VAPOR ENRICHING SYS W\/O HEATED DELIV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0870","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1559","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0370","CodeVersion":"2020","CustomName":"AIR PRESSURE ELEVATOR FOR HEEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0491","CodeVersion":"2020","CustomName":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1147","CodeVersion":"2020","CustomName":"ONG CRE NOT MED PSS PT D\/C E D\/T MED EVT DOC MR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1744","CodeVersion":"2020","CustomName":"INJECTION ICATIBANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0390","CodeVersion":"2020","CustomName":"ALS MILEAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4528","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1122","CodeVersion":"2020","CustomName":"DOC PT DX DEGEN NEURO COND DX TM BEFOR\/DUR EOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2370","CodeVersion":"2020","CustomName":"INTRADISCAL ELECTHRML TX; 1 INTRSP"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1595","CodeVersion":"2020","CustomName":"INJECTION GLATIRAMER ACETATE 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3255","CodeVersion":"2020","CustomName":"NONSTANDARD SIZE OR LENGTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9623","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN NO SCR UNHLTHY ALCOHL USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8825","CodeVersion":"2020","CustomName":"PATIENT NOT DISCHARGED TO HOME BY POSTOP DAY #7"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2504","CodeVersion":"2020","CustomName":"INJECTION PEGADEMASE BOVINE 25 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2037","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLUVIRIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P2033","CodeVersion":"2020","CustomName":"THYMOL TURBIDITY BLOOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7471","CodeVersion":"2020","CustomName":"REMOVAL OF LATERAL EXOSTOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9788","CodeVersion":"2020","CustomName":"MOST RECENT BP LESS THAN\/EQUAL TO 140\/90 MM HG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0769","CodeVersion":"2020","CustomName":"ESTIM\/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"82096","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"46183","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"33830","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0825","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"658","CodeVersion":"2020","CustomName":"Kidney and Ureter Procedures for Neoplasm without CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"906","CodeVersion":"2020","CustomName":"Hand Procedures for Injuries"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"351","CodeVersion":"2020","CustomName":"Male sterilization"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0279T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.37","CodeVersion":"2017","CustomName":"EXCISION\/DESTRUCT OTH LES\/TISS HEART THORACOSCOP"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0582T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103771","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0026U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9313","CodeVersion":"2020","CustomName":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1628","CodeVersion":"2020","CustomName":"INJECTION GUSELKUMAB 1 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0474","CodeVersion":"2020","CustomName":"ACSS TISS GR&MIC SURG MARG PREP\/RPT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9291","CodeVersion":"2020","CustomName":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC\/NSCLC-NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9231","CodeVersion":"2020","CustomName":"INJECTION DECITABINE PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2330","CodeVersion":"2020","CustomName":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOS ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8924","CodeVersion":"2020","CustomName":"TTE FLW W\/CNTRST R-T 2D INCL M-MODE REC FU\/LTD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1033","CodeVersion":"2020","CustomName":"NONPNEU SEQUENTIAL COMPRESSION GARMENT HALF LEG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5698","CodeVersion":"2020","CustomName":"ADD LW EXTRM AK\/KNEE DISRTC SILESIAN BANDGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9762","CodeVersion":"2020","CustomName":"PT HAD 2 HPV\/3 HPV VACC ON\/BTWN PT 9TH &13TH BD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5996","CodeVersion":"2020","CustomName":"PERIO MEDICAMNT CARR PERIPH SL - LAB PROCD-MAND"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9908","CodeVersion":"2020","CustomName":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4245","CodeVersion":"2020","CustomName":"APICALLY POSITIONED FLAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0486","CodeVersion":"2020","CustomName":"MON CNTRL CABLE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5284","CodeVersion":"2020","CustomName":"REMV UNI PRT DNTUR - 1 PECE FLEX BASE - PER QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4264","CodeVersion":"2020","CustomName":"BONE REPL GR - RET NAT TOOTH - EA ADD SITE QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2778","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4102","CodeVersion":"2020","CustomName":"OASIS WOUND MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9707","CodeVersion":"2020","CustomName":"PATIENT RCV HOSPICE SRVC ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9984","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 15 M"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0215","CodeVersion":"2020","CustomName":"INJECTION ALEFACEPT 0.5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8650","CodeVersion":"2020","CustomName":"NABILONE ORAL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2440","CodeVersion":"2020","CustomName":"INJECTION PAPAVERINE HCL UP TO 60 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4144F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0229","CodeVersion":"2020","CustomName":"Special Charges - Other Special Charges"},{"ServiceGroup":"108180","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"64580","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"313","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"74859","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15878","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0019T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0198U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32555","CodeType":"CPT","Code":"96361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103605","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113938","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0294U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4561","CodeVersion":"2020","CustomName":"PESSAR RUBBER ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0028","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON FOR NOT SCREENING TOBACCO USE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1560","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2098","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5010","CodeVersion":"2020","CustomName":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W\/TOE FILLER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0069","CodeVersion":"2020","CustomName":"REAR WHL ASM CMPL SLD TIRE SPKE\/MLD REPL ONLY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7515","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2363","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7312","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9460","CodeVersion":"2020","CustomName":"INJECTION CANGRELOR 1 MG"},{"ServiceGroup":"82223","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3315","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN PAMOATE 3.75 MG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1052","CodeVersion":"2020","CustomName":"HEMOSTATIC AGENT GASTROINTESTINAL TOPICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9239","CodeVersion":"2020","CustomName":"INTRAVENOUS MODERATE SEDAT\/ANALGESIA-1ST 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2627","CodeVersion":"2020","CustomName":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT&CABLES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2621","CodeVersion":"2020","CustomName":"PACEMAKER OTHER THAN SINGLE OR DUAL CHAMBER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4021","CodeVersion":"2020","CustomName":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"92825","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8933","CodeVersion":"2020","CustomName":"MR ANGIO NO CONTRST FLW W\/CONTRST SP CANAL CNTN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9455","CodeVersion":"2020","CustomName":"PT UNDRWNT ABD IMAG U\/S CE CT\/CONT MRI FOR HCC"},{"ServiceGroup":"50906","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2202","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6450","CodeVersion":"2020","CustomName":"ELB DISRTC MOLD SCKT ENDOSKEL W\/SFT PROSTH TISS"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2014","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4320","CodeVersion":"2020","CustomName":"IRRIGATION TRAY W\/BULB\/PISTON SYRINGE ANY PRPOS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6621","CodeVersion":"2020","CustomName":"UP EXTREM PROS ADD FLEXION\/EXTENSION WRIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2314","CodeVersion":"2020","CustomName":"TRIFOCL SPHER OVER +\/-12.00D PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9061","CodeVersion":"2020","CustomName":"INJECTION, AMIVANTAMAB-VMJW 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9988","CodeVersion":"2020","CustomName":"SERV PROVIDED AS PART OF PHASE 1 CLINICAL TRIAL"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q3031","CodeVersion":"2020","CustomName":"COLLAGEN SKIN TEST"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"68362","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0311","CodeVersion":"2020","CustomName":"Laboratory Pathology - Cytology"},{"ServiceGroup":"3499","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"58457","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"736","CodeVersion":"2020","CustomName":"Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"916","CodeVersion":"2020","CustomName":"Allergic Reactions without MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"373","CodeVersion":"2020","CustomName":"Vaginal delivery without complicating diagnoses"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99175","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3278F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0485T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37007","CodeType":"ICD9P","Code":"96.72","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT 96 CONSECUTIVE HRS\/MORE"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2378","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J2790","CodeVersion":"2020","CustomName":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2216","CodeVersion":"2020","CustomName":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4625","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8506","CodeVersion":"2020","CustomName":"PATIENT RECEIVING ACE INHIBITOR\/ARB THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4105","CodeVersion":"2020","CustomName":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2750","CodeVersion":"2020","CustomName":"ANTIREFLECTIVE COATING PER LENS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5150","CodeVersion":"2020","CustomName":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9316","CodeVersion":"2020","CustomName":"INJ PERTUZUMAB TRASTUZUMAB & HYAL-ZZXF PER 10 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2622","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE NON-INFLATABLE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1035","CodeVersion":"2020","CustomName":"SENSOR; INVASV DSPBL USE ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3253","CodeVersion":"2020","CustomName":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5270","CodeVersion":"2020","CustomName":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1041","CodeVersion":"2020","CustomName":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8185","CodeVersion":"2020","CustomName":"FLUTTER DEVICE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5710","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK"},{"ServiceGroup":"37403","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4024","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0200","CodeVersion":"2020","CustomName":"CERV MX POST COLLR OCCIP\/MAND ADJ CERV&THOR EXT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9113","CodeVersion":"2020","CustomName":"INJECTION PANTOPRAZOLE SODIUM PER VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5213","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2144","CodeVersion":"2020","CustomName":"FUNC ST ODI 3MO PO <=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"80918","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7911","CodeVersion":"2020","CustomName":"COMPLICATED SUTURE UP TO 5CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5862","CodeVersion":"2020","CustomName":"PRECISION ATTACHMENT BY REPORT"},{"ServiceGroup":"9811","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0264","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Supplies"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"16778","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"090","CodeVersion":"2020","CustomName":"Simple pneumonia and pleurisy, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.94","CodeVersion":"2017","CustomName":"PUBIOTOMY TO ASSIST DELIVERY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0207T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0305U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0601T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91861","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1116F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86034","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9411","CodeVersion":"2020","CustomName":"PT NOT ADM WI 180 D PST CIED W\/INF RQR DVC RMV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9959","CodeVersion":"2020","CustomName":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9734","CodeVersion":"2020","CustomName":"FOCUSED U\/S ABL\/TX INT OTH THAN UT LEIOMYOMATA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0174","CodeVersion":"2020","CustomName":"THIETHYLPERAZINE MALEATE 10 MG ORL NOT>48HR DOSE"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9185","CodeVersion":"2020","CustomName":"INJECTION FLUDARABINE PHOSPHATE 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6449","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH >\/= 3 & <5 IN PER YD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2000","CodeVersion":"2020","CustomName":"BLINDED ADMINISTRATION OF CONVULSIVE TX PROC"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6008","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:6-10 MEV"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"E0786","CodeVersion":"2020","CustomName":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4269","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4016","CodeVersion":"2020","CustomName":"FROZEN IN VITRO FERTILIZATION CYCLE CASE RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1510","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0239","CodeVersion":"2020","CustomName":"TX PROC IMPRV RESP FUNCT\/INCR RESP MUSC 2\/> IND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1057","CodeVersion":"2020","CustomName":"ASPIRIN\/ANOTH AP TX NOT USED REASON NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1566","CodeVersion":"2020","CustomName":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4050","CodeVersion":"2020","CustomName":"CAST SUPPLIES UNLISTED TYPES&MATERIALS OF CASTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2430","CodeVersion":"2020","CustomName":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1011","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH QUAL TOOL NOS DFIND MCR AUC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9501","CodeVersion":"2020","CustomName":"RAD EXP INDCS\/EXP TM & NO FLUORO IMG N DOC N RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0615","CodeVersion":"2020","CustomName":"PACEMKR MON CHECKS BATTRY DEPLET W\/DIGTL\/VISIBL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9482","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 20 MINUTES"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5535","CodeVersion":"2020","CustomName":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4230","CodeVersion":"2020","CustomName":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9454","CodeVersion":"2020","CustomName":"1-TIME SCR HCV INF NOT RECV WI 12 MO RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7318","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE DUROLANE FOR IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1031","CodeVersion":"2020","CustomName":"CONT NONINVAS GLU MON DEVC RENTAL SENSOR REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5514","CodeVersion":"2020","CustomName":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA"},{"ServiceGroup":"50904","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"17077","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"12184","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"31099","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"439","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"76927","CodeType":"REV","Code":"0947","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Complex Medical Equipment - Ancillary"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0589","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Other Home Health Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"951","CodeVersion":"2020","CustomName":"Other Factors Influencing Health Status"},{"ServiceGroup":"64916","CodeType":"DRG","Code":"935","CodeVersion":"2020","CustomName":"Nonextensive Burns"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0236U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97159","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64744","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3650F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.87","CodeVersion":"2017","CustomName":"REPLCMT TYPE PACEMKR DEVICE W\/DUL-CHAMB DEVICE"},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3476F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0075U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"45.9","CodeVersion":"2017","CustomName":"INTESTINAL ANASTOMOSIS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"16025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0636T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41.03","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT W\/O PURGING"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.59","CodeVersion":"2017","CustomName":"OTHER REPAIR OF VESSEL"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0677T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0259T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0362T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46889","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79300","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9474","CodeVersion":"2020","CustomName":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6310","CodeVersion":"2020","CustomName":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6642","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2136","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 3 MON PO<=3.0 IMPRV 5.0 PNT\/<"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"103904","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"97506","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2374","CodeVersion":"2020","CustomName":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0217","CodeVersion":"2020","CustomName":"WATER CIRCULATING HEAT PAD WITH PUMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8845","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6310","CodeVersion":"2020","CustomName":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9772","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ACHV AL 1 BT MSR =TO\/> 35.5 DEG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9987","CodeVersion":"2020","CustomName":"BPCI ADV MOD HOME VISIT PT ASMT PERF CLIN STAFF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0513","CodeVersion":"2020","CustomName":"PHRM DISPENSING FEE INHALATION RX; PER 30 DAYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0618","CodeVersion":"2020","CustomName":"AUDIOMETRY FOR HEARING AID EVALUATION"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8514","CodeVersion":"2020","CustomName":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8559","CodeVersion":"2020","CustomName":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4128","CodeVersion":"2020","CustomName":"FLEXHD OR ALLOPATCHHD PER SQ CM"},{"ServiceGroup":"89149","CodeType":"HCPCS","Code":"S9480","CodeVersion":"2020","CustomName":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0021","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG TRAINING SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6102","CodeVersion":"2020","CustomName":"DEBR&OSS CNTR PERIIMPL DFCT;SURF&FLAP ENTRY&CLOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4080","CodeVersion":"2020","CustomName":"REPLACE METAL BANDS KAFO PROXIMAL THIGH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3650","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5124","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2060","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9681","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES COPD\/AS BILL SID-BNEF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2014","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0261","CodeVersion":"2020","CustomName":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4006","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2620","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAMIC - 2 SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2069","CodeVersion":"2020","CustomName":"MED ASST TX BUPRENORPHINE INJ; WEEKLY BUNDLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9245","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN HCI NOS 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7995","CodeVersion":"2020","CustomName":"SYNTH GFT-MAND\/FACE BONES BY RPT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107794","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87522","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2021","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4918","CodeVersion":"2020","CustomName":"VENOUS PRESSURE CLAMP FOR HEMODIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4332","CodeVersion":"2020","CustomName":"LUBRICANT INDIVIDUAL STERILE PACKET EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9911","CodeVersion":"2020","CustomName":"APPLIC DESENZT RSN CERV&\/ROOT-TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6605","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST PDMT BASE METAL 3\/MORE SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0418","CodeVersion":"2020","CustomName":"ANALYSIS OF SALIVA SAMPLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0567","CodeVersion":"2020","CustomName":"INJECTION CERLIPONASE ALFA 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1562","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN VIVAGLBIN 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4371","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER POWDER PER OZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7647","CodeVersion":"2020","CustomName":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2502","CodeVersion":"2020","CustomName":"SPCH GEN DEVC DIGTIZD>8 MINS <= 20 MINS REC TIME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2022","CodeVersion":"2020","CustomName":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9202","CodeVersion":"2020","CustomName":"GOSERELIN ACETATE IMPLANT PER 3.6 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0466","CodeVersion":"2020","CustomName":"HOME VENTILATOR ANY TYPE USED W\/NON-INVASV INTF"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4018","CodeVersion":"2020","CustomName":"FRZN EMB TRANS PROC CANCEL BEFR TRANS CASE RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2120","CodeVersion":"2020","CustomName":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0023","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH OUTREACH SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2410","CodeVersion":"2020","CustomName":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS\/PLASTC LNS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2202","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0567","CodeVersion":"2020","CustomName":"INJECTION CERLIPONASE ALFA 1 MG"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0392","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS PROC &STORAGE"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"22817","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0832","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"66168","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"17621","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"27155","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"19595","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"11108","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"68186","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"502","CodeVersion":"2020","CustomName":"Knee procedure with principal diagnosis of infection without CC"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"88.52","CodeVersion":"2017","CustomName":"ANGIOCARDIOGRAPHY OF RIGHT HEART STRUCTURES"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD9P","Code":"74.3","CodeVersion":"2017","CustomName":"REMOVAL OF EXTRATUBAL ECTOPIC PREGNANCY"},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4041F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.43","CodeVersion":"2017","CustomName":"INTERMITTENT SKELETAL TRACTION"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34343","CodeType":"ICD9P","Code":"55.95","CodeVersion":"2017","CustomName":"LOCAL PERFUSION OF KIDNEY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0511T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.7","CodeVersion":"2017","CustomName":"INTERRUPTION OF THE VENA CAVA"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3720F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3342F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0164T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0320T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0496T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0144A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0099T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0644T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0608T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0558T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0276T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3758F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98497","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83350","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0011","CodeVersion":"2020","CustomName":"STD-WT FRME MOTRIZD\/PWR WHLCHAIR W\/PROG CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0488","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/INTERFCE LINER PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5979","CodeVersion":"2020","CustomName":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2128","CodeVersion":"2020","CustomName":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1018","CodeVersion":"2020","CustomName":"SCHOOL-BASED IND EDUCATION PROGRAM SERV BUNDLED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2186","CodeVersion":"2020","CustomName":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2710","CodeVersion":"2020","CustomName":"CROWN RESINBASED COMPOSITE INDIRECT"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4601","CodeVersion":"2020","CustomName":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3380","CodeVersion":"2020","CustomName":"INJECTION VEDOLIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6058","CodeVersion":"2020","CustomName":"ABUT SUPP PORCELN\/CERAMIC CROWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0070","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3962","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W\/FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0597","CodeVersion":"2020","CustomName":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9352","CodeVersion":"2020","CustomName":"MICROPOROUS COLLAGEN IMPLANTABLE TUBE PER CM LEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0270","CodeVersion":"2020","CustomName":"HOSP BED INSTITUTIONAL TYPE: W\/MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4006","CodeVersion":"2020","CustomName":"GASTROENTEROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9549","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON THAT F\/U IMAGING IS INDICATED"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D07Z8","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION OTH NAT\/ART OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7170","CodeVersion":"2020","CustomName":"ELECTRONIC ELBOW HOSMER\/EQUAL SWITCH CONTROLLED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9844","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1753","CodeVersion":"2020","CustomName":"CATHETER INTRAVASCULAR ULTRASOUND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6722","CodeVersion":"2020","CustomName":"TERM DEVC HOOK\/HAND HVY-DUTY MECH VOL CLOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2781","CodeVersion":"2020","CustomName":"PROGRESSIVE LENS PER LENS"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1001","CodeVersion":"2020","CustomName":"DELUXE ITEM PATIENT AWARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5857","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9832","CodeVersion":"2020","CustomName":"AJCC STG BC DX = I & T-STG DOES NOT = T1 T1A T1B"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5450","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1517","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED - BILATERAL, MANDIBULAR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5856","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KNEE-SHIN SYS SWING&STANCE PHSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0112","CodeVersion":"2020","CustomName":"CRTCHES UNDARM WOOD PAIR W\/PADS TIPS&HNDGRIPS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0261","CodeVersion":"2020","CustomName":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4019","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2610","CodeVersion":"2020","CustomName":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0716","CodeVersion":"2020","CustomName":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9527","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IODIDE SOL TX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1195","CodeVersion":"2020","CustomName":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7316","CodeVersion":"2020","CustomName":"INJECTION OCRIPLASMIN 0.125 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2029","CodeVersion":"2020","CustomName":"SEXUAL OFFENDER TREATMENT SERVICE PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0058","CodeVersion":"2020","CustomName":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2274","CodeVersion":"2020","CustomName":"INJECTION MS PRES-FREE EPID\/INTRATHECL USE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8510","CodeVersion":"2020","CustomName":"VOICE AMPLIFIER"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9005","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2928","CodeVersion":"2020","CustomName":"PREFABRICATED PORCELAIN\/CER CROWN - PERM TOOTH"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107186","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98585","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0935","CodeVersion":"2020","CustomName":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6504","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9247","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN FLUFENAMIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9768","CodeVersion":"2020","CustomName":"ENDO UG DIR MSR HEP PORTOSYS PRESS GRAD ANY METH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2197","CodeVersion":"2020","CustomName":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1902","CodeVersion":"2020","CustomName":"CMNCT BD NON-ELEC AUG\/ALTERNATV CMNCT DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2071","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPL REMOVAL; WEEKLY BUNDLE"},{"ServiceGroup":"13262","CodeType":"HCPCS","Code":"A0425","CodeVersion":"2020","CustomName":"GROUND MILEAGE PER STATUTE MILE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7599","CodeVersion":"2020","CustomName":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1645","CodeVersion":"2020","CustomName":"INJECTION DALTEPARIN SODIUM PER 2500 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1592","CodeVersion":"2020","CustomName":"AUTO INTERMITTENT PERITONEAL DIALYSIS SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4219","CodeVersion":"2020","CustomName":"SURGIGRAFT-DUAL PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7312","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4927","CodeVersion":"2020","CustomName":"GLOVES NON-STERILE PER 100"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3224","CodeVersion":"2020","CustomName":"ORTHOPED FOOTWEAR WOMAN SHOE OXFRD PART BRACE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1811","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH KNEE DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1028","CodeVersion":"2020","CustomName":"DOC PT PRIM HA DX & IMAG OTH THAN CT\/MRI OBTAIND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0498","CodeVersion":"2020","CustomName":"HOLSTER FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0311","CodeVersion":"2020","CustomName":"Laboratory Pathology - Cytology"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"33266","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"36663","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3145","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE UNDECANOATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0247","CodeVersion":"2020","CustomName":"INJECTION, SOTROVIMAB, 500 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1874","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITH DELIVERY SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1763","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE NON-HUMAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4258","CodeVersion":"2020","CustomName":"SPRING-POWERED DEVICE FOR LANCET EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0244","CodeVersion":"2020","CustomName":"RAISED TOILET SEAT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3674","CodeVersion":"2020","CustomName":"SHOULDER ORTHOTIC ABDUCT PSTN THOR COMP CUSTOM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7504","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3601","CodeVersion":"2020","CustomName":"EMERG STAT LAB CHARGE PT HOMBOUND\/RESID NRS FACL"},{"ServiceGroup":"207","CodeType":"REV","Code":"0240","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0383","CodeVersion":"2020","CustomName":"Blood and Blood Components - Plasma"},{"ServiceGroup":"36413","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"12263","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0657","CodeVersion":"2020","CustomName":"Hospice Service - Physician Services"},{"ServiceGroup":"13990","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"74580","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"90559","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3518","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45863","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0107T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0111A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4256F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3753F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4177F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.71","CodeVersion":"2017","CustomName":"INIT INSERTION TRANSVENOUS LEAD INTO VENTRICLE"},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4481F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0111U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91886","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0202T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.1","CodeVersion":"2017","CustomName":"BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION"},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105490","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1442","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC"},{"ServiceGroup":"30064","CodeType":"ICD10P","Code":"GZB2ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY BILAT-SINGLE SEIZURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0181","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6550","CodeVersion":"2020","CustomName":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4213","CodeVersion":"2020","CustomName":"ASCENT 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9318","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6447","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1765","CodeVersion":"2020","CustomName":"ADHESION BARRIER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0167","CodeVersion":"2020","CustomName":"PAIL OR PAN USE W\/COMMODE CHAIR REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6205","CodeVersion":"2020","CustomName":"PONTIC INDIRECT RESIN BASED COMPOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4186","CodeVersion":"2020","CustomName":"EPIFIX PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3355","CodeVersion":"2020","CustomName":"INJECTION UROFOLLITROPIN 75 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9001","CodeVersion":"2020","CustomName":"HOME UTERINE MONITOR W\/WO ASSOC NURSING SERVICES"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5863","CodeVersion":"2020","CustomName":"OVERDENTURE - COMPLETE MAXILLARY"},{"ServiceGroup":"111994","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1028","CodeVersion":"2020","CustomName":"TK HM NASAL NALOXONE 2PK 8MG\/0.1 ML NASL SP PRIM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8656","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STAT CH RSD SC FT\/ANK IMPAIR SC <0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2214","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8130","CodeVersion":"2020","CustomName":"INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1039","CodeVersion":"2020","CustomName":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP>300 LB"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1892","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH INTRCARD EP FIX-CURVE PEEL-AWAY"},{"ServiceGroup":"12076","CodeType":"HCPCS","Code":"S9537","CodeVersion":"2020","CustomName":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM"},{"ServiceGroup":"106598","CodeType":"HCPCS","Code":"V5251","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1779","CodeVersion":"2020","CustomName":"LEAD PACEMAKER TRANSVENOUS VDD SINGLE PASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0170","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9230","CodeVersion":"2020","CustomName":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6240","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6115","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXD DENTURE EDENTULOUS ARCH-MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4148","CodeVersion":"2020","CustomName":"NEOX CORD 1K NEOX CORD RT\/CLARIX CORD 1K-SQ CM"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"58459","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0845","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0309","CodeVersion":"2020","CustomName":"Laboratory - Other Laboratory"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"3208","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"9938","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"921","CodeVersion":"2020","CustomName":"Complications of Treatment without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.2","CodeVersion":"2017","CustomName":"MID FORCEPS OPERATION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58671","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0059U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3752F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0398T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.89","CodeVersion":"2017","CustomName":"OTH OP CAROTID BDY CAROTID SINUS OTH VASC BODIES"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0580T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68059","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104117","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0045","CodeVersion":"2020","CustomName":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2650","CodeVersion":"2020","CustomName":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2367","CodeVersion":"2020","CustomName":"PWR WC ACSS BATT CHRGR DUL MODE W\/EITHER BATT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5185","CodeVersion":"2020","CustomName":"MED REMINDER SERVICE NON-FACE-TO-FACE; MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0166","CodeVersion":"2020","CustomName":"GRANISETRON HCL 1 MG ORL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0244","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 1200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9001","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE INITIAL RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9940","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2354","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ\/IV INJ 25 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0244","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 1200 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4018","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0650","CodeVersion":"2020","CustomName":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9292","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2504","CodeVersion":"2020","CustomName":"INJECTION PEGADEMASE BOVINE 25 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0595","CodeVersion":"2020","CustomName":"DISPNSING NEW SPECTACLE LENSES PT SUPPLIED FRAME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5711","CodeVersion":"2020","CustomName":"REBASE COMPLETE MANDIBULAR DENTURE"},{"ServiceGroup":"53962","CodeType":"ICD10P","Code":"0FY00Z2","CodeVersion":"2020","CustomName":"TRANSPLANTATION LIVER ZOOPLASTIC OPEN APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9001","CodeVersion":"2020","CustomName":"HOME UTERINE MONITOR W\/WO ASSOC NURSING SERVICES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8569","CodeVersion":"2020","CustomName":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89417","CodeType":"HCPCS","Code":"H0035","CodeVersion":"2020","CustomName":"MENTAL HEALTH PARTIAL HOSP TX < 24 HOURS"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5162","CodeVersion":"2020","CustomName":"EMERGENCY RESPONSE SYSTEM; PURCHASE ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4342","CodeVersion":"2020","CustomName":"PRDONTAL SCAL&ROOT PLAN 1-3 TEETH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7310","CodeVersion":"2020","CustomName":"GANCICLOVIR 45 MG LONG-ACTING IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1017","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM HEALTHHELP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0391","CodeVersion":"2020","CustomName":"INTEPR DX IMAG PRACTITNER NOT ASSOC CAP IMAG RPT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"103551","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0399","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS-OTH BLOOD HANDLING"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"180","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0963","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (MD)"},{"ServiceGroup":"33266","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"11000","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100257","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0199T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"98929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98567","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103973","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3353F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4193F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27261","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4172F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0528F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0106T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103081","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105251","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"9001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71","CodeVersion":"2017","CustomName":"OPERATIONS ON VULVA AND PERINEUM"},{"ServiceGroup":"84932","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9725","CodeVersion":"2020","CustomName":"PLCMT ENDORECT INTRACAV APPLIC HI INTNS BRACHYTX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6508","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9247","CodeVersion":"2020","CustomName":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0585","CodeVersion":"2020","CustomName":"NEBULIZER WITH COMPRESSOR AND HEATER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H1005","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2320","CodeVersion":"2020","CustomName":"INJECTION NANDROLONE DECANOATE UP TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4138","CodeVersion":"2020","CustomName":"BIODFENCE DRYFLEX PER SQ CM"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9059","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX"},{"ServiceGroup":"76531","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0482","CodeVersion":"2020","CustomName":"DIRECT IMMUNOFLUORESCENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2350","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9033","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0257","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8909","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST CHEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3591","CodeVersion":"2020","CustomName":"UNCLASS RX\/BIOLOGICAL USED FOR ESRD ON DIALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2779","CodeVersion":"2020","CustomName":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8020","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY FORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1448","CodeVersion":"2020","CustomName":"INJECTION TRILACICLIB 1MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5850","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS AK\/HIP DISARTIC KNEE EXT ASST"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2510","CodeVersion":"2020","CustomName":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3216F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7507","CodeVersion":"2020","CustomName":"FLTR HLDR&INTGR FLTR W\/O ADHES TRACHEOSTMA EXCHG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2217","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9921","CodeVersion":"2020","CustomName":"NO SCR PRFRM PR SCR PRFRM\/POS SCR NO REC&RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0153","CodeVersion":"2020","CustomName":"INJECTION ADENOSINE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9286","CodeVersion":"2020","CustomName":"ABX REGIMEN PRSC W\/I 10 DA AFTER ONSET SX"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1945","CodeVersion":"2020","CustomName":"INJECTION LEPIRUDIN 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3140","CodeVersion":"2020","CustomName":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0053","CodeVersion":"2020","CustomName":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5131","CodeVersion":"2020","CustomName":"HOMEMAKER SERVICE NOS; PER DIEM"},{"ServiceGroup":"39245","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"69801","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"14230","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0874","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Infusion of Modified Cells"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"90356","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0834","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"87306","CodeType":"DRG","Code":"269","CodeVersion":"2020","CustomName":"Other skin, subcutaneous tissue, and breast procedures with CC"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"024","CodeVersion":"2020","CustomName":"Seizure and headache, age greater than 17 with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105550","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3720F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0336U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0480T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57596","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0503T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0263T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0659T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0341U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0243U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0293","CodeVersion":"2020","CustomName":"NONCOVR SURG CONSC SEDAT ANES-MCR QUAL TRIAL-DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6687","CodeVersion":"2020","CustomName":"UP EXTRM ADD FRME TYPE SCKT BELW ELB\/WRST DISRTC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3355","CodeVersion":"2020","CustomName":"INJECTION UROFOLLITROPIN 75 IU"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2391","CodeVersion":"2020","CustomName":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3305","CodeVersion":"2020","CustomName":"INJECTION TRIMETREXATE GLUCORONATE PER 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T5999","CodeVersion":"2020","CustomName":"SUPPLY NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1444","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE PWD 0.1 MG IRON"},{"ServiceGroup":"104230","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7770","CodeVersion":"2020","CustomName":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0023","CodeVersion":"2020","CustomName":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG"},{"ServiceGroup":"53486","CodeType":"HCPCS","Code":"A4259","CodeVersion":"2020","CustomName":"LANCETS PER BOX OF 100"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1700","CodeVersion":"2020","CustomName":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8999","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1009","CodeVersion":"2020","CustomName":"SPEECH VOLUME MODULATION SYS INCL ALL COMP & ACC"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9211","CodeVersion":"2020","CustomName":"REGIONAL BLOCK ANESTHESIA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3490","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7740","CodeVersion":"2020","CustomName":"MANDIBLE CLOSED REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9104","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9192","CodeVersion":"2020","CustomName":"DOCUMENTATION SYSTEM RSN NOT PRSC BETA-BLOCKR TX"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8510","CodeVersion":"2020","CustomName":"VOICE AMPLIFIER"},{"ServiceGroup":"29915","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"33267","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0839","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis"},{"ServiceGroup":"107734","CodeType":"DRG","Code":"797","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/OUT CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4013F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0515T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0054T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91866","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72287","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3208","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH INFANT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9209","CodeVersion":"2020","CustomName":"INJECTION MESNA 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0605","CodeVersion":"2020","CustomName":"VAPORIZER ROOM TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8043","CodeVersion":"2020","CustomName":"UPPER FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0364","CodeVersion":"2020","CustomName":"CONE BEAM CT CAP&INTEPR LTD FD VIEW-<1 WHOLE JAW"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1455","CodeVersion":"2020","CustomName":"INJECTION FOSCARNET SODIUM PER 1000 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8428","CodeVersion":"2020","CustomName":"CUR MEDS NO DOC OBDT UPD\/REV ELIG CLIN RSN N GVN"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0278","CodeVersion":"2020","CustomName":"ILIAC ARTERY ANGIO AT TIME CARDIAC CATH RAD S&I"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1825","CodeVersion":"2020","CustomName":"GEN NEUROSTIM NONRCHRGBL W\/CAR SIN BR STIM LEAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8843","CodeVersion":"2020","CustomName":"DOC REASON NOT MEASURING AHI\/RDI TIME INIT DX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7510","CodeVersion":"2020","CustomName":"PREDNISOLONE ORAL PER 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6215","CodeVersion":"2020","CustomName":"FOAM DRESSING WOUND FILLER STERILE PER GRAM"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9346","CodeVersion":"2020","CustomName":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9074","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST III; ER&PR NEG; NO PROGRESSN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0222","CodeVersion":"2020","CustomName":"INJECTION PATISIRAN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0279","CodeVersion":"2020","CustomName":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI\/BIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0293","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT HI-LO W\/O SIDE RAIL NO MATTRSS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0885","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0490","CodeVersion":"2020","CustomName":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2361","CodeVersion":"2020","CustomName":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"103898","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9039","CodeVersion":"2020","CustomName":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7360","CodeVersion":"2020","CustomName":"SIX VOLT BATTERY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9513","CodeVersion":"2020","CustomName":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5812","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FRICT SWING&STANCE CNTRL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2460","CodeVersion":"2020","CustomName":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2182","CodeVersion":"2020","CustomName":"INJECTION MEPOLIZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9603","CodeVersion":"2020","CustomName":"PERQ TL COR ATHERECT; EA ADD BR MAJ CORONARY ART"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2916","CodeVersion":"2020","CustomName":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG"},{"ServiceGroup":"33829","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"110","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"70048","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"15302","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"71244","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"98721","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"958","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Multiple Significant Trauma with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"310","CodeVersion":"2020","CustomName":"Transurethral procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34343","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"88598","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1152F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0507F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58515","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0132U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0607T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91035","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.32","CodeVersion":"2017","CustomName":"OPERATIONS ON CHORDAE TENDINEAE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9476","CodeVersion":"2020","CustomName":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1017","CodeVersion":"2020","CustomName":"MONTHLY SUPPLIES FOR USE OF DEVICE CODED K1016"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9204","CodeVersion":"2020","CustomName":"INJECTION MOGAMULIZUMAB-KPKC 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9173","CodeVersion":"2020","CustomName":"INJECTION DURVALUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0791","CodeVersion":"2020","CustomName":"PARNTRAL INFUS PUMP STATIONRY SINGLE\/MULTICHANEL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0205","CodeVersion":"2020","CustomName":"INJECTION ALGLUCERASE PER 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A8002","CodeVersion":"2020","CustomName":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6950","CodeVersion":"2020","CustomName":"PRECISION ATTACHMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7521","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE CUFFD PVC SILICONE\/= EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9361","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY DIURETIC IV TX; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2054","CodeVersion":"2020","CustomName":"TRANSPLANTATION OF MULTIVISCERAL ORGANS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5951","CodeVersion":"2020","CustomName":"FEEDING AID"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1011","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9357","CodeVersion":"2020","CustomName":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4357","CodeVersion":"2020","CustomName":"BEDSID DRN BAG DAY\/NGT W\/WO ANTI-REFLX DEVC EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1729","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0870","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1800","CodeVersion":"2020","CustomName":"INJECTION PROPRANOLOL HCL UP TO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5301","CodeVersion":"2020","CustomName":"BELW KNEE MOLD SOCKT SHIN SACH FT ENDOSKEL SYS"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8910","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST CHEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0039","CodeVersion":"2020","CustomName":"ASSERTIVE COMMUNITY TX FACE-TO-FACE PER 15 MIN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0502","CodeVersion":"2020","CustomName":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1884","CodeVersion":"2020","CustomName":"EMBOLIZATION PROTECTIVE SYSTEM"},{"ServiceGroup":"91418","CodeType":"CPT","Code":"99354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11212","CodeType":"ICD9P","Code":"35.96","CodeVersion":"2017","CustomName":"PERCUTANEOUS VALVULOPLASTY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0365","CodeVersion":"2020","CustomName":"CONE BEAM CT CAP&INT FD VW 1 FULL DENT ARCH-MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9970","CodeVersion":"2020","CustomName":"PROV REF PT ANR PROV NOT RECV RPRT PROV PT REF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3967","CodeVersion":"2020","CustomName":"SEWHO ABDUCTION POSITIONING W\/O JOINTS CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3330","CodeVersion":"2020","CustomName":"LIFT ELEVATION METAL EXTENSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3430","CodeVersion":"2020","CustomName":"INJECTION PHYTONADIONE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0625","CodeVersion":"2020","CustomName":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4176","CodeVersion":"2020","CustomName":"NEOPATCH OR THERION 1 SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0426","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 50 MIN W\/PT TELEHLTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7510","CodeVersion":"2020","CustomName":"REPR PROSTHETIC DEVICE REPR\/REPLACE MINOR PARTS"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D07Z6","CodeVersion":"2020","CustomName":"EXTRACTION POC VACUUM VIA NATURAL\/ARTIF OPENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9430","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9942","CodeVersion":"2020","CustomName":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY\/LAMI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6512","CodeVersion":"2020","CustomName":"COMPRESSION BURN GARMENT NOC"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0526","CodeVersion":"2020","CustomName":"Free-Standing Clinic - Urgent Care Clinic"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"25346","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0981","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EMERGENCY ROOM SERVICES"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0918","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Testing"},{"ServiceGroup":"21342","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"87309","CodeType":"DRG","Code":"272","CodeVersion":"2020","CustomName":"Major skin disorders with CC"},{"ServiceGroup":"21350","CodeType":"DRG","Code":"287","CodeVersion":"2020","CustomName":"Skin grafts and wound debridement for endocrine, nutritional, and metabolic disorders"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.71","CodeVersion":"2017","CustomName":"VACUUM EXTRACTION WITH EPISIOTOMY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99459","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0487T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32994","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"88.55","CodeVersion":"2017","CustomName":"CORONARY ARTERIOGRAPHY USING SINGLE CATHETER"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0736T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107878","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0082U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5421","CodeVersion":"2020","CustomName":"ADJUST PARTIAL DENTURE - MAXILLARY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9171","CodeVersion":"2020","CustomName":"INJECTION DOCETAXEL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8701","CodeVersion":"2020","CustomName":"REPAIR OF FIXED RETAINER INCL REATTACHMENT - MAX"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0221","CodeVersion":"2020","CustomName":"INFRARED HEATING PAD SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9564","CodeVersion":"2020","CustomName":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0490","CodeVersion":"2020","CustomName":"FACE-TO-FACE HH NSG VST RHC\/FQHC AREA SHTG HHA"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2632","CodeVersion":"2020","CustomName":"POSTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2998","CodeVersion":"2020","CustomName":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7316","CodeVersion":"2020","CustomName":"INJECTION OCRIPLASMIN 0.125 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7948","CodeVersion":"2020","CustomName":"LEFORT II\/LEFORT III - W\/O BONE GRAFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7982","CodeVersion":"2020","CustomName":"SIALODOCHOPLASTY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2500","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR GLUTL\/ISCH WT BEAR RING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9900","CodeVersion":"2020","CustomName":"SRVC JOURNAL-LISTED CS PRACT HEALING PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6793","CodeVersion":"2020","CustomName":"INTRM RET CRWN-FUR TX\/CMPL DX NEC B4 FINL IMPRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0275","CodeVersion":"2020","CustomName":"BED PAN STANDARD METAL OR PLASTIC"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9175","CodeVersion":"2020","CustomName":"INJECTION ELLIOTTS B SOLUTION 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5616","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7650","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7111","CodeVersion":"2020","CustomName":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9507","CodeVersion":"2020","CustomName":"DOC PT ON STATIN MED\/DOC VALID CONTRAINDICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0416","CodeVersion":"2020","CustomName":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2001","CodeVersion":"2020","CustomName":"BRIEF 20 MINUTES IN-HOME VISIT NEW PT POST-D\/C."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0175","CodeVersion":"2020","CustomName":"FOOT REST FOR USE WITH COMMODE CHAIR EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q3001","CodeVersion":"2020","CustomName":"ADJUNCTIVE PROCEDURE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2211","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8514","CodeVersion":"2020","CustomName":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7170","CodeVersion":"2020","CustomName":"INJECTION EMICIZUMAB-KXWH 0.5 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4429","CodeVersion":"2020","CustomName":"OST POUCH URIN BLT-IN CONVXI W\/FAUCET TAP VALVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9280","CodeVersion":"2020","CustomName":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9353","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM"},{"ServiceGroup":"54966","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"24090","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"762","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"33251","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"30461","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"68191","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0321","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Angiocardiography"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"68362","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"413","CodeVersion":"2020","CustomName":"Other myeloproliferative disorders or poorly differentiated neoplasm diagnosis with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"580","CodeVersion":"2020","CustomName":"SYST INFECT \"\"&\"\" PARASITIC DISORD EXC SEPTICEMIA W MAJOR CC-NYDRG"},{"ServiceGroup":"28956","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"32539","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"334","CodeVersion":"2020","CustomName":"Major male pelvic procedures with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0150U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32607","CodeType":"ICD9P","Code":"81.57","CodeVersion":"2017","CustomName":"REPLACEMENT OF JOINT OF FOOT AND TOE"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.91","CodeVersion":"2017","CustomName":"OPEN CHEST CARDIAC MASSAGE"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26205","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76947","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"74927","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0840","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"72","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"22820","CodeType":"REV","Code":"874","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Infusion of Modified Cells"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"68192","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0221","CodeVersion":"2020","CustomName":"Special Charges - Admission Charge"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"62537","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"16777","CodeType":"REV","Code":"0819","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Other Donor"},{"ServiceGroup":"29710","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"412","CodeVersion":"2020","CustomName":"History of malignancy with endoscopy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"513","CodeVersion":"2020","CustomName":"Pancreas transplant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"013","CodeVersion":"2020","CustomName":"Multiple sclerosis and cerebellar ataxia"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"462","CodeVersion":"2020","CustomName":"Rehabilitation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"198","CodeVersion":"2020","CustomName":"Cholecystectomy except by laparoscope without common duct exploration without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.4","CodeVersion":"2017","CustomName":"MEDICAL INDUCTION OF LABOR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.5","CodeVersion":"2017","CustomName":"BREECH EXTRACTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4013F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74.0","CodeVersion":"2017","CustomName":"CLASSICAL CESAREAN SECTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"ICD9P","Code":"74","CodeVersion":"2017","CustomName":"CESAREAN SECTION AND REMOVAL OF FETUS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.2","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF HEART VALVE"},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76421","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15326","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88858","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4067F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90822","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0211U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.26","CodeVersion":"2017","CustomName":"CARD EP STIMULATION&RECORDING STUDIES"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91026","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0106U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0041A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0060U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0323T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9543","CodeVersion":"2020","CustomName":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4631","CodeVersion":"2020","CustomName":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1772","CodeVersion":"2020","CustomName":"INFUSION PUMP PROGRAMMABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0394","CodeVersion":"2020","CustomName":"DIGTL SUBTRACTION 2\/> IMAGES\/IMAG VOL SAME MODAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0079","CodeVersion":"2020","CustomName":"COMPREHENSIVE CARE MGMT HOME VISIT NEW PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0193","CodeVersion":"2020","CustomName":"POWERED AIR FLOTATION BED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2216","CodeVersion":"2020","CustomName":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1702","CodeVersion":"2020","CustomName":"REPL MSR SCLS JAW MOTION REHAB SYSTEM PKG 200"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0191","CodeVersion":"2020","CustomName":"ASSESSMENT OF A PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9132","CodeVersion":"2020","CustomName":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1148","CodeVersion":"2020","CustomName":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0745","CodeVersion":"2020","CustomName":"ABSRB WD DR HOM MDL PRT PAD>16 SQ IN<\/= 48 SQ IN"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"411","CodeType":"ICD10P","Code":"4A020N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSUR LT HEART OP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9160","CodeVersion":"2020","CustomName":"INJECTION DENILEUKIN DIFTITOX 300 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0181","CodeVersion":"2020","CustomName":"UNS ORAL DOSAGE ANTI-EMETIC NOT >48 HR DOSE REG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0825","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0630","CodeVersion":"2020","CustomName":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9037","CodeVersion":"2020","CustomName":"SRVC PROV BY REHABILITATION TEACHER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4327","CodeVersion":"2020","CustomName":"FE EXTERNAL URIN COLLECTION DEVICE; METAL CUP EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9595","CodeVersion":"2020","CustomName":"PT HAS DOC VENTRICULAR SHUNT BT\/COAGULOPATHY"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2311","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER&TWO\/MORE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9038","CodeVersion":"2020","CustomName":"RED BLOOD CELLS IRRADIATED EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4152","CodeVersion":"2020","CustomName":"DERMAPURE PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0896","CodeVersion":"2020","CustomName":"INJECTION LUSPATERCEPT-AAMT 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8909","CodeVersion":"2020","CustomName":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9292","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RPT PT CAT THICK ULCER PT1 MR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2301","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL +\/- 4.12 TO +\/- 7.00D PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2744","CodeVersion":"2020","CustomName":"TINT PHOTOCHROMATIC PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0160","CodeVersion":"2020","CustomName":"DEXTROAMPHETAMINE SULFATE 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0249","CodeVersion":"2020","CustomName":"INJ TOCILIZUMAB HP PT 2 YRS & > COVID-19 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2070","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1037","CodeVersion":"2020","CustomName":"TRANSPORT CHAIR PEDIATRIC SIZE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0248","CodeVersion":"2020","CustomName":"INJECTION REMDESIVIR 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3060","CodeVersion":"2020","CustomName":"INJECTION TALIGLUCERACE ALFA 10 UNITS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0882","CodeVersion":"2020","CustomName":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0191","CodeVersion":"2020","CustomName":"ASSESSMENT OF A PATIENT"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3910","CodeVersion":"2020","CustomName":"SURG PROC ISOLAT TOOTH W\/RUBBER DAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6222","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O NL SALINE\/HYDROGEL 16 SQ\/<"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1132","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT NEED REF OTHR PROV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4626","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CLEANING BRUSH EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4483","CodeVersion":"2020","CustomName":"MOISTR EXCHGR DISPBL USE W\/INVASV MECH VENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7196","CodeVersion":"2020","CustomName":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U."},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0TF7XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION IN LEFT URETER EXTERNAL APPROACH"},{"ServiceGroup":"82222","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6810","CodeVersion":"2020","CustomName":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2810","CodeVersion":"2020","CustomName":"INJECTION THEOPHYLLINE PER 40 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9806","CodeVersion":"2020","CustomName":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY\/HPV TEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9313","CodeVersion":"2020","CustomName":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"17083","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"23401","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"16362","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"44011","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"574","CodeVersion":"2020","CustomName":"Major Hematologic\/Immunologic Diagnoses Except Sickle Cell Crisis and Coagulation Disorders"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"547","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"739","CodeVersion":"2020","CustomName":"CRANITOMY, AGE UNDER 18 W\/OUT CC-NYDRG"},{"ServiceGroup":"53151","CodeType":"DRG","Code":"245","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"814","CodeVersion":"2020","CustomName":"NONBACTERIAL GASTROENTERITI \"&\" ABDOMINAL PAIN AGE OVER 17 W\/O CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105730","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93061","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112909","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107879","CodeType":"CPT","Code":"36904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"74","CodeVersion":"2017","CustomName":"CESAREAN SECTION AND REMOVAL OF FETUS"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.4","CodeVersion":"2017","CustomName":"MANUAL REMOVAL OF RETAINED PLACENTA"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111946","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0217U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0137U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73300","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93077","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21815","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0207U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0506T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.34","CodeVersion":"2017","CustomName":"PERCUTANEOUS TRANSMYOCARDIAL REVASCULARIZATION"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.40","CodeVersion":"2017","CustomName":"RESECTION VESSEL W\/REPLACEMENT UNSPECIFIED SITE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38704","CodeType":"ICD10P","Code":"4A020N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSUR LT HEART OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0424","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2367","CodeVersion":"2020","CustomName":"PWR WC ACSS BATT CHRGR DUL MODE W\/EITHER BATT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8647","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE=\/>0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5100","CodeVersion":"2020","CustomName":"HEARING AID BILATERAL BODY WORN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5647","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2805","CodeVersion":"2020","CustomName":"INJECTION SINCALIDE 5 MICROGRAMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1100","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS ORTHOS RING FLNGE PLSTC\/LEATHR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9328","CodeVersion":"2020","CustomName":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4124","CodeVersion":"2020","CustomName":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4231","CodeVersion":"2020","CustomName":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6077","CodeVersion":"2020","CustomName":"IMPLANT SUPP RET METAL FPD - HIGH NOBLE ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2645","CodeVersion":"2020","CustomName":"BRACHYTHERAPY PLANAR SRC PALLADIUM-103 PER SQ ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9231","CodeVersion":"2020","CustomName":"DOC ESRD DIAL RNA TX BF\/DUR MSR PR\/PG DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9225","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT VANTAS 50 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"E0782","CodeVersion":"2020","CustomName":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0343","CodeVersion":"2020","CustomName":"LAPAROT ISLET CELL TPLNT W\/PORTL VEIN CATH&INFUS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5170","CodeVersion":"2020","CustomName":"HOME DELIV MEALS INCLUDING PREPARATION; PER MEAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9284","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPRT NOT DOC H TYP\/NSCLC-NOS W\/E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1835","CodeVersion":"2020","CustomName":"INJECTION ITRACONAZOLE 50 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1580","CodeVersion":"2020","CustomName":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3300","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL TAPERED METATARSALS PER INCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5932","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS DEFINITIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9788","CodeVersion":"2020","CustomName":"MOST RECENT BP LESS THAN\/EQUAL TO 140\/90 MM HG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0274","CodeVersion":"2020","CustomName":"NP VST MEMBER HOME OUTSIDE CAPITATION ARRANGMENT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1767","CodeVersion":"2020","CustomName":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7307","CodeVersion":"2020","CustomName":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL & SPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1071","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE CYPIONATE 1 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2203","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 0.12-2.00D CYL-EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4037","CodeVersion":"2020","CustomName":"UROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6120","CodeVersion":"2020","CustomName":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1\/2 CUFF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0512","CodeVersion":"2020","CustomName":"RHC\/FQHC ONLY PSYCHIATRIC COCM 60 M\/>C TM-CAL MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1296","CodeVersion":"2020","CustomName":"SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6077","CodeVersion":"2020","CustomName":"IMPLANT SUPP RET METAL FPD - HIGH NOBLE ALLOYS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69689","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9994","CodeVersion":"2020","CustomName":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2204","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 2.12-4.00D CYL-EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6955","CodeVersion":"2020","CustomName":"ABVE ELB OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8055","CodeVersion":"2020","CustomName":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8428","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GAUNTLET READY MADE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9607","CodeVersion":"2020","CustomName":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6214","CodeVersion":"2020","CustomName":"PONTIC - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4014","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1160","CodeVersion":"2020","CustomName":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8513","CodeVersion":"2020","CustomName":"CLEANING DEVC USED W\/TRACHEOESOPH VOICE PROS PIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1015","CodeVersion":"2020","CustomName":"IV TUBING EXTENSION SET"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4138","CodeVersion":"2020","CustomName":"BIODFENCE DRYFLEX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0008","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10D00Z2","CodeVersion":"2020","CustomName":"EXTRACTION POC EXTRAPERITONEAL OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0477","CodeVersion":"2020","CustomName":"PWR MODULE PT CABLE ELEC\/PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4267","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH"},{"ServiceGroup":"14610","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"9444","CodeType":"REV","Code":"0544","CodeVersion":"2020","CustomName":"Ambulance - Oxygen"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0525","CodeVersion":"2020","CustomName":"FS CLINIC - VISIT BY RHC\/FQHC PRAC TO A MEMBER IN A SNF NOT IN A COVERED PART A STAY"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"33261","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"3165","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0732","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - Telemetry"},{"ServiceGroup":"68192","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0470","CodeVersion":"2020","CustomName":"Audiology - General Classification"},{"ServiceGroup":"58459","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40589","CodeType":"DRG","Code":"028","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age greater than 17, with CC"},{"ServiceGroup":"91657","CodeType":"DRG","Code":"787","CodeVersion":"2020","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY W CDE-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3512F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40403","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.32","CodeVersion":"2017","CustomName":"WHIRLPOOL TREATMENT"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87524","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.94","CodeVersion":"2017","CustomName":"MANUAL REPLACEMENT OF INVERTED UTERUS"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3756F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71340","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.21","CodeVersion":"2017","CustomName":"OPEN & OTH REPLACMNT AORTIC VALVE W\/TISSUE GRAFT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0112U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0586T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0696T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0095U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0299T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84182","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0014M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107866","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88101","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7261","CodeVersion":"2020","CustomName":"PRIMARY CLOSURE SINUS PERFORATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1503","CodeVersion":"2020","CustomName":"ADMN MED NOT ORAL & OR INJ HLTH AGENCY\/PROF VST"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7647","CodeVersion":"2020","CustomName":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0953","CodeVersion":"2020","CustomName":"WHEELCHAIR AC LAT THIGH\/KNEE SUPP ANY TYPE EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9262","CodeVersion":"2020","CustomName":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1892","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH INTRCARD EP FIX-CURVE PEEL-AWAY"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E06016","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C CENTRAL ARTERY OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8484","CodeVersion":"2020","CustomName":"INFLUENZA IMMUN NOT ADMINISTERED RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6790","CodeVersion":"2020","CustomName":"RETAINER CROWN - FULL CAST HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8942","CodeVersion":"2020","CustomName":"FNC OUTCM ASMT TOOL DOC PREV 30 DA & CARE PLN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6021","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN\/LESS EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4636","CodeVersion":"2020","CustomName":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5230","CodeVersion":"2020","CustomName":"ABVE KNEE PROX FEM FOCAL DEFIC SACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0780","CodeVersion":"2020","CustomName":"INJ PROCHLORPERAZINE TO 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2207","CodeVersion":"2020","CustomName":"RSN NOT ADM ADJ TX COURSE INCL CHEMO & HER2-TT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8668","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC < 0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4708","CodeVersion":"2020","CustomName":"ACTAT CONCENTRATE SOLUTION HEMODIAL PER GALLON"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5673","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM MOLD\/PRFAB FOR USE W\/LOCK MECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5611","CodeVersion":"2020","CustomName":"REPAIR RESIN PARTIAL DENTURE BASE MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0256","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5561","CodeVersion":"2020","CustomName":"INSULIN DELIVERY DEVICE REUSABLE PEN; 3 ML SIZE"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8515","CodeVersion":"2020","CustomName":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5160","CodeVersion":"2020","CustomName":"DISPENSING FEE BINAURAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2710","CodeVersion":"2020","CustomName":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0620","CodeVersion":"2020","CustomName":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0057","CodeVersion":"2020","CustomName":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5501","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT COMPLEX PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4719","CodeVersion":"2020","CustomName":"Y SET TUBING FOR PERITONEAL DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0714","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME & AVIBACTAM 0.5 G\/0.125 G"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9037","CodeVersion":"2020","CustomName":"INJECTION BELANTAMAB MAFODONTIN-BLMF 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8520","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 150 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6055","CodeVersion":"2020","CustomName":"WRST DISARTIC MOLD SOCKT W\/XPNDABLE INTERFCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2010","CodeVersion":"2020","CustomName":"REMOTE EVAL RECORDED VIDEO &\/ IMAGES SB ESTAB PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7048","CodeVersion":"2020","CustomName":"VACUUM DRAINAGE COLLECTION UNIT & TUBING KIT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7509","CodeVersion":"2020","CustomName":"FLTR HLDR&INTGR FLTR HOUS&ADHES TRACHEOSTOMA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2390","CodeVersion":"2020","CustomName":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3246","CodeVersion":"2020","CustomName":"INJECTION TIROFIBAN HCI 0.25 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4155","CodeVersion":"2020","CustomName":"NEOXFLO OR CLARIXFLO 1 MG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3032","CodeVersion":"2020","CustomName":"INJECTION EPTINEZUMAB-JJMR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0669","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS HALF LEG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9128","CodeVersion":"2020","CustomName":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6647","CodeVersion":"2020","CustomName":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR"},{"ServiceGroup":"38444","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"33312","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0692","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - HOURLY CHARGE"},{"ServiceGroup":"70046","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"63488","CodeType":"REV","Code":"0911","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Rehabilitation"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"70043","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"75419","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"44391","CodeType":"REV","Code":"0562","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Hourly Charge"},{"ServiceGroup":"12702","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"62717","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50905","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0399","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS-OTH BLOOD HANDLING"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"882","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV < 96 HRS -NYDRG"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"33789","CodeType":"DRG","Code":"887","CodeVersion":"2020","CustomName":"Other Mental Disorder Diagnoses"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93023","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0656T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0642T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0713T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99145","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106227","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10","CodeType":"ICD9P","Code":"35.96","CodeVersion":"2017","CustomName":"PERCUTANEOUS VALVULOPLASTY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9881","CodeVersion":"2020","CustomName":"MDPP BNF ACHV AL 9% WL B WT MO 1-24 UND MDPP EM"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4274","CodeVersion":"2020","CustomName":"MESIAL\/DISTAL WEDGE PROCEDURE SINGLE TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0503","CodeVersion":"2020","CustomName":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0119","CodeVersion":"2020","CustomName":"ONDANSETRON ORAL 4 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9595","CodeVersion":"2020","CustomName":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0691","CodeVersion":"2020","CustomName":"UV LIGHT TX SYS BULB\/LAMP TIMER; TX 2 SQ FT\/LESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0606","CodeVersion":"2020","CustomName":"AUTO EXT DEFIB W\/INTGR ECG ANALY GARMENT TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1250","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ANTERIOR ASIS PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7515","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0004","CodeVersion":"2020","CustomName":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6216","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL 16 SQ\/< W\/O ADHES EA"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1083","CodeVersion":"2020","CustomName":"HEMI-W\/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1705","CodeVersion":"2020","CustomName":"ASTRAZENECA COVID-19 VACC"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0049","CodeVersion":"2020","CustomName":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0980","CodeVersion":"2020","CustomName":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1265","CodeVersion":"2020","CustomName":"INJECTION DOPAMINE HCL 40 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1020","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0069","CodeVersion":"2020","CustomName":"PROF SRVC ADM SUBQ IMT ADM CAL DA IND HM EA 15 M"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9047","CodeVersion":"2020","CustomName":"INJECTION CARFILZOMIB 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1245","CodeVersion":"2020","CustomName":"INJECTION DIPYRIDAMOLE PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9822","CodeVersion":"2020","CustomName":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6690","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2370","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9453","CodeVersion":"2020","CustomName":"SMOKING CESSATION CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8451","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED WRIST OR ANKLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2267","CodeVersion":"2020","CustomName":"INDUCED ABORTION 32 WEEKS OR GREATER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8033","CodeVersion":"2020","CustomName":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA"},{"ServiceGroup":"35558","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"59423","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93725","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4168F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22661","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3292F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.29","CodeVersion":"2017","CustomName":"OTHER VASCULAR SHUNT OR BYPASS"},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2350","CodeVersion":"2020","CustomName":"DISKECT ANT W\/OSTEOPHYTECT; LUMBAR 1 INTERSPACE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0668","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL ARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0738","CodeVersion":"2020","CustomName":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5828","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN FL SWING&STANCE PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2192","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: TEMP HA PT OVR 55 YOA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9385","CodeVersion":"2020","CustomName":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0787","CodeVersion":"2020","CustomName":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4554","CodeVersion":"2020","CustomName":"DISPOSABLE UNDERPADS ALL SIZES"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7610","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0585","CodeVersion":"2020","CustomName":"NEBULIZER WITH COMPRESSOR AND HEATER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4277","CodeVersion":"2020","CustomName":"FREE SFT TSS GFT PROC 1ST T\/EDNTULS T PSTN GFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1727","CodeVersion":"2020","CustomName":"CATHETER BALLOON TISSUE DISSECTOR NON-VASCULAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2406","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN KIMYRSA 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3530","CodeVersion":"2020","CustomName":"NASAL VACCINE INHALATION"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0139","CodeVersion":"2020","CustomName":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5707","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0026","CodeVersion":"2020","CustomName":"ALCOHL&\/RX PREVENTION PROCESS SERVICE CMTY-BASED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6094","CodeVersion":"2020","CustomName":"ABUTMENT SUPP CROWN - TITANIUM & TITANIUM ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2225","CodeVersion":"2020","CustomName":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5712","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4086F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2087","CodeVersion":"2020","CustomName":"OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8430","CodeVersion":"2020","CustomName":"DOC MED RSN NOT DOC UPDAT\/REV PT CUR MED LIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1226","CodeVersion":"2020","CustomName":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9021","CodeVersion":"2020","CustomName":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6600","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0070","CodeVersion":"2020","CustomName":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2001","CodeVersion":"2020","CustomName":"BRIEF 20 MINUTES IN-HOME VISIT NEW PT POST-D\/C."},{"ServiceGroup":"15559","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"44284","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0900","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - General Classification"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0182","CodeVersion":"2020","CustomName":"Leave Of Absence - Patient Convenience"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0385","CodeVersion":"2020","CustomName":"Blood and Blood Components - Leukocytes"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4196F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91037","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12523","CodeType":"ICD9P","Code":"92.31","CodeVersion":"2017","CustomName":"SINGLE SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"108687","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98465","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3455F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41333","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29780","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3492F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0607T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104743","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10361","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107097","CodeType":"CPT","Code":"41008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16778","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98104","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0382","CodeVersion":"2020","CustomName":"BLS ROUTINE DISPOSABLE SUPPLIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1355","CodeVersion":"2020","CustomName":"CARIES PREVENTIVE MEDICAMENT APPLIC - PER TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1802","CodeVersion":"2020","CustomName":"DYN ADJUSTBL FORARM PRON\/SUPIN DEVC INTRFCE MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4185","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION SOL NOS 10 GRAMS LIPIDS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9999","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3976","CodeVersion":"2020","CustomName":"SEWHFO ABDUCT PSTN THOR CMPNT W\/O JOINTS CUS FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5123","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0110","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT&BUS INTRA-\/INTERSTATE CARRIER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5915","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0308","CodeVersion":"2020","CustomName":"CREAT SUBQ PKT INSRT 180 D IMPL INTERST GLU SNSR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2786","CodeVersion":"2020","CustomName":"INJECTION RESLIZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0971","CodeVersion":"2020","CustomName":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9900","CodeVersion":"2020","CustomName":"DME SUP\/ACCESS\/SRV-COMPON\/OTH HCPCS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8460","CodeVersion":"2020","CustomName":"CAMISOLE POST-MASTECTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H1003","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4008","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7015","CodeVersion":"2020","CustomName":"AREO MASK USED W\/ DME NEB"},{"ServiceGroup":"29092","CodeType":"HCPCS","Code":"A0428","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6623","CodeVersion":"2020","CustomName":"UP EXT ADD SPRNG ASST ROTATL WRST U W\/LATCH RLSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9075","CodeVersion":"2020","CustomName":"ONC; STATUS; FE BRST CA; ACA; M1 MET LOC RECUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0745","CodeVersion":"2020","CustomName":"INJECTION CODEINE PHOSPHATE PER 30 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8907","CodeVersion":"2020","CustomName":"PT DOC NO:BURN;FALL FAC;WRG EVENT;\/HOS TRANSFER"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2150","CodeVersion":"2020","CustomName":"AMALGAM-TWO SURFACES PRIMARY\/PERM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6940","CodeVersion":"2020","CustomName":"ELB DISARTIC OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9036","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0337","CodeVersion":"2020","CustomName":"HOSPICE EVALUATION & CNSL SERVICES PREELECTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5850","CodeVersion":"2020","CustomName":"TISSUE CONDITIONING MAXILLARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7193","CodeVersion":"2020","CustomName":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9423","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RPRT H TYP\/NSCLC-NOS CLASS EXPLN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4012","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9461","CodeVersion":"2020","CustomName":"MEDCR_RVU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1018","CodeVersion":"2020","CustomName":"EXTERNAL UL TREMOR STIM PERIPH NERVES WRIST"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"29294","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"24639","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"33311","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0852","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"26893","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0239","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - Other"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0823","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.99","CodeVersion":"2017","CustomName":"OTHER RESPIRATORY THERAPY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4064F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4164F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0321T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3570F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0641T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76092","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2029F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"67.61","CodeVersion":"2017","CustomName":"SUTURE OF LACERATION OF CERVIX"},{"ServiceGroup":"102260","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91880","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0854","CodeVersion":"2020","CustomName":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4008","CodeVersion":"2020","CustomName":"GERIATRICS MIPS SPECIALTY SET"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9928","CodeVersion":"2020","CustomName":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0186","CodeVersion":"2020","CustomName":"DESTRUC LOC LES CHOROID; PHOTOCOAG FDER VES TECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9353","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1756","CodeVersion":"2020","CustomName":"CATHETER PACING TRANSESOPHAGEAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5795","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5740","CodeVersion":"2020","CustomName":"RELINE MAXILLARY PARTIAL DENTURE DIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8966","CodeVersion":"2020","CustomName":"CARD STRSS IMAG TST PER SX\/HI THAN L CHD RSK PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0422","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0476","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9457","CodeVersion":"2020","CustomName":"PT NO ABD IMAG & NOT DOC RSN NO ABD IMAG SBMS P"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1049","CodeVersion":"2020","CustomName":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7195","CodeVersion":"2020","CustomName":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2761","CodeVersion":"2020","CustomName":"MIRROR COAT TYPE SOLID GRADENT\/= LENS MATL-LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0477","CodeVersion":"2020","CustomName":"SPECIAL STAINS NOT MICROORGANISMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4033","CodeVersion":"2020","CustomName":"SKILLED NURSING FACILITY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3101","CodeVersion":"2020","CustomName":"INJECTION TENECTEPLASE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7298","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7874","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DISC REPOSITIONING & STABILIZATION"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0960","CodeVersion":"2020","CustomName":"Professional Fees - General Classification"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"15789","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"74931","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"72781","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"78377","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"518","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures without AMI, without coronary artery stent implant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"957","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Multiple Significant Trauma with MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98406","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0424T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0134A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0136U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"16036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0192U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0682T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3215F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0583T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0067U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9761","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0406","CodeVersion":"2020","CustomName":"F\/U IP CNSLT LTD PHYS 15 MIN W\/PT VIA TELEHEALTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9101","CodeVersion":"2020","CustomName":"INJECTION OLICERIDINE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0088","CodeVersion":"2020","CustomName":"IMATINIB 100 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0133","CodeVersion":"2020","CustomName":"INJECTION ACYCLOVIR 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2618","CodeVersion":"2020","CustomName":"PROBE\/NEEDLE CRYOABLATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"U0004","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/COVID-19 ANY T"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9284","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPRT NOT DOC H TYP\/NSCLC-NOS W\/E"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7203","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX GLYCOPEGYLATED 1 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4615","CodeVersion":"2020","CustomName":"CANNULA NASAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1831","CodeVersion":"2020","CustomName":"KNEE ORTHO LOCK KNEE JNT PSTN ORTHO PRFAB W\/FIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0454","CodeVersion":"2020","CustomName":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA\/CNS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2377","CodeVersion":"2020","CustomName":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1781","CodeVersion":"2020","CustomName":"MESH"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0641","CodeVersion":"2020","CustomName":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9892","CodeVersion":"2020","CustomName":"DOC PT REASON NOT PERFORMED DILATED MACULAR EXAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3655","CodeVersion":"2020","CustomName":"ANTISPERM ANTIBODIES TEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9037","CodeVersion":"2020","CustomName":"PLATLTS PHERES LEUKOCYTES RDUC IRRADATD EA UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8658","CodeVersion":"2020","CustomName":"RSK-A FXN STS CH RSD SC FT\/ANK IMPR NO MSR N RSN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2004","CodeVersion":"2020","CustomName":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9451","CodeVersion":"2020","CustomName":"PATIENT RECEIVED ONE-TIME SCR FOR HCV INFECTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1450","CodeVersion":"2020","CustomName":"INJECTION FLUCONAZOLE 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9542","CodeVersion":"2020","CustomName":"HOME INJ TX NOC W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2426","CodeVersion":"2020","CustomName":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0555","CodeVersion":"2020","CustomName":"HUMDIFIR DURABLE GLASS\/AUTOCLAVABLE PLSTC BOTTLE"},{"ServiceGroup":"21818","CodeType":"ICD10P","Code":"4A020N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSUR LT HEART OP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2275","CodeVersion":"2020","CustomName":"ADD LW EXTRM VARUS\/VULGUS CORR PLSTC MOD PADD\/LN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4381","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2797","CodeVersion":"2020","CustomName":"INJECTION ROLAPITANT 0.5 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0380","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAG CAP W\/LTD FD VIEW-<1 WHOLE JAW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B9004","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION INFUSION PUMP PORTABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1120","CodeVersion":"2020","CustomName":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7999","CodeVersion":"2020","CustomName":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9400","CodeVersion":"2020","CustomName":"INJECTION ZIV-AFLIBERCEPT 1 MG"},{"ServiceGroup":"27969","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0341","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0542","CodeVersion":"2020","CustomName":"Ambulance - Medical Transport"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"9541","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0904","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Activity Therapy"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"33828","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"74403","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"29294","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0600","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38016","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4013F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4194F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98593","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105249","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0212T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80533","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0046U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0183U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1135","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8932","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY W\/O CONTRST SPINAL CANAL CONTENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4421","CodeVersion":"2020","CustomName":"OSTOMY SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8427","CodeVersion":"2020","CustomName":"ELIG CLIN ATTSTS DOC M REC OBTD UPD\/REV PT MEDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2195","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: OCC HEADACHE CHILDREN"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9593","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5722","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL"},{"ServiceGroup":"25282","CodeType":"HCPCS","Code":"A0428","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8660","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC < 0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0517","CodeVersion":"2020","CustomName":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7008","CodeVersion":"2020","CustomName":"ELECTRIC HAND SWITCH\/MYOELECTRIC CNTRL PEDIATRIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2632","CodeVersion":"2020","CustomName":"WC ACCESS ADD MOBIL ARM SUPP OFFSET\/LAT RCKR ARM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9629","CodeVersion":"2020","CustomName":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6714","CodeVersion":"2020","CustomName":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1764","CodeVersion":"2020","CustomName":"EVENT RECORDER CARDIAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3346","CodeVersion":"2020","CustomName":"RETX PREVIOUS RC THERAPY - ANTERIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7035","CodeVersion":"2020","CustomName":"HEADGEAR USED W\/POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0460","CodeVersion":"2020","CustomName":"PULP VITALITY TESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4337","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0944","CodeVersion":"2020","CustomName":"PELVIC BELT\/HARNESS\/BOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9003","CodeVersion":"2020","CustomName":"COUNSELING GROUP BY CHAPLAIN SERVICES"},{"ServiceGroup":"21818","CodeType":"ICD10P","Code":"4A020N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART OPEN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2619","CodeVersion":"2020","CustomName":"REPL COVER WHEELCHAIR SEAT CUSHN\/BACK CUSHN EA"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0580","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"461","CodeVersion":"2020","CustomName":"Operating room procedures with diagnoses of other contact with health services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"352","CodeVersion":"2020","CustomName":"Other male reproductive system diagnoses"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.1","CodeVersion":"2017","CustomName":"OPEN HEART VALVULOPLASTY WITHOUT REPLACEMENT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.71","CodeVersion":"2017","CustomName":"OTHER&UNSPECIFIED REPAIR OF ATRIAL SEPTAL DEFECT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104114","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0009U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0354T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84180","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72041","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1310","CodeVersion":"2020","CustomName":"NUTRIT CNSL CONTROL DENTAL DISEASE"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8465","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER UPPER LIMB EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0466","CodeVersion":"2020","CustomName":"HOME VENTILATOR ANY TYPE USED W\/NON-INVASV INTF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3809","CodeVersion":"2020","CustomName":"WRIST HAND FINGER W\/O JOINT PREFAB ANY TYPE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2197","CodeVersion":"2020","CustomName":"PATIENT SCR UH ALC USE NOT ID AS AN UH ALC USR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9396","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC >9 NOT ASSESSED RM AT 12 MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2550","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THIGH\/WEIGHT BEAR HIGH ROLL CUFF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2232","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2001","CodeVersion":"2020","CustomName":"INJECTION LIDOCAINE HCL INTRAVENOUS INFUS 10 MG"},{"ServiceGroup":"30064","CodeType":"ICD10P","Code":"GZB4ZZZ","CodeVersion":"2020","CustomName":"OTHER ELECTROCONVULSIVE THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2093","CodeVersion":"2020","CustomName":"DOC MED REASN NO PRSC ACE INHIB\/ARB\/ARNI TH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9883","CodeVersion":"2020","CustomName":"2 MDPP ONGO MS ATD MDPP BNF MO 16-18 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9675","CodeVersion":"2020","CustomName":"PT WHO HAVE HAD F\/DIR LAB RSLT LDL-C=190 MG\/DL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9214","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2402","CodeVersion":"2020","CustomName":"NEG PRESS WOUND THERAPY ELEC PUMP STATION\/PRTBLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5102","CodeVersion":"2020","CustomName":"BEDSID DRAIN BOTTLE W\/WO TUBING RIGD\/XPNDABLE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2203","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 0.12-2.00D CYL-EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2596","CodeVersion":"2020","CustomName":"PROBE IMAGE GUIDED ROBOTIC WATERJET ABLATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0583","CodeVersion":"2020","CustomName":"INJECTION BIVALIRUDIN 1 MG"},{"ServiceGroup":"48380","CodeType":"HCPCS","Code":"V2788","CodeVersion":"2020","CustomName":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2785","CodeVersion":"2020","CustomName":"INJECTION REGADENOSON 0.1 MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3213","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR CHILD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7461","CodeVersion":"2020","CustomName":"REMV BEN NONODONTOGNIC TUMR >125 CM"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0891","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X and 063X - Special Processed Drugs - FDA Approved Cell Therapy"},{"ServiceGroup":"30060","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"107750","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"8960","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"33252","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"95360","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"69681","CodeType":"DRG","Code":"517","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures without acute myocardial infarction (AMI) with coronary artery stent implant"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0160U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4167F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3284F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0716T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104337","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62259","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.42","CodeVersion":"2017","CustomName":"REVISION OF ARTERIOVENOUS SHUNT RENAL DIALYSIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8944","CodeVersion":"2020","CustomName":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2210","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER OVR 6.00D CYL-LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4398","CodeVersion":"2020","CustomName":"FOOT DROP SPLINT RECUMBENT POSITIONING PREFAB"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7295","CodeVersion":"2020","CustomName":"ETHINYL ESTRAD&ETONOG 0.015 0.12MG\/24H M VAG RNG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0321","CodeVersion":"2020","CustomName":"OTHER TMJ RADIOGRAPHIC IMAGES BY REPORT"},{"ServiceGroup":"63118","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5199","CodeVersion":"2020","CustomName":"PERSONAL CARE ITEM NOS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9343","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4224","CodeVersion":"2020","CustomName":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2212","CodeVersion":"2020","CustomName":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7750","CodeVersion":"2020","CustomName":"MALAR AND\/OR ZYGOMATIC ARCH-OPEN REDUCTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4652","CodeVersion":"2020","CustomName":"MICROCAPILLARY TUBE SEALANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4233","CodeVersion":"2020","CustomName":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT"},{"ServiceGroup":"90558","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"76531","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0304","CodeVersion":"2020","CustomName":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5226","CodeVersion":"2020","CustomName":"MANDIBULAR PARTIAL DENTURE - FLEXIBLE BASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7955","CodeVersion":"2020","CustomName":"REPR MAXLOFACL SOFT&\/HARD TISS DFCT"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4629","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0277","CodeVersion":"2020","CustomName":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6118","CodeVersion":"2020","CustomName":"IMPL\/ABUT SPTD INTRM FIX DENTUR EDENT ARCH-MAND"},{"ServiceGroup":"46030","CodeType":"ICD10P","Code":"0DB90ZZ","CodeVersion":"2020","CustomName":"EXCISION \/ OF DUODENUM \/ OPEN \/ APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1427","CodeVersion":"2020","CustomName":"INJECTION VILTOLARSEN 10 MG"},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.92","CodeVersion":"2017","CustomName":"REPLACEMENT OF PROLAPSED UMBILICAL CORD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115580","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7870","CodeVersion":"2020","CustomName":"ARTHROCENTESIS"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7202","CodeVersion":"2020","CustomName":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2035","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0084","CodeVersion":"2020","CustomName":"COMPREHENSIVE CARE MGMT HOME VISIT FOR XST PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1030","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1001","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH EVICORE DEFIND MCR AUC PROG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9209","CodeVersion":"2020","CustomName":"INJECTION MESNA 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6646","CodeVersion":"2020","CustomName":"UP EXT ADD SHLDR JNT MX PSTN W\/BDY\/EXT PWR SYS"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"40147","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"30504","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"61040","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"76040","CodeType":"REV","Code":"0889","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Other Miscellaneous Dialysis"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0953","CodeVersion":"2020","CustomName":"OTHER THERAPEUTIC SERVICES - EXTENSION OF 094X - CHEMICAL DEPENDENCY (DRUG AND ALCOHOL)"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"58456","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"168","CodeVersion":"2020","CustomName":"Mouth procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"078","CodeVersion":"2020","CustomName":"Pulmonary embolism"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3285F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107321","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100285","CodeType":"CPT","Code":"90473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0351U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0489T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0115U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0702T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0219T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98500","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0311U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17324","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.31","CodeVersion":"2017","CustomName":"OPEN CHEST TRANSMYOCARDIAL REVASCULARIZATION"},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0575F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"75.50","CodeVersion":"2017","CustomName":"REPAIR CURRENT OBSTETRIC LACERATION UTERUS NOS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0163U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0596T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93017","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1504F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50062","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3353F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6199","CodeVersion":"2020","CustomName":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4725","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>4999<\/=5999CC PERITON DIALYS"},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10T24ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC PC ENDO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0694","CodeVersion":"2020","CustomName":"UV MX DIR LT TX SYS 6 FT CABINET W\/BULB\/LAMP TMR"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8841","CodeVersion":"2020","CustomName":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9145","CodeVersion":"2020","CustomName":"INSULIN PUMP INITIATION INSTRUCTION USE OF PUMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9452","CodeVersion":"2020","CustomName":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2670","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6794","CodeVersion":"2020","CustomName":"RETAINER CROWN - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0257","CodeVersion":"2020","CustomName":"CNSL&DISCUSS ADV DIRCTV\/EOL CARE PT&\/SURROGATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9080","CodeVersion":"2020","CustomName":"ONC; STATUS; PROS CA; TX RISING PSA\/FAIL DECLINE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4238","CodeVersion":"2020","CustomName":"DERM-MAXX PER SQ CM"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5258","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL CIC"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9603","CodeVersion":"2020","CustomName":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8666","CodeVersion":"2020","CustomName":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2028","CodeVersion":"2020","CustomName":"SPECIALIZED SUPPLY NOT OTH SPECIFIED WAIVER"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D1110","CodeVersion":"2020","CustomName":"PROPHYLAXIS - ADULT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2724","CodeVersion":"2020","CustomName":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2032","CodeVersion":"2020","CustomName":"RESIDENTIAL CARE NOS WAIVER; PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0040","CodeVersion":"2020","CustomName":"ADJUSTABLE ANGLE FOOTPLATE EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7323","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE EUFLEXXA IA INJ PER DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3120","CodeVersion":"2020","CustomName":"PULP CAP - INDIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2101","CodeVersion":"2020","CustomName":"HUMAN BREAST MILK PROCESSING STORAGE&DSTRB ONLY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0178","CodeVersion":"2020","CustomName":"INJECTION AFLIBERCEPT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9501","CodeVersion":"2020","CustomName":"RAD EXP INDCS\/EXP TM & NO FLUORO IMG N DOC N RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2081","CodeVersion":"2020","CustomName":"PT 66 &> INST SNP\/RESID LTC >90 DAYS DUR MSR PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1779","CodeVersion":"2020","CustomName":"LEAD PACEMAKER TRANSVENOUS VDD SINGLE PASS"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0733","CodeVersion":"2020","CustomName":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1009","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0121","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9594","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3515F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104951","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4190F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0509T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0015M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97299","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.04","CodeVersion":"2017","CustomName":"INTRACORONARY ARTERY THROMBOLYTIC INFUSION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0554T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0190","CodeVersion":"2020","CustomName":"CERV MX POST COLLR OCCIP\/MAND SUPP ADJ CERV BARS"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0700","CodeVersion":"2020","CustomName":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7280","CodeVersion":"2020","CustomName":"EXPOSURE OF AN UNERUPTED TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4239","CodeVersion":"2020","CustomName":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0697","CodeVersion":"2020","CustomName":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0813","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9429","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL PT CAT & STM THK ULCER & MR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7699","CodeVersion":"2020","CustomName":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5613","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK-DISARTIC 4-BAR W\/HYDRAULIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3471","CodeVersion":"2020","CustomName":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7194","CodeVersion":"2020","CustomName":"FACTOR IX COMPLEX PER IU"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1655","CodeVersion":"2020","CustomName":"INJECTION TINZAPARIN SODIUM 1000 IU"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8510","CodeVersion":"2020","CustomName":"VOICE AMPLIFIER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2800","CodeVersion":"2020","CustomName":"INJECTION METHOCARBAMOL UP TO 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0005","CodeVersion":"2020","CustomName":"ULTRALIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7710","CodeVersion":"2020","CustomName":"MAXILLA-OPEN REDUCTION"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0068","CodeVersion":"2020","CustomName":"PROF SRVC ADM ANTI-INFEC PM ADM CD IND HM E 15 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8425","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5655","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4200","CodeVersion":"2020","CustomName":"SKINTE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9810","CodeVersion":"2020","CustomName":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8030","CodeVersion":"2020","CustomName":"BREAST PROSTH SILICONE\/EQUAL W\/O INTEGRAL ADHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0278","CodeVersion":"2020","CustomName":"ILIAC ARTERY ANGIO AT TIME CARDIAC CATH RAD S&I"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4127","CodeVersion":"2020","CustomName":"TALYMED PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8310","CodeVersion":"2020","CustomName":"TRUSS DOUBLE WITH STANDARD PADS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1240","CodeVersion":"2020","CustomName":"INJECTION DIMENHYDRINATE UP TO 50 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104295","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"977","CodeType":"REV","Code":"0329","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Other Radiology - Diagnostic"},{"ServiceGroup":"12886","CodeType":"REV","Code":"0658","CodeVersion":"2020","CustomName":"Hospice Service - Hospice Room and Board - Nursing Facility"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0835","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.44","CodeVersion":"2017","CustomName":"OTHER SKELETAL TRACTION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2029F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64322","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0220U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0328T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3511F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4196F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3511F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0349T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112026","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91026","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101320","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1231","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W\/SEAT SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4014","CodeVersion":"2020","CustomName":"NEPHROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3485","CodeVersion":"2020","CustomName":"INJECTION ZIDOVUDINE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7003","CodeVersion":"2020","CustomName":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6320","CodeVersion":"2020","CustomName":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY"},{"ServiceGroup":"77440","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3060","CodeVersion":"2020","CustomName":"INJECTION TALIGLUCERACE ALFA 10 UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7508","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2326","CodeVersion":"2020","CustomName":"PWR WC ACSS BREATH TUBE KIT SIP&PUFF INTERFCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0592","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0502","CodeVersion":"2020","CustomName":"OTHER ORAL PATHOLOGY PROC REPORT"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4138","CodeVersion":"2020","CustomName":"BIODFENCE DRYFLEX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4383","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9153","CodeVersion":"2020","CustomName":"MX VIT W\/WO MINERLS&TRACE ELEMS ORL PER DOSE NOS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1201","CodeVersion":"2020","CustomName":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0167","CodeVersion":"2020","CustomName":"DRONABINOL 2.5 MG ORAL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0364","CodeVersion":"2020","CustomName":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1896","CodeVersion":"2020","CustomName":"LEAD CARDIOVRT-DFIB NOT ENDOCARDIAL 1\/DUL COIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8530","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE ORAL 25 MG"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1120","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3530","CodeVersion":"2020","CustomName":"NASAL VACCINE INHALATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7760","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH CLOSED REDUCTION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"229","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"3434","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0304","CodeVersion":"2020","CustomName":"Laboratory - Non-Routine Dialysis"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"492","CodeVersion":"2020","CustomName":"Chemotherapy with acute leukemia as secondary diagnosis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3472F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3319F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0695T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0229U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97922","CodeType":"CPT","Code":"58180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104907","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91593","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89942","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2636","CodeVersion":"2020","CustomName":"BRACHYTX LINEAR NONSTRAND PALLADIUM-103 PER 1 MM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2041","CodeVersion":"2020","CustomName":"KTE-C19 TO 200 M A ANTI-CD19 CAR POS T CE P TD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0273","CodeVersion":"2020","CustomName":"PHYS VST MEMBER HOME OUTSIDE CAPITATION ARRNGMNT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9356","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK"},{"ServiceGroup":"63445","CodeType":"HCPCS","Code":"J2790","CodeVersion":"2020","CustomName":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9948","CodeVersion":"2020","CustomName":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY\/LAMI"},{"ServiceGroup":"90707","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0131","CodeVersion":"2020","CustomName":"INJECTION ACETAMINOPHEN 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9056","CodeVersion":"2020","CustomName":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2291","CodeVersion":"2020","CustomName":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0741","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG\/3MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1019","CodeVersion":"2020","CustomName":"PERSONAL CARE SERVICES PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"80284","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4376","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/FACEPLATE ATTCH RUBR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3535","CodeVersion":"2020","CustomName":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1003","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH MEDICALIS DEFIND MCR AUC PROG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6230","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL> 48 SQ NO ADHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0123","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG SCR CYTOTECH UND PHYS SUPV"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56103","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3216","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4638","CodeVersion":"2020","CustomName":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1843","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF PREFAB"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9155","CodeVersion":"2020","CustomName":"INJECTION DEGARELIX 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8928","CodeVersion":"2020","CustomName":"TTE W\/CNTRST INCL M-MODE REC REST & CV ST W\/I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5118","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3967","CodeVersion":"2020","CustomName":"SEWHO ABDUCTION POSITIONING W\/O JOINTS CSTM FAB"},{"ServiceGroup":"70042","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"032","CodeVersion":"2020","CustomName":"Concussion, age greater than 17, without CC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"267","CodeVersion":"2020","CustomName":"Perianal and pilonidal procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90356","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0351T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"ICD9P","Code":"92.31","CodeVersion":"2017","CustomName":"SINGLE SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9522","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3370F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3384F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4086F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0714T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0614T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.85","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OTHER THORACIC VESSEL"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2206","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; ART GFT 2 COR ART GFT"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0129","CodeVersion":"2020","CustomName":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1037","CodeVersion":"2020","CustomName":"RECEIVER; EXTERNAL USE W\/ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5264","CodeVersion":"2020","CustomName":"EAR MOLD\/INSERT NOT DISPOSABLE ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9347","CodeVersion":"2020","CustomName":"HIT UNINTRPED LNG-TERM CNTRL RATE IV\/SUBQ;-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9059","CodeVersion":"2020","CustomName":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4181","CodeVersion":"2020","CustomName":"AMNIO WOUND PER SQUARE CM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0500","CodeVersion":"2020","CustomName":"FILTERS FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10D00Z1","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION LOW OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1392","CodeVersion":"2020","CustomName":"PORTABLE OXYGEN CONCENTRATOR RENTAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0231","CodeVersion":"2020","CustomName":"NON-CNTC WND WARMING DEVC W\/WARMING CARD&COVR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1128F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0433","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9055","CodeVersion":"2020","CustomName":"INJECTION CETUXIMAB 10 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0032","CodeVersion":"2020","CustomName":"INJECTION NAFCILLIN SODIUM 2 GRAMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4217","CodeVersion":"2020","CustomName":"WNDFIX BIOWND WNDFIX+BIOWND+WNDFIX X+\/X+ P SC"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1779","CodeVersion":"2020","CustomName":"LEAD PACEMAKER TRANSVENOUS VDD SINGLE PASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1437","CodeVersion":"2020","CustomName":"INJECTION FERRIC DERISOMALTOSE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9155","CodeVersion":"2020","CustomName":"INJECTION DEGARELIX 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9459","CodeVersion":"2020","CustomName":"CURRENTLY A TOBACCO NON-USER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2310","CodeVersion":"2020","CustomName":"INJECTION NALOXONE HCL PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4630","CodeVersion":"2020","CustomName":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0580","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - General Classification"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0889","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Other Miscellaneous Dialysis"},{"ServiceGroup":"35560","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0648","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training, Disabled Patient, Peripheral Line\""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0418T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34871","CodeType":"ICD9P","Code":"11.61","CodeVersion":"2017","CustomName":"LAMELLAR KERATOPLASTY WITH AUTOGRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0298U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4195F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0022A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4192F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0305T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0276U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0657T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28551","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0539T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73488","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0340T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0077U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97895","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2675","CodeVersion":"2020","CustomName":"INJECTION PROGESTERONE PER 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5640","CodeVersion":"2020","CustomName":"REPLACE BROKEN TEETH - PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8655","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE =0 \/ >0"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4103","CodeVersion":"2020","CustomName":"OASIS BURN MATRIX PER SQ CM"},{"ServiceGroup":"27856","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0132","CodeVersion":"2020","CustomName":"INJECTION GANIRELIX ACETATE 250 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4003","CodeVersion":"2020","CustomName":"EMERGENCY MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0194","CodeVersion":"2020","CustomName":"DIALYSIS\/STRESS VITAMIN SUPL ORAL 100 CAPSULES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1630","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL UP TO 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4229","CodeVersion":"2020","CustomName":"COGENEX AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0917","CodeVersion":"2020","CustomName":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5244","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9104","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1732","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX\/ABLAT 3D\/VECTOR MAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1037","CodeVersion":"2020","CustomName":"TRANSPORT CHAIR PEDIATRIC SIZE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9858","CodeVersion":"2020","CustomName":"PATIENT ENROLLED IN HOSPICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2115","CodeVersion":"2020","CustomName":"PT 66-80 Y CLM FRLTY & DISP MED DEMENT MP\/YR MP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1015","CodeVersion":"2020","CustomName":"CLINIC VISIT\/ENCOUNTER ALL-INCLUSIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5725","CodeVersion":"2020","CustomName":"REBASE HYBRID PROSTHESIS"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5714","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4425","CodeVersion":"2020","CustomName":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W\/FILTR EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"45.91","CodeVersion":"2017","CustomName":"SMALL-TO-SMALL INTESTINAL ANASTOMOSIS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0894","CodeVersion":"2020","CustomName":"INJECTION DECITABINE 1 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5040","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0056","CodeVersion":"2020","CustomName":"SEAT HT<17\/=TO\/>21 IN LTWT\/ULTRALTWT WHLCHAIR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1744","CodeVersion":"2020","CustomName":"INJECTION ICATIBANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2113","CodeVersion":"2020","CustomName":"1 VISN +\/- 7.25 +\/- 12.00D SPH 4.25-6.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8925","CodeVersion":"2020","CustomName":"TEE W OR W\/O FLW W\/CNTRST REAL TIME 2D; ACQ I&R"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0919","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Other Behavioral Health Treatments"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"12117","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"25535","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"29817","CodeType":"DRG","Code":"806","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3758F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91014","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0267U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0351T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0156U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91631","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0002M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0180U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0265U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7364","CodeVersion":"2020","CustomName":"TWELVE VOLT BATTERY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5710","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9511","CodeVersion":"2020","CustomName":"IDX PHQ-9\/PHQ-9M SC>9 DOC DUR 12 MO DNOMN ID PRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5726","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"30064","CodeType":"ICD10P","Code":"GZB0ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY UNILAT-SINGLE SEIZURE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0887","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0483","CodeVersion":"2020","CustomName":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0696","CodeVersion":"2020","CustomName":"INJECTION CEFTRIAXONE SODIUM PER 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1990","CodeVersion":"2020","CustomName":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8536","CodeVersion":"2020","CustomName":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN"},{"ServiceGroup":"111962","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2010","CodeVersion":"2020","CustomName":"APIS PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9430","CodeVersion":"2020","CustomName":"PHARMACY COMPOUNDING AND DISPENSING SERVICES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9046","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 25% 20 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1801","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2784","CodeVersion":"2020","CustomName":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3300","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL TAPERED METATARSALS PER INCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0485","CodeVersion":"2020","CustomName":"INJECTION BELATACEPT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9140","CodeVersion":"2020","CustomName":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9198","CodeVersion":"2020","CustomName":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4122","CodeVersion":"2020","CustomName":"DERMACLL DERMACLL AWM\/DERMACLL AWM POROUS P SC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0812","CodeVersion":"2020","CustomName":"PHOTOTHERAPEUTIC KERATECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1090","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS LUMBAR SLING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9373","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY HYDRATION TX; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0135","CodeVersion":"2020","CustomName":"INJECTION ADALIMUMAB 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8950","CodeVersion":"2020","CustomName":"COMPLEX LYMPHEDEMA THERAPY EACH 15 MINUTES"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"63","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"9826","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"68192","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"756","CodeVersion":"2020","CustomName":"SPINAL FUSION W\/O CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0720T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4172F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0012A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0214T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89276","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0287T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105030","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"52.85","CodeVersion":"2017","CustomName":"ALLOTRANSPLANTATION CELLS ISLETS LANGERHANS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0073A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.52","CodeVersion":"2017","CustomName":"OTHER PARTIAL BREECH EXTRACTION"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0706","CodeVersion":"2020","CustomName":"INJECTION CAFFEINE CITRATE 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6086","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - PREDOMINANTLY BASE ALY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7945","CodeVersion":"2020","CustomName":"OSTEOTOMY-BODY OF MANDIBLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6536","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 18-30 MMHG EA"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5648","CodeVersion":"2020","CustomName":"ADD LOW EXT ABOVE KNEE AIR FL GEL\/= CUSHN SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4132","CodeVersion":"2020","CustomName":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2121","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS SINGLE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5950","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0606","CodeVersion":"2020","CustomName":"INJECTION ETELCALCETIDE 0.1 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3340","CodeVersion":"2020","CustomName":"HEEL WEDGE SACH"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7300","CodeVersion":"2020","CustomName":"INTRAUTERINE COPPER CONTRACEPTIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8440","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER BELOW KNEE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9882","CodeVersion":"2020","CustomName":"2 MDPP ONGOING MS ATD BNF MO 13-15 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3240","CodeVersion":"2020","CustomName":"PULPAL THERAPY - POST PRIMARY TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0339","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6085","CodeVersion":"2020","CustomName":"INTERIM IMPLANT CROWN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5331","CodeVersion":"2020","CustomName":"JOINT SINGLE AXIS KNEE SACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2600","CodeVersion":"2020","CustomName":"HAND HELD LOW VISION&OTH NON SPECTACL MOUNT AIDS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4542","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0609","CodeVersion":"2020","CustomName":"REPL ELEC W\/AUTO EXT DEFIB GARMNT TYPE ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2403","CodeVersion":"2020","CustomName":"REPR EXTRALOBAR PULM SEQUEST FETUS-UTERO"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9519","CodeVersion":"2020","CustomName":"PT FINAL REFR +\/- 1.0 D REFR W\/I 90 DAYS SURG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3365","CodeVersion":"2020","CustomName":"INJECTION IV UROKINASE 250000 IU VIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5656","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4220","CodeVersion":"2020","CustomName":"BELLACELL HD OR SUREDERM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2503","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"11283","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"22407","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"13052","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"14187","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"73605","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.41","CodeVersion":"2017","CustomName":"SPINAL TRACTION USING SKULL DEVICE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.3","CodeVersion":"2017","CustomName":"HIGH FORCEPS OPERATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74.1","CodeVersion":"2017","CustomName":"LOW CERVICAL CESAREAN SECTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98572","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0433T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33965","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0095T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0166U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3323F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.26","CodeVersion":"2017","CustomName":"INSERT IMPL PRESS SENSR NO LEAD IC\/GT VES HD MON"},{"ServiceGroup":"93603","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4301","CodeVersion":"2020","CustomName":"IMPLANTABLE ACCESS TOTAL CATHETER PORT\/RESERVOIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P2029","CodeVersion":"2020","CustomName":"CONGO RED BLOOD"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0255","CodeVersion":"2020","CustomName":"CURRNT PERCEPT THRESHOLD\/SNCT PER LIMB ANY NERVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0250","CodeVersion":"2020","CustomName":"HOSP BED FIX HT W\/ANY TYPE SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0465","CodeVersion":"2020","CustomName":"HOME VENTILATOR ANY TYPE USED W\/INVASIVE INTF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0003","CodeVersion":"2020","CustomName":"LIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9948","CodeVersion":"2020","CustomName":"ADJUSTMENT OF CUSTOM SLEEP APNEA APPLIANCE"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9505","CodeVersion":"2020","CustomName":"ABX REG PRSC W\/I 10 DA AFTR ONSET SX DOC MED RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8881","CodeVersion":"2020","CustomName":"STAGE BREAST CANCER GREATER THAN T1N0M0\/T2N0M0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5811","CodeVersion":"2020","CustomName":"INTERIM COMPLETE DENTURE"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10E0XZZ","CodeVersion":"2020","CustomName":"DELIVERY PRODUCTS OF CONCEPTION EXTERNAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9340","CodeVersion":"2020","CustomName":"INJECTION THIOTEPA 15 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0920","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4238","CodeVersion":"2020","CustomName":"DERM-MAXX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9111","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA; M1 METASTATC LOC RECUR"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4554F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0112","CodeVersion":"2020","CustomName":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0221","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA LUMIZYME 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2520","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9824","CodeVersion":"2020","CustomName":"ENDOMETRIAL SMP\/HYSTEROSCPY BX & RSLT NT DOC 12M"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0100","CodeVersion":"2020","CustomName":"CANE INCL CANES ALL MATERIAL ADJUSTBLE\/FIX W\/TIP"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6900","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE THUMB\/1 FNGR REMAIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7520","CodeVersion":"2020","CustomName":"SIROLIMUS ORAL 1 MG"},{"ServiceGroup":"79644","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"38","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"13592","CodeType":"REV","Code":"0249","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - Other All Inclusive Ancillary"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"39870","CodeType":"DRG","Code":"619","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MINOR PROB-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.2","CodeVersion":"2017","CustomName":"INTRAUTERINE TRANSFUSION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92085","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19891","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.96","CodeVersion":"2017","CustomName":"PERCUTANEOUS VALVULOPLASTY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87527","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0235U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103081","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON HEART AND PERICARDIUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.92","CodeVersion":"2017","CustomName":"EVACUATION OF OTHER HEMATOMA OF VULVA OR VAGINA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0185T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7513","CodeVersion":"2020","CustomName":"DACLIZUMAB PARENTERAL 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8867","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VAC NOT ADM\/PREV RECV RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2046","CodeVersion":"2020","CustomName":"HOSPICE LONG TERM CARE RM AND BD ONLY PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7311","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8010","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY SLEEVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0016","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SERVICES; MEDICAL\/SOMATIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2024","CodeVersion":"2020","CustomName":"SP CLCT SARS-COV2 COVID19 FRM SNF\/LAB ANY SPEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8956","CodeVersion":"2020","CustomName":"PT RECV MAINT HEMODIALYSIS IN O\/P DIALYSIS FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7001","CodeVersion":"2020","CustomName":"CANISTER NON-DISPOSABLE USED W\/SUCTION PUMP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0518","CodeVersion":"2020","CustomName":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0350","CodeVersion":"2020","CustomName":"CONTROL UNIT ELEC BOWEL IRRIGATION\/EVAC SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6050","CodeVersion":"2020","CustomName":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5221","CodeVersion":"2020","CustomName":"IMMEDIATE MAXILLARY PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9766","CodeVersion":"2020","CustomName":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91581","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0459","CodeVersion":"2020","CustomName":"CHEST WRAP"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"88421","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5256","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2504","CodeVersion":"2020","CustomName":"SPCH GEN DEVC DIGTIZD>20 MINS<\/=40 MINS REC TIME"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8698","CodeVersion":"2020","CustomName":"MISC COMP SPL\/ACCESS FOR USE WITH TOT AH SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9446","CodeVersion":"2020","CustomName":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1817","CodeVersion":"2020","CustomName":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0540","CodeVersion":"2020","CustomName":"Ambulance - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0301","CodeVersion":"2020","CustomName":"Laboratory - Chemistry"},{"ServiceGroup":"37990","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"36137","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0322T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93094","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0599T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44143","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3395F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91580","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0605T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0418T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0650T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0233T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0568T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0573T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89979","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0268T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0108T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4596","CodeVersion":"2020","CustomName":"CES SYSTEM SUPPLIES & ACCESSORIES PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4025","CodeVersion":"2020","CustomName":"DONOR SERVICES IN VITRO FERTILIZATION CASE RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9484","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 45 MINUTES"},{"ServiceGroup":"3420","CodeType":"ICD10P","Code":"0FT44ZZ","CodeVersion":"2020","CustomName":"RESECTION GALLBLADDER PERQ ENDOSCOPIC APPROACH"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2783","CodeVersion":"2020","CustomName":"INJECTION RASBURICASE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8450","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9778","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE A DIAGNOSIS OF PREG DUR MSMNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0581","CodeVersion":"2020","CustomName":"NONSTANDARD LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2015","CodeVersion":"2020","CustomName":"COMPREHENSIVE 60 MINS HOME CARE PLAN OVERSIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7060","CodeVersion":"2020","CustomName":"5% DEXTROSE\/WATER"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3590","CodeVersion":"2020","CustomName":"UNCLASSIFIED BIOLOGICS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9285","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANAT LOC LUNG\/NOT CLASS NSCLC"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6191","CodeVersion":"2020","CustomName":"SEMI-PRECISION ABUTMENT - PLACEMENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1137F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74.99","CodeVersion":"2017","CustomName":"OTHER CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5282","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM SYS BINAURL ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9340","CodeVersion":"2020","CustomName":"INJECTION THIOTEPA 15 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4999","CodeVersion":"2020","CustomName":"UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"12030","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"28221","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"977","CodeType":"REV","Code":"0331","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Admin - Chemotherapy Admin - Injected"},{"ServiceGroup":"35054","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89983","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0425T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3215F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3452F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0353U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92194","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10A00ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9078","CodeVersion":"2020","CustomName":"ONC; PROS CA; T2\/T3A GLEASON 8-10\/PSA>20 NO METS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7636","CodeVersion":"2020","CustomName":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3807","CodeVersion":"2020","CustomName":"WRIST HAND FINGR ORTHOS W\/O JNT PREFAB CSTM FIT"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4082","CodeVersion":"2020","CustomName":"NASOGASTRIC TUBING WITHOUT STYLET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4620","CodeVersion":"2020","CustomName":"VARIABLE CONCENTRATION MASK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3570","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SPECIAL EXT INSTEP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4167","CodeVersion":"2020","CustomName":"TRUSKIN PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2795","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2499","CodeVersion":"2020","CustomName":"VARIABLE SPHERICITY LENS OTHER TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5551","CodeVersion":"2020","CustomName":"INSULIN MOST RAPID ONSET; 5 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2014","CodeVersion":"2020","CustomName":"OMEZA COLLAGEN MATRIX PER 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2680","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9055","CodeVersion":"2020","CustomName":"PROCUREN\/OTH GROWTH FCT PREP PROMOTE WND HEALING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7607","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8465","CodeVersion":"2020","CustomName":"HIGH\/VERY HIGH RISK RECURRENCE PROSTATE CANCER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0085","CodeVersion":"2020","CustomName":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR EXST PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0143","CodeVersion":"2020","CustomName":"WALKER FOLDING WHEELED ADJUSTABLE\/FIXED HEIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0354","CodeVersion":"2020","CustomName":"TX PLAN CARE COORD MGMT CA EST PT CHG REGIMEN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1554","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"29092","CodeType":"HCPCS","Code":"A0427","CodeVersion":"2020","CustomName":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4637","CodeVersion":"2020","CustomName":"REPLACEMENT TIP CANE CRUTCH WALKER EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B5000","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARBS RENL-AMIROSYN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7676","CodeVersion":"2020","CustomName":"PENTANUDUBE ISETGUIBATE I SOL CP PROD U D 300 MG"},{"ServiceGroup":"91658","CodeType":"ICD10P","Code":"10D07Z6","CodeVersion":"2020","CustomName":"EXTRACTION POC VACUUM VIA NATURAL\/ARTIF OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0700","CodeVersion":"2020","CustomName":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74020","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4423","CodeVersion":"2020","CustomName":"OST POUCH CLOS; BARRIER W\/LOCK FLNGE W\/FLTR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2173","CodeVersion":"2020","CustomName":"URI EP PT COMORBID COND DUR 12 MO PRI\/ON EP DATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1037","CodeVersion":"2020","CustomName":"RECEIVER; EXTERNAL USE W\/ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7186","CodeVersion":"2020","CustomName":"INJ AHF\/ VWF CMPLX PER FACTOR VIIII IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4371","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER POWDER PER OZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4332","CodeVersion":"2020","CustomName":"LUBRICANT INDIVIDUAL STERILE PACKET EACH"},{"ServiceGroup":"3388","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0921","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Peripheral Vascular Lab"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0983","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CLINIC"},{"ServiceGroup":"104337","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"13368","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"667","CodeVersion":"2020","CustomName":"Prostatectomy without CC\/MCC"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"928","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury with CC\/MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98571","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94560","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.92","CodeVersion":"2017","CustomName":"REPLACEMENT OF PROLAPSED UMBILICAL CORD"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107040","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0604T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"96105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47183","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0728T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83057","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107171","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0268U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88748","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7212","CodeVersion":"2020","CustomName":"FACTOR VIIA-JNCW 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1029","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6550","CodeVersion":"2020","CustomName":"SHLDR DISRTC MOLD SCKT ENDOSKEL W\/SFT PROS TISS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0859","CodeVersion":"2020","CustomName":"ADD HALO PROC MRI COMPAT SYS RINGS&PINS ANY MATL"},{"ServiceGroup":"104838","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1820","CodeVersion":"2020","CustomName":"KO ELAST W\/CONDYLR PADS&JNT PRFAB INCL FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0708","CodeVersion":"2020","CustomName":"INTRAORAL - BITEWING RAD IMG - IMG CAPTURE ONLY"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8567","CodeVersion":"2020","CustomName":"PT NO VERIFICATION & DOC SUDDEN HEARING LOSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0427","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"96499","CodeType":"HCPCS","Code":"G0009","CodeVersion":"2020","CustomName":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6253","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL >48 SQ NO ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9763","CodeVersion":"2020","CustomName":"PT DID NOT HAVE 2\/3 HPV VACC ON\/BTW 9 & 13 BD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1270","CodeVersion":"2020","CustomName":"INJECTION DOXERCALCIFEROL 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5146","CodeVersion":"2020","CustomName":"FOSTER CARE THERAPEUTIC CHILD; PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1899","CodeVersion":"2020","CustomName":"LEAD PACEMAKER\/CARDIOVERT-DEFIB COMBINATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5420","CodeVersion":"2020","CustomName":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK\/KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9606","CodeVersion":"2020","CustomName":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9879","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF MO 10-12 UND MDPP EM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5410","CodeVersion":"2020","CustomName":"ADJUST COMPLETE DENTURE - MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0033","CodeVersion":"2020","CustomName":"2< BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4225","CodeVersion":"2020","CustomName":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"68186","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0981","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EMERGENCY ROOM SERVICES"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"51543","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"12664","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"940","CodeVersion":"2020","CustomName":"O.R. Procedure with Diagnoses of Other Contact with Health Services with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3755F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0614T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99144","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0648T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.13","CodeVersion":"2017","CustomName":"LAPAROSCOPIC BIOPSY OF OVARY"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107177","CodeType":"CPT","Code":"69552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5113","CodeVersion":"2020","CustomName":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1029","CodeVersion":"2020","CustomName":"IMAGING OF HEAD WAS NOT OBTAINED RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0268","CodeVersion":"2020","CustomName":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3977","CodeVersion":"2020","CustomName":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9270","CodeVersion":"2020","CustomName":"INJECTION PLICAMYCIN 2.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0063","CodeVersion":"2020","CustomName":"CARDIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5107","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30218","CodeType":"ICD9P","Code":"51.24","CodeVersion":"2017","CustomName":"LAPAROSCOPIC PARTIAL CHOLECYSTECTOMY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62296","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0666T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107017","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93067","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93637","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6672","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD HARNESS CHST\/SHLUPPER EXTREM AD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8999","CodeVersion":"2020","CustomName":"UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4232","CodeVersion":"2020","CustomName":"CORPLEX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1119","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C EARLY D\/T MED EVNT DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4755","CodeVersion":"2020","CustomName":"BLOOD TUBING ART&VENOUS COMBINED HEMODIALYSIS EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0459","CodeVersion":"2020","CustomName":"INPATIENT TELEHEALTH PHARMACOLOGIC MANAGEMENT"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0432","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5101","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER HALF DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2765","CodeVersion":"2020","CustomName":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0636","CodeVersion":"2020","CustomName":"MX PSTN PT SUPP SYS INTGR LIFT PT ACSSIBLE CNTRL"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"E0786","CodeVersion":"2020","CustomName":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9443","CodeVersion":"2020","CustomName":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0108","CodeVersion":"2020","CustomName":"MERCAPTOPURINE ORAL 50 MG"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C5278","CodeVersion":"2020","CustomName":"APP SG F\/N\/HF\/G A >\/=100 CM;EA ADD 100 CM\/1% CHL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6112","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5718","CodeVersion":"2020","CustomName":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5560","CodeVersion":"2020","CustomName":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9045","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 5% 250 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2300","CodeVersion":"2020","CustomName":"INJECTION NALBUPHINE HCL PER 10 MG"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4033","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9553","CodeVersion":"2020","CustomName":"PRIOR THYROID DISEASE DIAGNOSIS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"104840","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1026","CodeVersion":"2020","CustomName":"INTEN MXDISCPLIN SRVC CHILD W\/CMPLX IMPAIR HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1239","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR PEDIATRIC SIZE NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0970","CodeVersion":"2020","CustomName":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0601","CodeVersion":"2020","CustomName":"HOME HEALTH (HH) - OXYGEN - OXYGEN - STAT EQUIP\/SUPPLY\/CONTENT"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"14197","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"22408","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0949","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Other Therapeutic Service"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104123","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3291F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106714","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3352F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0043U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113694","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105490","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0093U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107080","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98684","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33237","CodeType":"ICD9P","Code":"51.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0500","CodeVersion":"2020","CustomName":"IPPB MACH W\/BUILT-IN NEBULIZATION; VALVS; PWR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2616","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN\/> ANY HT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0770","CodeVersion":"2020","CustomName":"FES TRANSQ STIM NERV&\/MUSC GRP CMPL SYS NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0863","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1753","CodeVersion":"2020","CustomName":"CATHETER INTRAVASCULAR ULTRASOUND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2982","CodeVersion":"2020","CustomName":"ONLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0412","CodeVersion":"2020","CustomName":"BLOOD GLUCOSE LEVEL TEST IN-OFFICE GLUCOSE METER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2009","CodeVersion":"2020","CustomName":"SYMPHONY PER SQ CM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8663","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE =0\/ >0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2012","CodeVersion":"2020","CustomName":"HABILITATION EDUCATIONAL WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8300","CodeVersion":"2020","CustomName":"TRUSS SINGLE WITH STANDARD PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0694","CodeVersion":"2020","CustomName":"INJECTION CEFOXITIN SODIUM 1 G"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4044","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0070","CodeVersion":"2020","CustomName":"REAR WHL ASM COMP PNEUM TIRE SPKS\/MLD RPL ONLY E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3000","CodeVersion":"2020","CustomName":"INJECTION STREPTOMYCIN UP TO 1 G"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32994","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0476","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7560","CodeVersion":"2020","CustomName":"MAXIL SINUSOT REMV TOOTH FRAG\/FB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0620","CodeVersion":"2020","CustomName":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4556","CodeVersion":"2020","CustomName":"ELECTRODES PER PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9094","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0978","CodeVersion":"2020","CustomName":"AXILLARY CRUTCH EXTENSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9390","CodeVersion":"2020","CustomName":"INJECTION VINORELBINE TARTRATE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2018","CodeVersion":"2020","CustomName":"HABILITATION SUPP EMPLOYMENT WAIVER; PER DIEM"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"13127","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"104295","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"88420","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"84502","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"92501","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"006","CodeVersion":"2020","CustomName":"Carpal tunnel release"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"252","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81562","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102481","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16241","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61557","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0279U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0051U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3476F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0724T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1137F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0131U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3380F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74470","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.6","CodeVersion":"2017","CustomName":"XTRACORP CIRC&PROC AUXILIARY OPEN HEART SURGERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0659","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2613","CodeVersion":"2020","CustomName":"LUNG BIOPSY PLUG WITH DELIVERY SYSTEM"},{"ServiceGroup":"113624","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4012","CodeVersion":"2020","CustomName":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0311","CodeVersion":"2020","CustomName":"COMP MGMT & CARE COORD ADVANCED ILL PER CAL MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4106","CodeVersion":"2020","CustomName":"DERMAGRAFT PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1572","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"91658","CodeType":"ICD10P","Code":"10D07Z8","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION OTH NAT\/ART OP"},{"ServiceGroup":"108042","CodeType":"HCPCS","Code":"G0491","CodeVersion":"2020","CustomName":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W\/O ESRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2636","CodeVersion":"2020","CustomName":"BRACHYTX LINEAR NONSTRAND PALLADIUM-103 PER 1 MM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2188","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0636","CodeVersion":"2020","CustomName":"INJECTION CALCITRIOL 0.1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8543","CodeVersion":"2020","CustomName":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4245","CodeVersion":"2020","CustomName":"APICALLY POSITIONED FLAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4115","CodeVersion":"2020","CustomName":"ALLOSKIN PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2356","CodeVersion":"2020","CustomName":"INJECTION TEZEPELUMAB-EKKO 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1610","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1380","CodeVersion":"2020","CustomName":"INJECTION ESTRADIOL VALERATE UP TO 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9771","CodeVersion":"2020","CustomName":"AT LEAST 1 BODY TEMPERATURE MSR =\/>35.5 DEG CELS"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3471","CodeVersion":"2020","CustomName":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9997","CodeVersion":"2020","CustomName":"DENTAL CASE MGMT - PTS SPECIAL HEALTH CARE NEEDS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"57650","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"88621","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"82310","CodeType":"HCPCS","Code":"G0121","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2410","CodeVersion":"2020","CustomName":"INJECTION OXYMORPHONE HCL UP TO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0302","CodeVersion":"2020","CustomName":"CMPL EARLY PERIODIC SCREENING DX&TX SERVICE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3285","CodeVersion":"2020","CustomName":"INJECTION TREPROSTINIL 1 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9165","CodeVersion":"2020","CustomName":"INJECTION DIETHYLSTILBESTROL DIPHOSPHATE 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2501","CodeVersion":"2020","CustomName":"INJECTION PARICALCITOL 1 MCG"},{"ServiceGroup":"3388","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0514","CodeVersion":"2020","CustomName":"Clinic - OB-GYN Clinic"},{"ServiceGroup":"59427","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"296","CodeVersion":"2020","CustomName":"Nutritional and miscellaneous metabolic disorders, age greater than 17, with CC"},{"ServiceGroup":"28163","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"20293","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0275U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0072U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"43939","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0577T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0038U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3374F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7190","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5816","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0339","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2510","CodeVersion":"2020","CustomName":"INLAY - METALLIC - ONE SURFACE"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9370","CodeVersion":"2020","CustomName":"VINCRISTINE SULFATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4017","CodeVersion":"2020","CustomName":"INCPL CYCLE TX CANCELED PRIOR TO STIM CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5728","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN FLUID SWING&STANCE CNTRL"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1877","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVR WITHOUT DELIV SYSTEM"},{"ServiceGroup":"103948","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"74588","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4532","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD UNDWEAR\/PULLON LG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1551","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1160","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN UP TO 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8920","CodeVersion":"2020","CustomName":"MRA WITHOUT CONTRAST FOLLOWED W\/CONTRAST PELVIS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113693","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1245","CodeVersion":"2020","CustomName":"INJECTION DIPYRIDAMOLE PER 10 MG"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8512","CodeVersion":"2020","CustomName":"GELATIN CAPS\/EQUVALNT W\/TRACHEOESOPH VOICE PROS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9173","CodeVersion":"2020","CustomName":"INJECTION DURVALUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1176","CodeVersion":"2020","CustomName":"MAMMOTOME HH PROBE W\/VAC SYS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5000","CodeVersion":"2020","CustomName":"PART FT SHOE INSERT W\/LONGTUDNL ARCH TOE FILLER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9285","CodeVersion":"2020","CustomName":"INJECTION OLARATUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4029","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"15860","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0580","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"51271","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"24639","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"382","CodeVersion":"2020","CustomName":"False labor"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"435","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82570","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88857","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0037U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97319","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41.01","CodeVersion":"2017","CustomName":"AUTOL BONE MARROW TRANSPLANT WITHOUT PURGING"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"67.51","CodeVersion":"2017","CustomName":"TRANSABDOMINAL CERCLAGE OF CERVIX"},{"ServiceGroup":"103970","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0242T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1754","CodeVersion":"2020","CustomName":"CATHETER INTRADISCAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9780","CodeVersion":"2020","CustomName":"INS CVC THRU CVO VIA INF & SUP APRCH INC IMG GD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0295","CodeVersion":"2020","CustomName":"HOSP BED SEMI-ELEC W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8876","CodeVersion":"2020","CustomName":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2090","CodeVersion":"2020","CustomName":"HKAFO UNI TORSION CABLE BALL BEAR CSTM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5928","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7504","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9992","CodeVersion":"2020","CustomName":"TRNSPRT COSTS CLIN TRIAL PRTCP & ONE CAREGIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0467","CodeVersion":"2020","CustomName":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7639","CodeVersion":"2020","CustomName":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1499","CodeVersion":"2020","CustomName":"SPINAL ORTHOSIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7312","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2793","CodeVersion":"2020","CustomName":"INJECTION RILONACEPT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7191","CodeVersion":"2020","CustomName":"ELEC ELB CHLD VRITY VILL\/= MYOELECTRNICALY CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3933","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6206","CodeVersion":"2020","CustomName":"CONTACT LAYER STERL 16 SQ IN\/LESS EA DRESSING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0485","CodeVersion":"2020","CustomName":"ORL DEVC\/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9919","CodeVersion":"2020","CustomName":"SCREENING PERF & POS & PROVISION RECOMMENDATIONS"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0511","CodeVersion":"2020","CustomName":"RHC\/FQHC ONLY GEN CARE MGMT 20 M\/>CLIN TM-CAL MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0635","CodeVersion":"2020","CustomName":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58","CodeType":"ICD9P","Code":"98.59","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OTHER SITES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1461F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0715T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35734","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98407","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0332T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3753F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0111A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107643","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4030","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3201","CodeVersion":"2020","CustomName":"ORTHOPED SHOE OXFORD W\/SUPINATOR\/PRONATOR INFNT"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5130","CodeVersion":"2020","CustomName":"BINAURAL IN THE EAR"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1831","CodeVersion":"2020","CustomName":"KNEE ORTHO LOCK KNEE JNT PSTN ORTHO PRFAB W\/FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9900","CodeVersion":"2020","CustomName":"SCR DX F DGTL\/DBT MAMMO RSLT NOT DOC&REV RSN NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6709","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0412","CodeVersion":"2020","CustomName":"OPN TX ILIAC SPINE TUBEROSITY AVUL\/ILIAC WING FX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1823","CodeVersion":"2020","CustomName":"INJECTION INEBILIZUMAB-CDON 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2798","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0132","CodeVersion":"2020","CustomName":"INJECTION ACETYLCYSTEINE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7671","CodeVersion":"2020","CustomName":"ALVEOL-OPEN RDUC MAY W\/STBL TEETH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5649","CodeVersion":"2020","CustomName":"ADD LW EXT ISCHIAL CONTAINMENT\/NARROW M-L SOCKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7362","CodeVersion":"2020","CustomName":"BATTERY CHARGER 6 VOLT EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8694","CodeVersion":"2020","CustomName":"LVEF < 40% OR DOCUMENTATION OF MOD\/SEV LVSD"},{"ServiceGroup":"83519","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6062","CodeVersion":"2020","CustomName":"ABUT SUPP CAST MTL CRWN HI NOBL MTL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5634","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5649","CodeVersion":"2020","CustomName":"ADD LW EXT ISCHIAL CONTAINMENT\/NARROW M-L SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9358","CodeVersion":"2020","CustomName":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2372","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5101","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER HALF DAY"},{"ServiceGroup":"59293","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3230","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5973","CodeVersion":"2020","CustomName":"ENDOSKEL ANK FOOT SYS MICRPROCSS CONTROL PWR SRC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86234","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"0274T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0771","CodeVersion":"2020","CustomName":"Preventive Care Services - Vaccine Administration"},{"ServiceGroup":"22461","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"70046","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"38421","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"101501","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"2738","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"13470","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0824","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"9879","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"949","CodeVersion":"2020","CustomName":"Aftercare with CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"326","CodeVersion":"2020","CustomName":"Kidney and urinary tract signs and symptoms, age greater than 17, without CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"487","CodeVersion":"2020","CustomName":"Other multiple significant trauma"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4054F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104851","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67994","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87398","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0021A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0203U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0154U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0417T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3753F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0174T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0186U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106707","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104956","CodeType":"CPT","Code":"99220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.53","CodeVersion":"2017","CustomName":"REPAIR OF VENTRICULAR SEPTAL DEFECT W\/PROSTHESIS"},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3280","CodeVersion":"2020","CustomName":"INJECTION THIETHYLPERAZINE MALEATE UP TO 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4387","CodeVersion":"2020","CustomName":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1006","CodeVersion":"2020","CustomName":"SUCTION PUMP HOME MODEL ELEC USE EXT URINE MS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1458","CodeVersion":"2020","CustomName":"INJECTION GALSULFASE 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3260","CodeVersion":"2020","CustomName":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2562","CodeVersion":"2020","CustomName":"INJECTION PLERIXAFOR 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6675","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2990","CodeVersion":"2020","CustomName":"RESIN INFILTRATION INCIPIENT SMOOTH SURFACE LES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8601","CodeVersion":"2020","CustomName":"IV ALTEPLASE NOT INIT<= 180 MIN LKW RSN DOC CLIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0441","CodeVersion":"2020","CustomName":"STATIONARY O2 CONTENTS GAS 1 MO SUPPLY=1 UNIT"},{"ServiceGroup":"80285","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2107","CodeVersion":"2020","CustomName":"1 VISN +\/- 4.25-+\/ 7.00 SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4146","CodeVersion":"2020","CustomName":"TENSIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1701","CodeVersion":"2020","CustomName":"REPL CUSHNS JAW MOTION REHAB SYSTEM PKG SIX"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9859","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2010","CodeVersion":"2020","CustomName":"PASRR LEVL I IDENTIFICATION SCREEN PER SCREEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0108","CodeVersion":"2020","CustomName":"OTHER ACCESSORIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4524","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD BRF\/DIAPER X-LG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8505","CodeVersion":"2020","CustomName":"ARTFICL LARYNX REPLCMT BATTRY\/ACCESS ANY TYPE"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8400","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH BELOW KNEE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4107","CodeVersion":"2020","CustomName":"GRAFTJACKET PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6707","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9582","CodeVersion":"2020","CustomName":"DOOR TO PUNCTURE TIME OF >90 MIN NO REASON GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2211","CodeVersion":"2020","CustomName":"BIFOCL +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL-EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9992","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE EXTENDED-RELEASE >100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1111","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2601","CodeVersion":"2020","CustomName":"GENERAL WHLCHAIR SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1020","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS KYPHOSIS PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6071","CodeVersion":"2020","CustomName":"ABUT SUPP RETN PORCLN FUSD METL FPD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2513","CodeVersion":"2020","CustomName":"INJECTION PENTASTARCH 10% SOLUTION 100 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82222","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0755","CodeVersion":"2020","CustomName":"ELECTRONIC SALIVARY REFLEX STIMULATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2560","CodeVersion":"2020","CustomName":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7509","CodeVersion":"2020","CustomName":"FLTR HLDR&INTGR FLTR HOUS&ADHES TRACHEOSTOMA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1260","CodeVersion":"2020","CustomName":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6231","CodeVersion":"2020","CustomName":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL 16 SQ\/<"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7193","CodeVersion":"2020","CustomName":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0249","CodeVersion":"2020","CustomName":"PRVS TEST MATL & EQUIP HOME INR MON; ONCE A WEEK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0043","CodeVersion":"2020","CustomName":"SUPPORTED HOUSING PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2010","CodeVersion":"2020","CustomName":"REMOTE EVAL RECORDED VIDEO &\/ IMAGES SB ESTAB PT"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"079T3ZZ","CodeVersion":"2020","CustomName":"DRAINAGE OF BONE MARROW PERCUTANEOUS APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0009","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; ACUTE DTOX HOSP IP"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8925","CodeVersion":"2020","CustomName":"TEE W OR W\/O FLW W\/CNTRST REAL TIME 2D; ACQ I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7040","CodeVersion":"2020","CustomName":"ONE WAY CHEST DRAIN VALVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1220","CodeVersion":"2020","CustomName":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9415","CodeVersion":"2020","CustomName":"PT NOT 1 DOSE MENC VAC ON\/BETW PT 11TH&13TH BDAY"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"30733","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"42784","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0314","CodeVersion":"2020","CustomName":"Laboratory Pathology - Biopsy"},{"ServiceGroup":"26179","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0305","CodeVersion":"2020","CustomName":"Laboratory - Hematology"},{"ServiceGroup":"75639","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"37018","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0471","CodeVersion":"2020","CustomName":"Audiology - Diagnostic"},{"ServiceGroup":"36204","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"83544","CodeType":"REV","Code":"0344","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic Radiopharmaceuticals"},{"ServiceGroup":"21826","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"541","CodeVersion":"2020","CustomName":"Tracheostomy with Mechanical Ventilation 96+ Hours or Principal Diagnosis Except Face, Mouth, and Neck Diagnoses with Major O.R. Procedure"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"059","CodeVersion":"2020","CustomName":"Tonsillectomy and\/or adenoidectomy only, age greater than 17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44325","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71667","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3285F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93012","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44142","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49","CodeType":"ICD9P","Code":"81.51","CodeVersion":"2017","CustomName":"TOTAL HIP REPLACEMENT"},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78704","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0526T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4163F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91753","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"22406","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0331","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Admin - Chemotherapy Admin - Injected"},{"ServiceGroup":"29915","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"73488","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"68189","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"35142","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0528","CodeVersion":"2020","CustomName":"FS CLINIC-VISIT BY RHC\/FQHC PRAC TO OTHER NON-RHC\/FQHC SITE (E.G. SCENE OF ACCIDENT)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0991","CodeVersion":"2020","CustomName":"Patient Convenience Items - Cafeteria\/Guest Tray"},{"ServiceGroup":"25695","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"70041","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"582","CodeVersion":"2020","CustomName":"INJURIES EXCEPT MULTIPLE TRAUMA W MAJOR CC-NYDRG"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"882","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV < 96 HRS -NYDRG"},{"ServiceGroup":"20240","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100277","CodeType":"CPT","Code":"90746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0441T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3353F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3761F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0329U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99460","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69884","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13294","CodeType":"ICD9P","Code":"88.97","CodeVersion":"2017","CustomName":"MR IMAGING OF OTHER AND UNSPECIFIED SITES"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81567","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107472","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1999","CodeVersion":"2020","CustomName":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0509","CodeVersion":"2020","CustomName":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT & PROV"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4366","CodeVersion":"2020","CustomName":"OSTOMY VENT ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5716","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7699","CodeVersion":"2020","CustomName":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4149","CodeVersion":"2020","CustomName":"EXCELLAGEN 0.1 CC"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5517","CodeVersion":"2020","CustomName":"HIT ALL SPL NECES RESTOR CATH PATENCY\/DECLOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1655","CodeVersion":"2020","CustomName":"INJECTION TINZAPARIN SODIUM 1000 IU"},{"ServiceGroup":"62098","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7310","CodeVersion":"2020","CustomName":"ALVEOLOPLASTY W\/EXTRACTION 4\/> TEETH\/SPACE QUAD"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2028","CodeVersion":"2020","CustomName":"INJECTION SCULPTRA 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0085","CodeVersion":"2020","CustomName":"CHEMOTHAPY ADMN BOTH INFUS TECH&OTH TECHIQUE-VST"},{"ServiceGroup":"104226","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2178","CodeVersion":"2020","CustomName":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8850","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0031U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0054A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0062U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0723T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0634T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1121","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0640T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64795","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99460","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0047U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88242","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0335T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105731","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0368","CodeVersion":"2020","CustomName":"CONE BEAM CT CAP&INTEPR TMJ SERIES 2\/> EXPOSURES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9703","CodeVersion":"2020","CustomName":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5113","CodeVersion":"2020","CustomName":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1510","CodeVersion":"2020","CustomName":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2430","CodeVersion":"2020","CustomName":"GOLD FOIL - THREE SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1010","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0436","CodeVersion":"2020","CustomName":"ROTARY WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"24290","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8097","CodeVersion":"2020","CustomName":"ASTHMA KIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2770","CodeVersion":"2020","CustomName":"INJECTION QUINUPRISTIN\/DALFOPRISTIN 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2208","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9096","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1\/NX NO PROGRSSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4050","CodeVersion":"2020","CustomName":"CAST SUPPLIES UNLISTED TYPES&MATERIALS OF CASTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9878","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF IN MO 7-9 UND MDPP EM"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"74470","CodeType":"HCPCS","Code":"G0400","CodeVersion":"2020","CustomName":"HST W\/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8692","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9004","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4128","CodeVersion":"2020","CustomName":"FLEXHD OR ALLOPATCHHD PER SQ CM"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9590","CodeVersion":"2020","CustomName":"HOM TX IRRIG TX; W\/ADMN PHRM SRVC CARE-PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9222","CodeVersion":"2020","CustomName":"DEEP SEDATION\/GENERAL ANESTHESIA-1ST 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5553","CodeVersion":"2020","CustomName":"INSULIN LONG ACTING; 5 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6447","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6067","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - HIGH NOBLE ALLOYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5704","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2016","CodeVersion":"2020","CustomName":"PERMEADERM B PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0481","CodeVersion":"2020","CustomName":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1306","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"12664","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"48005","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"486","CodeVersion":"2020","CustomName":"Other operating room procedures for multiple significant trauma"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"690","CodeVersion":"2020","CustomName":"Kidney and Urinary Tract Infections without MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107270","CodeType":"CPT","Code":"0253T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0283U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0241U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87123","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0071U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.14","CodeVersion":"2017","CustomName":"BONE SCAN"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0074U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7036","CodeVersion":"2020","CustomName":"CHINSTRAP USED W\/POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0257","CodeVersion":"2020","CustomName":"UNSCHD\/EMERG DIALYSIS TX ESRD PT HOS OP NOT CERT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5244","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0072","CodeVersion":"2020","CustomName":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E"},{"ServiceGroup":"11794","CodeType":"HCPCS","Code":"S9341","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5246","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0251","CodeVersion":"2020","CustomName":"HOSP BED FIX HT W\/ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6930","CodeVersion":"2020","CustomName":"RECEMENT FIXED PARTIAL DENTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2202","CodeVersion":"2020","CustomName":"SPHERE BIFOCL +\/- 7.12 TO +\/- 20.00D PER LENS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1891","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE PERMANENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9266","CodeVersion":"2020","CustomName":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2628","CodeVersion":"2020","CustomName":"ADD LW EXT PELV METL FRME RECIP HIP JNT&CABLES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9213","CodeVersion":"2020","CustomName":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0632","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOT SAGIT CNTRL RIGID A&P CUSTOM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0507","CodeVersion":"2020","CustomName":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7631","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3222","CodeVersion":"2020","CustomName":"PART PULPOTOMY FOR APEXOGENEIS PERM TOOTH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5498","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT SIMPLE PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0192","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0208","CodeVersion":"2020","CustomName":"PARAMEDIC INTERCPT HOS-BASE ALS SRVC NON-TRNSPRT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2358","CodeVersion":"2020","CustomName":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4023","CodeVersion":"2020","CustomName":"DONOR EGG CYCLE INCOMPLETE CASE RATE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4233","CodeVersion":"2020","CustomName":"SURFACTOR OR NUDYN PER 0.5 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1701","CodeVersion":"2020","CustomName":"REPL CUSHNS JAW MOTION REHAB SYSTEM PKG SIX"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2070","CodeVersion":"2020","CustomName":"CYSTO W\/URETERSCPY&\/PYELSCPY;LASR TX URETRL CALC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7042","CodeVersion":"2020","CustomName":"5% DEXTROSE\/NORMAL SALINE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4993","CodeVersion":"2020","CustomName":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2359","CodeVersion":"2020","CustomName":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9451","CodeVersion":"2020","CustomName":"PATIENT RECEIVED ONE-TIME SCR FOR HCV INFECTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7799","CodeVersion":"2020","CustomName":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0671","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL LEG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5267","CodeVersion":"2020","CustomName":"HEARING AID\/ALD\/SUPP\/ACCESS NOT OTHERWISE SPEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9044","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB NOS 0.1 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0180","CodeVersion":"2020","CustomName":"PHYS\/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC"},{"ServiceGroup":"103947","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7199","CodeVersion":"2020","CustomName":"HEMOPHILIA CLOTTING FACTOR NOC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7180","CodeVersion":"2020","CustomName":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB&TERM DEVC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1980","CodeVersion":"2020","CustomName":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0381","CodeVersion":"2020","CustomName":"Blood and Blood Components - Packed Red Cells"},{"ServiceGroup":"3069","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"9511","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"91754","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"30458","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0983","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CLINIC"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"3178","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"43502","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"730","CodeVersion":"2020","CustomName":"CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"264","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement for skin ulcer or cellulitis without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100251","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0058U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112025","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2950","CodeVersion":"2020","CustomName":"CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0945","CodeVersion":"2020","CustomName":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9045","CodeVersion":"2020","CustomName":"INJECTION CARBOPLATIN 50 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"2020","CodeType":"REV","Code":"0972","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - DIAGNOSTIC"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0303","CodeVersion":"2020","CustomName":"Laboratory - Renal Patient (Home)"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0510","CodeVersion":"2020","CustomName":"Clinic - General Classification"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"58461","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"24806","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0180","CodeVersion":"2020","CustomName":"Leave Of Absence - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"566","CodeVersion":"2020","CustomName":"Respiratory System Diagnosis with Ventilator Support <96 Hours"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"098","CodeVersion":"2020","CustomName":"Bronchitis and asthma, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"9006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"9002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0278U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29334","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0241U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83817","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0226T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1875","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7170","CodeVersion":"2020","CustomName":"ELECTRONIC ELBOW HOSMER\/EQUAL SWITCH CONTROLLED"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5716","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2098","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2941","CodeVersion":"2020","CustomName":"INJECTION SOMATROPIN 1 MG"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1447","CodeVersion":"2020","CustomName":"INJECTION TBO-FILGRASTIM 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4002","CodeVersion":"2020","CustomName":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0255","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9016","CodeVersion":"2020","CustomName":"SMOK CESSATN CNSL IND ABSNCE\/ADD OTH E&M-SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4520","CodeVersion":"2020","CustomName":"INCONTINENCE GARMENT ANY TYPE EACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1129","CodeVersion":"2020","CustomName":"ONGO CAR NOT POSS PT D\/C EARLY D\/T SPC MED EVENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2011","CodeVersion":"2020","CustomName":"ALCOHOL &\/SUBST MISUSE ST ASMT & BRF INT 5-14 M"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4112","CodeVersion":"2020","CustomName":"CYMETRA INJECTABLE 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9727","CodeVersion":"2020","CustomName":"PT UNABLE COMPLETE LEPF PROM INI EVAL &\/ D\/C"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3410","CodeVersion":"2020","CustomName":"INJECTION HYDROXYZINE HCL UP TO 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9419","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL HIS T\/NSCLC-NOS CLASS EXPLN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0464","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"9053","CodeType":"ICD10P","Code":"0D168ZA","CodeVersion":"2020","CustomName":"BYPASS STOMACH TO JEJUNUM NAT\/ART OPENING ENDO"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62332","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"27249","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"58764","CodeType":"REV","Code":"0517","CodeVersion":"2020","CustomName":"Clinic - Family Practice Clinic"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0972","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - DIAGNOSTIC"},{"ServiceGroup":"91658","CodeType":"DRG","Code":"805","CodeVersion":"2020","CustomName":"SIMULTANEOUS KIDNEY AND PANCREAS TRANSPLANT-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"291","CodeVersion":"2020","CustomName":"Thyroglossal procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1039F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3495F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0023U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0636T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104337","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3761F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97179","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5126","CodeVersion":"2020","CustomName":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1575","CodeVersion":"2020","CustomName":"TRANSDUCER PROTECTORS\/FL BARRIERS HEMODIAL SZ-10"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9734","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9349","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY TOCOLYTIC; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0066","CodeVersion":"2020","CustomName":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0042U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0237T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0169U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.12","CodeVersion":"2017","CustomName":"SCAN OF OTHER SITES OF HEAD"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.00","CodeVersion":"2017","CustomName":"INCISION OF VESSEL UNSPECIFIED SITE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0530T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0629T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28098","CodeType":"ICD9P","Code":"36.04","CodeVersion":"2017","CustomName":"INTRACORONARY ARTERY THROMBOLYTIC INFUSION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33981","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112112","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1127F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2299","CodeVersion":"2020","CustomName":"SPECIALTY BIFOCAL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6450","CodeVersion":"2020","CustomName":"ELB DISRTC MOLD SCKT ENDOSKEL W\/SFT PROSTH TISS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2796","CodeVersion":"2020","CustomName":"INJECTION ROMIPLOSTIM 10 MCG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2050","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0623","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOSIS RIGID\/SEMI-RIGID PANL PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9730","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4037","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4280","CodeVersion":"2020","CustomName":"ADHES SKN SUPPORT ATTCH USE W\/EXT BRST PROSTH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2101","CodeVersion":"2020","CustomName":"SPHERE SINGLE VISION +\/- 4.12 +\/- 7.00D PER LENS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5610","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6721","CodeVersion":"2020","CustomName":"RETAINER CROWN-RESIN W\/PREDOMINANTLY BASE METAL"},{"ServiceGroup":"107441","CodeType":"HCPCS","Code":"C9739","CodeVersion":"2020","CustomName":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 1-3 IMPL"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"90558","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4707","CodeVersion":"2020","CustomName":"BICARBONATE CONCENTRATE POWDER HEMODIAL-PACKET"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5821","CodeVersion":"2020","CustomName":"INTERIM PARTIAL DENTURE MANDIBULAR"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7005","CodeVersion":"2020","CustomName":"ADMN SET W\/SM VOL NONFILTR NEBULIZR NON-DISPBL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9869","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C5273","CodeVersion":"2020","CustomName":"APPL SG TRUNK ARM LEG AREA >\/=100 CM;1ST 100 CM"},{"ServiceGroup":"45307","CodeType":"HCPCS","Code":"G0008","CodeVersion":"2020","CustomName":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE"},{"ServiceGroup":"10623","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4108","CodeVersion":"2020","CustomName":"INTEGRA MATRIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2218","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7201","CodeVersion":"2020","CustomName":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4534","CodeVersion":"2020","CustomName":"YOUTH-SIZED INCONT PRODUCT BRF EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4203","CodeVersion":"2020","CustomName":"DERMA-GIDE PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0945","CodeVersion":"2020","CustomName":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5760","CodeVersion":"2020","CustomName":"RELINE MAXILLARY PARTIAL DENTURE INDIRECT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93688","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1438","CodeVersion":"2020","CustomName":"INJECTION ETANERCEPT 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0435","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9950","CodeVersion":"2020","CustomName":"OCCLUSION ANALYSIS - MOUNTED CASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7212","CodeVersion":"2020","CustomName":"FACTOR VIIA-JNCW 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9999","CodeVersion":"2020","CustomName":"DOCUM REAS FOR INTERVAL <3 YR SINCE LAST COLONOS"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2213","CodeVersion":"2020","CustomName":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0268","CodeVersion":"2020","CustomName":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5108","CodeVersion":"2020","CustomName":"HOME CARE TRAINING HOME CARE CLIENT PER 15 MIN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4168","CodeVersion":"2020","CustomName":"AMNIOBAND 1 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9441","CodeVersion":"2020","CustomName":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6448","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH < 3 IN PER YARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1126","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64324","CodeType":"CPT","Code":"90901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2210","CodeVersion":"2020","CustomName":"RD CG SC NCK IMPR NO MSR PT NOT CMPL NFS PROM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5934","CodeVersion":"2020","CustomName":"MANDIB RESECT PROSTH W\/GUIDE FLANGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9950","CodeVersion":"2020","CustomName":"OCCLUSION ANALYSIS - MOUNTED CASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1702","CodeVersion":"2020","CustomName":"REPL MSR SCLS JAW MOTION REHAB SYSTEM PKG 200"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9793","CodeVersion":"2020","CustomName":"PATIENT IS CUR ON DAILY ASPIRIN\/OTH ANTIPLATELET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0180","CodeVersion":"2020","CustomName":"PHYS\/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC"},{"ServiceGroup":"40222","CodeType":"REV","Code":"860","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - GENERAL CLASSIFICATION"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0839","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0953","CodeVersion":"2020","CustomName":"OTHER THERAPEUTIC SERVICES - EXTENSION OF 094X - CHEMICAL DEPENDENCY (DRUG AND ALCOHOL)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0370","CodeVersion":"2020","CustomName":"Anesthesia - General Classification"},{"ServiceGroup":"23401","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0548","CodeVersion":"2020","CustomName":"Ambulance - EKG Transmission"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.57","CodeVersion":"2017","CustomName":"APPLICATION OF OTHER WOUND DRESSING"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.94","CodeVersion":"2017","CustomName":"RESPIRATORY MEDICATION ADMINISTERED BY NEBULIZER"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4163F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0080T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105013","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34606","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107092","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73488","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0601T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107374","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14614","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5050","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL IN THE EAR"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2680","CodeVersion":"2020","CustomName":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2562","CodeVersion":"2020","CustomName":"INJECTION PLERIXAFOR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0995","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CALF REST\/PAD REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8684","CodeVersion":"2020","CustomName":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0617","CodeVersion":"2020","CustomName":"EXTERNAL DEFIB W\/INTEGRATED ECG ANALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0982","CodeVersion":"2020","CustomName":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9974","CodeVersion":"2020","CustomName":"DILATED MACULAR EXAM PERFORMED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7331","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE SYNOJOYNT IA INJ 1 MG"},{"ServiceGroup":"111966","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7485","CodeVersion":"2020","CustomName":"REDUCTION OF OSSEOUS TUBEROSITY"},{"ServiceGroup":"103911","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4219","CodeVersion":"2020","CustomName":"SURGIGRAFT-DUAL PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0461","CodeVersion":"2020","CustomName":"INJECTION ATROPINE SULFATE 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8965","CodeVersion":"2020","CustomName":"CARD SS IMAG PRIM PER L CHD RSK PT DET RSK ASMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0238","CodeVersion":"2020","CustomName":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6402","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL 16 SQ\/< W\/O ADHES BORDR"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C1719","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED NON-HD IRIDIUM-192 PER SRC"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4265","CodeVersion":"2020","CustomName":"BIOL MATL AID SOFT & OSSEOUS TISS REGEN PER SITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9352","CodeVersion":"2020","CustomName":"MICROPOROUS COLLAGEN IMPLANTABLE TUBE PER CM LEN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8952","CodeVersion":"2020","CustomName":"ELVATD\/HTN BP DOC INDCD F\/U NOT DOC RSN NOT GIVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8935","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST UPPER EXTREMITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9540","CodeVersion":"2020","CustomName":"PATIENT ALIVE 3 MONTHS POST PROCEDURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0398","CodeVersion":"2020","CustomName":"ALS ROUTINE DISPOSABLE SUPPLIES"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0904","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Activity Therapy"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0384","CodeVersion":"2020","CustomName":"Blood and Blood Components - Platelets"},{"ServiceGroup":"51785","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"33368","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0962","CodeVersion":"2020","CustomName":"Professional Fees - Ophthalmology"},{"ServiceGroup":"92622","CodeType":"DRG","Code":"269","CodeVersion":"2020","CustomName":"Other skin, subcutaneous tissue, and breast procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107170","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40944","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99145","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0184T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3382F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0145U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74.4","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF OTHER SPECIFIED TYPE"},{"ServiceGroup":"65623","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0073T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45333","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0136","CodeVersion":"2020","CustomName":"CLOZAPINE 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5912","CodeVersion":"2020","CustomName":"FACIAL MOULAGE"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"97507","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0183","CodeVersion":"2020","CustomName":"PROCHLORPERAZINE MALEATE ORAL 5MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7683","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9150","CodeVersion":"2020","CustomName":"INJECTION DAUNORUBICIN 10 MG"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9605","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG; EA ADD BR SUBTEND BP GFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2270","CodeVersion":"2020","CustomName":"ADD LW EXT VARUS\/VALGUS CORR STRAP PAD\/LINE PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5230","CodeVersion":"2020","CustomName":"ABVE KNEE PROX FEM FOCAL DEFIC SACH FOOT"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9772","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/PERC TIB\/PER ART IVASC LITHOTRIPSY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3215","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH"},{"ServiceGroup":"87968","CodeType":"ICD10P","Code":"0DB68Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH VIA NAT ART OPENING ENDO VERTCL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0704","CodeVersion":"2020","CustomName":"3-D PHOTOGRAPHIC IMAGE - IMAGE CAPTURE ONLY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7182","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0260","CodeVersion":"2020","CustomName":"INJ PROC SI JNT;ANES STEROID&\/TX AGT&ARTHROGRPH"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33087","CodeType":"ICD9P","Code":"17.45","CodeVersion":"2017","CustomName":"THORACOSCOPIC ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9179","CodeVersion":"2020","CustomName":"INJECTION ERIBULIN MESYLATE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0122","CodeVersion":"2020","CustomName":"INJECTION MENOTROPINS 75 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3415","CodeVersion":"2020","CustomName":"INJECTION PYRIDOXINE HCL 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0373","CodeVersion":"2020","CustomName":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2149","CodeVersion":"2020","CustomName":"DOCUMENT MEDICAL REASON NOT USNG MULTIMODAL PAIN"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9992","CodeVersion":"2020","CustomName":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1032","CodeVersion":"2020","CustomName":"NONPNEU SEQUENTIAL COMPRESSION GARMENT FULL LEG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3410","CodeVersion":"2020","CustomName":"APICOECTOMY - ANTERIOR"},{"ServiceGroup":"43323","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"73501","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0871","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Cell Collection"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0833","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"9947","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"759","CodeVersion":"2020","CustomName":"MULTIPLE CHANNEL COCHLEAR IMPLANTS-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21803","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0059T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99144","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91583","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3219F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2710","CodeVersion":"2020","CustomName":"CROWN RESINBASED COMPOSITE INDIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2792","CodeVersion":"2020","CustomName":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9480","CodeVersion":"2020","CustomName":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2310","CodeVersion":"2020","CustomName":"INJECTION NALOXONE HCL PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0426","CodeVersion":"2020","CustomName":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0290","CodeVersion":"2020","CustomName":"INJECTION AMPICILLIN SODIUM 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0465","CodeVersion":"2020","CustomName":"AUTOLOG PRP DIAB CHRON WOUND\/ULCER FDA CLEAR DEV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9433","CodeVersion":"2020","CustomName":"MED FOOD NUTR CMPL ORAL 100% NUTRITNL INTAKE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4245","CodeVersion":"2020","CustomName":"AMNIOTEXT PER CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5969","CodeVersion":"2020","CustomName":"ADDITION ENDOSKELETAL ANKLE-FOOT\/ANK PWR ASSIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8807","CodeVersion":"2020","CustomName":"TRANSABD\/TRANSVAG U\/S NOT PERF RSN DOC CLINICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9521","CodeVersion":"2020","CustomName":"TOTAL NUMBER ED VISITS & IP HOSP < 2 PAST 12 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2642","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3347","CodeVersion":"2020","CustomName":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9753","CodeVersion":"2020","CustomName":"DOC MED RSN NOT C SRCH DICOM F IMAG W\/I P 12 MO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6504","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.1","CodeVersion":"2017","CustomName":"OTHER SURGICAL INDUCTION OF LABOR"},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6784","CodeVersion":"2020","CustomName":"RETAINER CROWN 3\/4 - TITANIUM & TITANIUM ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3209","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH CHILD"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0853","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"15302","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"9937","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"39522","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"328","CodeVersion":"2020","CustomName":"Urethral stricture, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"734","CodeVersion":"2020","CustomName":"OTHER DIAGNOSES OF MULTIPLE SIGNIFICANT TRAUMA-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45063","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0505T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71340","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9405","CodeVersion":"2020","CustomName":"PATIENT RECEIVED F\/U WITHIN 7 DAYS AFTER D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5109","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-QBTX BIOSIMILAR 10 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9261","CodeVersion":"2020","CustomName":"INJECTION NELARABINE 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0506","CodeVersion":"2020","CustomName":"BIFOCAL VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0607","CodeVersion":"2020","CustomName":"HOME BLOOD GLUCOSE MONITOR"},{"ServiceGroup":"78377","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"12124","CodeType":"REV","Code":"0810","CodeVersion":"2020","CustomName":"Acquisition of Body Components - General Classification"},{"ServiceGroup":"90854","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"002","CodeVersion":"2020","CustomName":"Craniotomy, age greater than 17 without CC"},{"ServiceGroup":"40589","CodeType":"DRG","Code":"029","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0446T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0263U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"45.91","CodeVersion":"2017","CustomName":"SMALL-TO-SMALL INTESTINAL ANASTOMOSIS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0065U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41.04","CodeVersion":"2017","CustomName":"AUTOL HEMATOPOIETIC STEM CELL TPLNT W\/O PURGING"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4724","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>3999<\/=4999CC PERITON DIALYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9930","CodeVersion":"2020","CustomName":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9517","CodeVersion":"2020","CustomName":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5790","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1043","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6239","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL >48 SQ W\/ADHES BORDR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3420","CodeVersion":"2020","CustomName":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9354","CodeVersion":"2020","CustomName":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2785","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0120","CodeVersion":"2020","CustomName":"PERIODIC ORAL EVALUATION ESTABLISHED PATIENT"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2791","CodeVersion":"2020","CustomName":"INJ RHO D IG HUMAN RHOPHYLAC IM\/IV 10 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0035","CodeVersion":"2020","CustomName":"CARDIOKYMOGRAPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9968","CodeVersion":"2020","CustomName":"PT REFERRED ANR PROV\/SPEC DUR PRFRM PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1093","CodeVersion":"2020","CustomName":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6238","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS > 16 BUT <\/= 48 SQ W\/ADHES EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3904","CodeVersion":"2020","CustomName":"MASTERS TWO STEP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4220","CodeVersion":"2020","CustomName":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4541","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9417","CodeVersion":"2020","CustomName":"PATIENT NO 1 TET DT & TDAP ON\/BTW PT 10 & 13 BD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0170","CodeVersion":"2020","CustomName":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7210","CodeVersion":"2020","CustomName":"EXTRACTION ERU TOOTH RQR REMV BONE &\/SECTN TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1852","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF"},{"ServiceGroup":"11074","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6442","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0460","CodeVersion":"2020","CustomName":"AUTOLOGOUS PLATELET-RICH PLASMA CHRONIC WOUND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7648","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"10644","CodeType":"HCPCS","Code":"S5523","CodeVersion":"2020","CustomName":"HIT INSERT MIDLINE CVC NRS SRVC ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0256","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"33827","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"43284","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"629","CodeVersion":"2020","CustomName":"NEONATE, BWT OVER 2499G, W\/O SIGN OR PROC, W NORM NEWB DIAG-NYDRG"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"004","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"809","CodeVersion":"2020","CustomName":"OTHER CARDIOTHORACIC PROCEDURES W\/PDX CONG ANOMALY-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"964","CodeVersion":"2020","CustomName":"Other Multiple Significant Trauma with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73","CodeVersion":"2017","CustomName":"OTHER PROCEDURES INDUCING OR ASSISTING DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"7010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0222U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0274T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61559","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84912","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37122","CodeType":"ICD9P","Code":"81.52","CodeVersion":"2017","CustomName":"PARTIAL HIP REPLACEMENT"},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41","CodeVersion":"2017","CustomName":"OPERATIONS ON BONE MARROW AND SPLEEN"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3572F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0103A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1022","CodeVersion":"2020","CustomName":"ADD LE PROS ENDOSK KNEE DISART ABV K HIP DISAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2385","CodeVersion":"2020","CustomName":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0481","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6704","CodeVersion":"2020","CustomName":"TERMINAL DEVICE SPORT\/RECREATIONAL\/WORK ATTACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8654","CodeVersion":"2020","CustomName":"RISK-ADJ FS HIP IMPAIR NOT MEAS RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0957","CodeVersion":"2020","CustomName":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1006","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS TILT&RECLINE NO SHEAR RDUC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1040","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 80 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2070","CodeVersion":"2020","CustomName":"CYSTO W\/URETERSCPY&\/PYELSCPY;LASR TX URETRL CALC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2212","CodeVersion":"2020","CustomName":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2185","CodeVersion":"2020","CustomName":"DOCUMENTATION CAREGIV IS TRN & CERT IN DEM CARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9520","CodeVersion":"2020","CustomName":"PT NO F REFR +\/- 1.0 DIO REFR W\/I 90 D SURG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2770","CodeVersion":"2020","CustomName":"INJECTION QUINUPRISTIN\/DALFOPRISTIN 500 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2850","CodeVersion":"2020","CustomName":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6404","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 48 SQ W\/O ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1447","CodeVersion":"2020","CustomName":"INJECTION TBO-FILGRASTIM 1 MICROGRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7026","CodeVersion":"2020","CustomName":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5001","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG BRAND NAME"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2526","CodeVersion":"2020","CustomName":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9891","CodeVersion":"2020","CustomName":"MDPP SESS RPT AS LN-I ON CLM FOR PAYABL MDPP EM"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5008","CodeVersion":"2020","CustomName":"HEARING SCREENING"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9582","CodeVersion":"2020","CustomName":"DOOR TO PUNCTURE TIME OF >90 MIN NO REASON GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3370","CodeVersion":"2020","CustomName":"SOLE WEDGE BETWEEN SOLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6066","CodeVersion":"2020","CustomName":"IMPLANT SUPP CROWN - PORCELAIN FUSED HI NBL ALY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9478","CodeVersion":"2020","CustomName":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0371","CodeVersion":"2020","CustomName":"Anesthesia - Anesthesia Incident to Radiology"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"14187","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"17079","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"13470","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"43502","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"26994","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"75639","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"439","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"113017","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"48005","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"57642","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"881","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV 96+ HRS -NYDRG"},{"ServiceGroup":"53603","CodeType":"DRG","Code":"494","CodeVersion":"2020","CustomName":"Laparoscopic cholecystectomy without common duct exploration without CC"},{"ServiceGroup":"19671","CodeType":"DRG","Code":"286","CodeVersion":"2020","CustomName":"Adrenal and pituitary procedures"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92823","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0338U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112035","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86505","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3372F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4192F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0502T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0519T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0195U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93074","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93019","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0706T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0732T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91009","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107494","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0603","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING HIGH RISK"},{"ServiceGroup":"90558","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3917","CodeVersion":"2020","CustomName":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0479","CodeVersion":"2020","CustomName":"POWER MODULE ELECTRIC\/PNEUMATIC VAD REPLACE ONLY"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7185","CodeVersion":"2020","CustomName":"ELEC ELB ADOLES VRITY VILLAGE\/EQUAL SWITCH CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3254","CodeVersion":"2020","CustomName":"NONSTANDARD SIZE OR WIDTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8460","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER ABOVE KNEE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7307","CodeVersion":"2020","CustomName":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL & SPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6230","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL> 48 SQ NO ADHES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4580","CodeVersion":"2020","CustomName":"CAST SUPPLIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6040","CodeVersion":"2020","CustomName":"SURG PLACEMENT: EPOSTEAL IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4002","CodeVersion":"2020","CustomName":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0241","CodeVersion":"2020","CustomName":"BATHTUB WALL RAIL EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2041","CodeVersion":"2020","CustomName":"KTE-C19 TO 200 M A ANTI-CD19 CAR POS T CE P TD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5122","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4149","CodeVersion":"2020","CustomName":"EXCELLAGEN 0.1 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4264","CodeVersion":"2020","CustomName":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV & DEL SYS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0071","CodeVersion":"2020","CustomName":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2140","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 3 MNT PO<=3.0 DEM CHNG 5 PNT\/>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2017","CodeVersion":"2020","CustomName":"PERMEADERM GLOVE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0802","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0912","CodeVersion":"2020","CustomName":"TRAPEZ BAR HEVY DUTY PT WT > 250 LBS FREE STAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0666","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS HALF LEG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6382","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7185","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8300","CodeVersion":"2020","CustomName":"TRUSS SINGLE WITH STANDARD PAD"},{"ServiceGroup":"91678","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1568","CodeVersion":"2020","CustomName":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2720","CodeVersion":"2020","CustomName":"INJECTION PROTAMINE SULFATE PER 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0220","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0221","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB & CILGAVIMAB CERT ADT&PED 600 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9077","CodeVersion":"2020","CustomName":"ONC;PROS CA;T1-T2C&GLESN 27&PSA<\/=20 NO PROGRSSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7295","CodeVersion":"2020","CustomName":"HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1817","CodeVersion":"2020","CustomName":"SEPTAL DEFECT IMPLANT SYSTEM INTRACARDIAC"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2312","CodeVersion":"2020","CustomName":"TRIFOCL +\/-7.25-+\/-12.00D SPHER 2.25-4.00D CYL E"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0294","CodeVersion":"2020","CustomName":"NONCOVR PROC NO ANES\/LOC ANES-MCR QUAL TRIAL-DAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9394","CodeVersion":"2020","CustomName":"PT BPD\/PD PERM NH\/HOSPICE\/PALL CARE DUR ASSESS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3380F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107009","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3486","CodeVersion":"2020","CustomName":"INJECTION ZIPRASIDONE MESYLATE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5214","CodeVersion":"2020","CustomName":"MANDIBULAR PRTL DENTURE - CAST METAL FRAMEWORK"},{"ServiceGroup":"74614","CodeType":"HCPCS","Code":"H2036","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2600","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS\/THRUST BEAR FREE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5858","CodeVersion":"2020","CustomName":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9807","CodeVersion":"2020","CustomName":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY\/HPV TEST"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4456","CodeVersion":"2020","CustomName":"ADHESIVE REMOVER WIPES ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0434","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7641","CodeVersion":"2020","CustomName":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1021","CodeVersion":"2020","CustomName":"EXSUFFLATION BELT INCLUDES ALL SUPPLIES & ACCES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9040","CodeVersion":"2020","CustomName":"INJECTION BLEOMYCIN SULFATE 15 UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0714","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME & AVIBACTAM 0.5 G\/0.125 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4149","CodeVersion":"2020","CustomName":"ENTRAL F MANF BLNDRIZD NAT FOODS W\/NUTRIENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5705","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9841","CodeVersion":"2020","CustomName":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0498","CodeVersion":"2020","CustomName":"CHEMOTX ADM IV INF TECH; INI INF OFFICE\/CLIN SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9919","CodeVersion":"2020","CustomName":"SCREENING PERF & POS & PROVISION RECOMMENDATIONS"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0872","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Specialized Biologic Processing and Storage - Prior to Transport"},{"ServiceGroup":"48004","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"13248","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"14610","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"33236","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"50907","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"87684","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"12590","CodeType":"REV","Code":"0904","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Activity Therapy"},{"ServiceGroup":"675","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"3157","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"3212","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"68190","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"776","CodeVersion":"2020","CustomName":"ESOPHAGITIS, GASTROENT \"&\" MISC DIGEST DISORD AGE UNDER 18 W CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"083","CodeVersion":"2020","CustomName":"Major chest trauma with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3216F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88246","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.9","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON HEART AND PERICARDIUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0005U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0519T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101745","CodeType":"CPT","Code":"90656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91890","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27315","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4196F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0152U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46118","CodeType":"CPT","Code":"97802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.13","CodeVersion":"2017","CustomName":"(AORTO)CORONARY BYPASS THREE CORONARY ARTERIES"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73","CodeVersion":"2017","CustomName":"OTHER PROCEDURES INDUCING OR ASSISTING DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61558","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37202","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71.71","CodeVersion":"2017","CustomName":"SUTURE OF LACERATION OF VULVA OR PERINEUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0684T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82758","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7994","CodeVersion":"2020","CustomName":"SURGICAL PLACEMENT: ZYGOMATIC IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2211","CodeVersion":"2020","CustomName":"BIFOCL +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL-EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0190","CodeVersion":"2020","CustomName":"SCREENING OF A PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5899","CodeVersion":"2020","CustomName":"UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0055","CodeVersion":"2020","CustomName":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1721","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR DUAL CHAMBER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0292","CodeVersion":"2020","CustomName":"HOSP BED VARIBL HT HI-LO W\/O SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1005","CodeVersion":"2020","CustomName":"DISPOSABLE COLL & STRG BAG BM ANY SIZE ANY T EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0022","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG INTERVENTION SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2220","CodeVersion":"2020","CustomName":"ADD LW EXTRM DORSIFLX&PLANTR ASST\/RSIST EA JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0434","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2957","CodeVersion":"2020","CustomName":"EA ADD PREFABR POST - SAME TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5122","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2624","CodeVersion":"2020","CustomName":"IMPL WIRELESS PULM ARTERY PRESS SENSOR DEL CATH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6100","CodeVersion":"2020","CustomName":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1022","CodeVersion":"2020","CustomName":"ADD LE PROS ENDOSK KNEE DISART ABV K HIP DISAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9278","CodeVersion":"2020","CustomName":"DOC PT NOT ON DAILY ASPIRIN\/ANTI-PLATELET REGIMN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2041","CodeVersion":"2020","CustomName":"KTE-C19 TO 200 M A ANTI-CD19 CAR POS T CE P TD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1841","CodeVersion":"2020","CustomName":"RETINAL PROSTH INCL ALL INTRL & EXTERNL CMPNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0434","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2788","CodeVersion":"2020","CustomName":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1931","CodeVersion":"2020","CustomName":"INJECTION LARONIDASE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2022","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1280","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7515","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9084","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9329","CodeVersion":"2020","CustomName":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5283","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM NCK LOOP INDUCT RECV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2513","CodeVersion":"2020","CustomName":"INJECTION PENTASTARCH 10% SOLUTION 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1006","CodeVersion":"2020","CustomName":"SUCTION PUMP HOME MODEL ELEC USE EXT URINE MS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1025","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS ORTHOS KYPHOS PAD FLOATING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0108","CodeVersion":"2020","CustomName":"OTHER ACCESSORIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9330","CodeVersion":"2020","CustomName":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0816","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO &=300 LBS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9246","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN EVOMELA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5105","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 100 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9137","CodeVersion":"2020","CustomName":"ONC; DZ STS; NHL; RELAPSED\/REFRACTORY"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"C1822","CodeVersion":"2020","CustomName":"GEN NEUROSTIM HIGH FREQ RECHARG BATT & CHARG SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7323","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE EUFLEXXA IA INJ PER DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1556","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4010","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0457","CodeVersion":"2020","CustomName":"CHEST SHELL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0044","CodeVersion":"2020","CustomName":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7633","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3010","CodeVersion":"2020","CustomName":"FT INSRT REMV MOLD PT MDL LNGTUDNL ARCH SUPP EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1700","CodeVersion":"2020","CustomName":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2186","CodeVersion":"2020","CustomName":"PT\/CG DYAD REF TO APP RES & CON TO RES IS CONF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0998","CodeVersion":"2020","CustomName":"AMBULANCE RESPONSE AND TREATMENT NO TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0491","CodeVersion":"2020","CustomName":"INJECTION ANIFROLUMAB-FNIA 1 MG"},{"ServiceGroup":"104042","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0608","CodeVersion":"2020","CustomName":"REPLACEMENT GARMENT USE W\/AUTO EXTERNAL DEFIB EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0352","CodeVersion":"2020","CustomName":"DISPBL PACK USE W\/THE ELEC BOWEL IRRIG\/EVAC SYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0735","CodeVersion":"2020","CustomName":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3010","CodeVersion":"2020","CustomName":"INJECTION FENTANYL CITRATE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4553","CodeVersion":"2020","CustomName":"NON-DISPOSABLE UNDERPADS ALL SIZES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2530","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THIGH\/WEIGHT BEAR LACER NONMOLDED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1645","CodeVersion":"2020","CustomName":"INJECTION DALTEPARIN SODIUM PER 2500 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6262","CodeVersion":"2020","CustomName":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1733","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP NOT COOL-TIP"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"58764","CodeType":"REV","Code":"0519","CodeVersion":"2020","CustomName":"Clinic - Other Clinic"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"45884","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"22410","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"51274","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"31134","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"42828","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"654","CodeVersion":"2020","CustomName":"Major Bladder Procedures with CC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"268","CodeVersion":"2020","CustomName":"Skin, subcutaneous tissue, and breast plastic procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"819","CodeVersion":"2020","CustomName":"CREATE, REVISE OR REMOVE RENAL ACCESS DEVICE-NYDRG"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"622","CodeVersion":"2020","CustomName":"NEONATE, BWT OVER 2499G, W SIG OR PROC, W MULT MAJOR PROB-NYDRG"},{"ServiceGroup":"39522","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"004","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"064","CodeVersion":"2020","CustomName":"Ear, nose, mouth and throat malignancy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"239","CodeVersion":"2020","CustomName":"Pathological fractures and musculoskeletal and connective tissue malignancy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"671","CodeVersion":"2020","CustomName":"Urethral Procedures with CC\/MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106171","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26354","CodeType":"CPT","Code":"90846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87528","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0177U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77585","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106708","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89949","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107656","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0124A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84318","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.11","CodeVersion":"2017","CustomName":"CEREBRAL SCAN"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0581T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32994","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0030U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115367","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85084","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0124T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9861","CodeVersion":"2020","CustomName":"PATIENT SPENT >\/ EQUAL TO 3 DAYS IN HOSPICE CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5214","CodeVersion":"2020","CustomName":"MANDIBULAR PRTL DENTURE - CAST METAL FRAMEWORK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9940","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL REASON FOR NOT ON A STATIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1806","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH WRIST DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0462","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7668","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP CONC PER 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9719","CodeVersion":"2020","CustomName":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0140","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID ADJUSTABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5706","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5750","CodeVersion":"2020","CustomName":"RELINE COMPLETE MAXILLARY DENTURE INDIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8798","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9520","CodeVersion":"2020","CustomName":"PT NO F REFR +\/- 1.0 DIO REFR W\/I 90 D SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6100","CodeVersion":"2020","CustomName":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4231","CodeVersion":"2020","CustomName":"ANAT CROWN EXP 1-3 TEETH\/BND TOOTH SP PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6540","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0427","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 70 MIN\/> PT TELEHELTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6056","CodeVersion":"2020","CustomName":"PREFABRICATED ABUTMENT-INCL MOD & PLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1267","CodeVersion":"2020","CustomName":"INJECTION DORIPENEM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0353","CodeVersion":"2020","CustomName":"TX PLANNING CARE COORDINATION MGMT CANCR INIT TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0712","CodeVersion":"2020","CustomName":"INJECTION CEFTAROLINE FOSAMIL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2050","CodeVersion":"2020","CustomName":"FINANCIAL MANAGEMENT SELF-DIRECTED WAIVER; PD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3222","CodeVersion":"2020","CustomName":"PART PULPOTOMY FOR APEXOGENEIS PERM TOOTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2042","CodeVersion":"2020","CustomName":"TISAGENLECLEUCEL TO 600 M CAR-POS VI T CE PER TD"},{"ServiceGroup":"103612","CodeType":"HCPCS","Code":"S9465","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0429","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9762","CodeVersion":"2020","CustomName":"CMRI MORPHOL & FUNC QUAN SEG DYSFUNC;STRAIN IMAG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0610","CodeVersion":"2020","CustomName":"PACEMKR MON CHECKS BATTRY DEPLET W\/AUDIBL&VISIBL"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0170","CodeVersion":"2020","CustomName":"TRANSPORTATION ANCILLARY: PARKING FEES TOLLS OTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2266","CodeVersion":"2020","CustomName":"INDUCED ABORTION 29 TO 31 WEEKS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8560","CodeVersion":"2020","CustomName":"ETOPOSIDE ORAL 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0585","CodeVersion":"2020","CustomName":"BOTULINUM TOXIN TYPE A PER UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3645","CodeVersion":"2020","CustomName":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0632","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOT SAGIT CNTRL RIGID A&P CUSTOM"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106668","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2207","CodeVersion":"2020","CustomName":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7411","CodeVersion":"2020","CustomName":"EXCISION OF BENIGN LESION > 1.25 CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2604","CodeVersion":"2020","CustomName":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2614","CodeVersion":"2020","CustomName":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0194","CodeVersion":"2020","CustomName":"DIALYSIS\/STRESS VITAMIN SUPL ORAL 100 CAPSULES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2370","CodeVersion":"2020","CustomName":"INTRADISCAL ELECTHRML TX; 1 INTRSP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2055","CodeVersion":"2020","CustomName":"IDECABTAGENE VICL 460MIL AUTO BCMA CAR+T LEUKAPH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0717","CodeVersion":"2020","CustomName":"INJECTION CERTOLIZUMAB PEGOL 1 MG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3421","CodeVersion":"2020","CustomName":"APICOECTOMY - PREMOLAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9751","CodeVersion":"2020","CustomName":"PATIENT DIED ANY TIME DUR 24-MONTH MSR PERIOD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7518","CodeVersion":"2020","CustomName":"MYCOPHENOLIC ACID ORAL 180 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9325","CodeVersion":"2020","CustomName":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U"},{"ServiceGroup":"50905","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0237","CodeVersion":"2020","CustomName":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9458","CodeVersion":"2020","CustomName":"PT DOC TOBACCO USER & RECV TOBACCO CESSATION INT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8925","CodeVersion":"2020","CustomName":"TEE W OR W\/O FLW W\/CNTRST REAL TIME 2D; ACQ I&R"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2055","CodeVersion":"2020","CustomName":"HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0159","CodeVersion":"2020","CustomName":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0221","CodeVersion":"2020","CustomName":"INFRARED HEATING PAD SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3601","CodeVersion":"2020","CustomName":"EMERG STAT LAB CHARGE PT HOMBOUND\/RESID NRS FACL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6446","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2402","CodeVersion":"2020","CustomName":"NEG PRESS WOUND THERAPY ELEC PUMP STATION\/PRTBLE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1550","CodeVersion":"2020","CustomName":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"44430","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9354","CodeVersion":"2020","CustomName":"1 CT SCAN\/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9839","CodeVersion":"2020","CustomName":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"35967","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"74670","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0542","CodeVersion":"2020","CustomName":"Ambulance - Medical Transport"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"17624","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"14727","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"22403","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"27155","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0385","CodeVersion":"2020","CustomName":"Blood and Blood Components - Leukocytes"},{"ServiceGroup":"11301","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"038","CodeVersion":"2020","CustomName":"Primary iris procedures"},{"ServiceGroup":"34168","CodeType":"DRG","Code":"928","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury with CC\/MCC"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"81620","CodeType":"DRG","Code":"796","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/ CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98604","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0073U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0232U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0234U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104950","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0694T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0499T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.36","CodeVersion":"2017","CustomName":"CORRECTION OF FETAL DEFECT"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50202","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.35","CodeVersion":"2017","CustomName":"PARTIAL VENTRICULECTOMY"},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92366","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91456","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8936","CodeVersion":"2020","CustomName":"MR ANGIO W\/O CONTRST FOLLOWED W\/CONTRST UP EXT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5644","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9733","CodeVersion":"2020","CustomName":"NONOPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3245","CodeVersion":"2020","CustomName":"INJECTION TILDRAKIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9764","CodeVersion":"2020","CustomName":"REV EVAR OPN\/PERQ LE AA; NO TIB\/PR;IV LITHOTRIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7517","CodeVersion":"2020","CustomName":"MYCOPHENOLATE MOFETIL ORAL 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1093","CodeVersion":"2020","CustomName":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9282","CodeVersion":"2020","CustomName":"WIG ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2038","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC MX-AXIS ANKLE CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9541","CodeVersion":"2020","CustomName":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9030","CodeVersion":"2020","CustomName":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9615","CodeVersion":"2020","CustomName":"CATHETERIZATION FOR COLLECTION OF SPECIMEN"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7614","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3984","CodeVersion":"2020","CustomName":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT&ADJ"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0984","CodeVersion":"2020","CustomName":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0180","CodeVersion":"2020","CustomName":"DOLASETRON MESYLATE 100 MG ORL NOT >48 HR DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4166","CodeVersion":"2020","CustomName":"CYTAL PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0514","CodeVersion":"2020","CustomName":"COLOR CONTACT LENS PER LENS"},{"ServiceGroup":"45950","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8650","CodeVersion":"2020","CustomName":"NABILONE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0766","CodeVersion":"2020","CustomName":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5811","CodeVersion":"2020","CustomName":"INTERIM COMPLETE DENTURE"},{"ServiceGroup":"82222","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0591","CodeVersion":"2020","CustomName":"INJECTION DEOXYCHOLIC ACID 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0171","CodeVersion":"2020","CustomName":"RE-EVALUATION - POST-OPERATIVE OFFICE VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9433","CodeVersion":"2020","CustomName":"MED FOOD NUTR CMPL ORAL 100% NUTRITNL INTAKE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1056","CodeVersion":"2020","CustomName":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0676","CodeVersion":"2020","CustomName":"INTERMITTENT LIMB COMPRESSION DEVICE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2644","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SRC CESIUM-131 CHLORID SOL PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4520","CodeVersion":"2020","CustomName":"INCONTINENCE GARMENT ANY TYPE EACH"},{"ServiceGroup":"87967","CodeType":"ICD10P","Code":"0DB67Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH VIA NAT ARTIF OPENING VERTICAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9213","CodeVersion":"2020","CustomName":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9784","CodeVersion":"2020","CustomName":"PATHOLOGISTS\/DERMATOPATH PRVDG 2ND OPINION ON BX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2840","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOS TIB LENGTH SOCK FX\/= EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5247","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9946","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7525","CodeVersion":"2020","CustomName":"TRACHEOSTOMY MASK EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9319","CodeVersion":"2020","CustomName":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0630","CodeVersion":"2020","CustomName":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1886","CodeVersion":"2020","CustomName":"CATH EXTRAVASCULAR TISSUE ABLAT MODAL INSERTABLE"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J0640","CodeVersion":"2020","CustomName":"INJECTION LEUCOVORIN CALCIUM PER 50 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91048","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3357","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - COMPLETION OF TREATMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0255","CodeVersion":"2020","CustomName":"CURRNT PERCEPT THRESHOLD\/SNCT PER LIMB ANY NERVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6000","CodeVersion":"2020","CustomName":"NON-CNTC WND WARMING WND COVR W\/DEVC&CARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0491","CodeVersion":"2020","CustomName":"INJECTION ANIFROLUMAB-FNIA 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5855","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1640","CodeVersion":"2020","CustomName":"INJECTION HEMIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2068","CodeVersion":"2020","CustomName":"BREAST RECON DIEP\/SIEA FLAP & CLOS DONR SITE UNI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8480","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0631","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5264","CodeVersion":"2020","CustomName":"EAR MOLD\/INSERT NOT DISPOSABLE ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0191","CodeVersion":"2020","CustomName":"MISOPROSTOL ORAL 200 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0316","CodeVersion":"2020","CustomName":"DZ MANAGEMENT PROGRAM FOLLOW-UP\/REASSESSMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8460","CodeVersion":"2020","CustomName":"CAMISOLE POST-MASTECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4027","CodeVersion":"2020","CustomName":"STORAGE OF PREVIOUSLY FROZEN EMBRYOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0423","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7684","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3350","CodeVersion":"2020","CustomName":"HEEL WEDGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4379","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/FACEPLATE ATTCH PLSTC EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7647","CodeVersion":"2020","CustomName":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0181","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"69689","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6120","CodeVersion":"2020","CustomName":"IMPL SUPP RETAIN - PORCELN FUSD TO TIT & TIT ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7991","CodeVersion":"2020","CustomName":"CORONOIDECTOMY"},{"ServiceGroup":"104844","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9974","CodeVersion":"2020","CustomName":"INTERNAL BLEACHING - PER TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9696","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6881","CodeVersion":"2020","CustomName":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC"},{"ServiceGroup":"13268","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"26893","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"13641","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"109","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"097","CodeVersion":"2020","CustomName":"Bronchitis and asthma, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.46","CodeVersion":"2017","CustomName":"OTHER SKIN TRACTION OF LIMBS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106669","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4043F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4169F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.11","CodeVersion":"2017","CustomName":"(AORTO)CORONARY BYPASS OF ONE CORONARY ARTERY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0665T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0144U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0189U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106768","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0044A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0748","CodeVersion":"2020","CustomName":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4270","CodeVersion":"2020","CustomName":"PEDICLE SOFT TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0054","CodeVersion":"2020","CustomName":"COORD STROKE PREV CULTIVT +OUTCOM MIPS VAL PATHW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1230","CodeVersion":"2020","CustomName":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8696","CodeVersion":"2020","CustomName":"ANTENNA FOR USE W\/IMPL DIA\/PN ST DEV REPL EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0572","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL <\/=TO 3 MG BPN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0172","CodeVersion":"2020","CustomName":"INJECTION, ADUCANUMAB-AVWA 2 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4674","CodeVersion":"2020","CustomName":"CHEMS\/ANTISEPTICS SOL CLEAN\/STERILIZE DIALY 8OZ"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9331","CodeVersion":"2020","CustomName":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4394","CodeVersion":"2020","CustomName":"OSTOMY DEODORANT W\/WO LUBRICANT POUCH PER FL OZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9607","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PERF IO CYSTO\/IN CASE PT DEATH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2365","CodeVersion":"2020","CustomName":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2025","CodeVersion":"2020","CustomName":"PAYMENT TH DSNT SITE SRVC FURN RHC\/FQHC ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8428","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GAUNTLET READY MADE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4150","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITIONALLY CMPL W\/INTACT NUTRIENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2190","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: HA RAD NECK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2201","CodeVersion":"2020","CustomName":"DOC OF MED RSN FOR NOT PROV BRIEF COUNSELING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9019","CodeVersion":"2020","CustomName":"PLATELETS EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0159","CodeVersion":"2020","CustomName":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0670","CodeVersion":"2020","CustomName":"INJECTION MEPIVACAINE HCL PER 10 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2184","CodeVersion":"2020","CustomName":"PATIENT DOES NOT HAVE A CAREGIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0693","CodeVersion":"2020","CustomName":"UV LT TX SYS PANL W\/BULBS\/LAMPS TIMER 6 FT PANEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8709","CodeVersion":"2020","CustomName":"URI EP HAD COMPETING DX ON\/3 DAYS AFTER EP DATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8670","CodeVersion":"2020","CustomName":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2202","CodeVersion":"2020","CustomName":"ECHOSCLEROTHERAPY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1764","CodeVersion":"2020","CustomName":"EVENT RECORDER CARDIAC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0240","CodeVersion":"2020","CustomName":"IV INF\/SCI CASIRIV & IMDEVIMB& P\/ADM SUBQ RP DS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0480","CodeVersion":"2020","CustomName":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4349","CodeVersion":"2020","CustomName":"MALE EXTERNAL CATHETER W\/WO ADHES DISPOSABLE EA"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"42434","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"6","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"70044","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"3102","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"48005","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"34168","CodeType":"DRG","Code":"934","CodeVersion":"2020","CustomName":"Full Thickness Burn without Skin Graft or Inhalation Injury"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3353F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33152","CodeType":"ICD9P","Code":"92.30","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY NOS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0222T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0473T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100000","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0328U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93726","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0143U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0095U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0603","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING HIGH RISK"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5280","CodeVersion":"2020","CustomName":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0140","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT & AIR TRAVEL INTRA-\/INTERSTATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8659","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC=0\/>0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8721","CodeVersion":"2020","CustomName":"PT CATEGORY PN CATEGORY & HISTOL GR DOC PATH RPT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2790","CodeVersion":"2020","CustomName":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5822","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4536","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDWEAR\/PULLON REUSBL SIZE EA"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1817","CodeVersion":"2020","CustomName":"SEPTAL DEFECT IMPLANT SYSTEM INTRACARDIAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5254","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL CIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8926","CodeVersion":"2020","CustomName":"TEE W OR W\/O FLW W\/CNTRST; PROBE PLCMT ACQ I&R"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5151","CodeVersion":"2020","CustomName":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1771","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONTINENCE W\/SLING GRAFT"},{"ServiceGroup":"84284","CodeType":"HCPCS","Code":"A0225","CodeVersion":"2020","CustomName":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2212","CodeVersion":"2020","CustomName":"INJECTION METHYLNALTREXONE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0482","CodeVersion":"2020","CustomName":"COUGH STIM DEVICE ALTRNAT POS&NEG ARWAY PRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5699","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8963","CodeVersion":"2020","CustomName":"CARD STRSS IMAG PRIM MON ASX PT HAD PCI W\/I 2 YR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3376F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6088","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - TI & TI ALLOYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2004","CodeVersion":"2020","CustomName":"XCELLISTEM PER SQ CM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8883","CodeVersion":"2020","CustomName":"BIOPSY RESULTS REVIEW COMMUNICATED TRACKED & DOC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4082","CodeVersion":"2020","CustomName":"DRUG OR BIOLOGICAL NOC PART B DRUG CAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1848","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8923","CodeVersion":"2020","CustomName":"LVEF< 40%\/DOC MOD\/SEV DPRSD LT VENT SYSTOLIC FCN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0182","CodeVersion":"2020","CustomName":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1085","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0493","CodeVersion":"2020","CustomName":"SKILLED SERVICES RN OBV & ASMT PT COND EA 15 MIN"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8684","CodeVersion":"2020","CustomName":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0575","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL >10 MG BUPRENORPHINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7280","CodeVersion":"2020","CustomName":"EXPOSURE OF AN UNERUPTED TOOTH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0288","CodeVersion":"2020","CustomName":"INJ AMPHOTERICIN B CHOLESTRYL SULFAT CMPLX 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0019","CodeVersion":"2020","CustomName":"ARM PAD REPLACEMENT ONLY EACH"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"42869","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"14188","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"188","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"251","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104857","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113684","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0090U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0216T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0182U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0026U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83960","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0080U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4161","CodeVersion":"2020","CustomName":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4163","CodeVersion":"2020","CustomName":"WOUNDEX BIOSKIN PER SQUARE CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1452","CodeVersion":"2020","CustomName":"INJECTION FOMIVIRSEN SODIUM INTRAOCULAR 1.65 MG"},{"ServiceGroup":"13597","CodeType":"HCPCS","Code":"A0428","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0020","CodeVersion":"2020","CustomName":"INJECTION BUPIVICAINE HYDROCHLORIDE 30 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6300","CodeVersion":"2020","CustomName":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2921","CodeVersion":"2020","CustomName":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE\/CUSP"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7524","CodeVersion":"2020","CustomName":"TRACHEOSTOMA STENT\/STUD\/BUTTON EACH"},{"ServiceGroup":"111962","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5926","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4039","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0431","CodeVersion":"2020","CustomName":"ADJUNCT PREDX TST NO CYTOL\/BX PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2525","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2147","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9115","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2035","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER HOUR"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3411","CodeVersion":"2020","CustomName":"INJECTION THIAMINE HCL 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4164","CodeVersion":"2020","CustomName":"HELICOLL PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3520","CodeVersion":"2020","CustomName":"EDETATE DISODIUM PER 150 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9410","CodeVersion":"2020","CustomName":"HOUSE\/EXTENDED CARE FACILITY CALL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5712","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4398","CodeVersion":"2020","CustomName":"FOOT DROP SPLINT RECUMBENT POSITIONING PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2050","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1888","CodeVersion":"2020","CustomName":"CATHETER ABLATION NON-CARDIAC ENDOVASCULAR"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"33825","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"9444","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3394F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0542T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90426","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12258","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0071U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0686T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0225","CodeVersion":"2020","CustomName":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0998","CodeVersion":"2020","CustomName":"AMBULANCE RESPONSE AND TREATMENT NO TRANSPORT"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8396","CodeVersion":"2020","CustomName":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM\/DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2540","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THI\/WEIGHT BEAR LACER MOLD PT MDL"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0469","CodeVersion":"2020","CustomName":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB"},{"ServiceGroup":"115169","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7668","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP CONC PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0950","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY TRAY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0454","CodeVersion":"2020","CustomName":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA\/CNS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9003","CodeVersion":"2020","CustomName":"COUNSELING GROUP BY CHAPLAIN SERVICES"},{"ServiceGroup":"80317","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0670","CodeVersion":"2020","CustomName":"SEG PNEU APPLINC PNEU COMPRS IN 2 FULL LEGS TRNK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1040","CodeVersion":"2020","CustomName":"CRANIAL REMOLDING ORTHOSIS PED RIGID CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"103948","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2010","CodeVersion":"2020","CustomName":"KAFO 1 UPRT SOLID STIRUP W\/O KNEE JNT CSTM FAB"},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26777","CodeType":"CPT","Code":"90806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48381","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9756","CodeVersion":"2020","CustomName":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0245","CodeVersion":"2020","CustomName":"TUB STOOL OR BENCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0550","CodeVersion":"2020","CustomName":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX\/O2 DEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9761","CodeVersion":"2020","CustomName":"CS URS&\/PYELOSCPY LITH & VAC ASPIR K COLL SYS&U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0039","CodeVersion":"2020","CustomName":"INJECTION SULFAMETHOXAZOLE&TRIMETHOPRIM 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4565","CodeVersion":"2020","CustomName":"SLINGS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7645","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1830","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1B 0.25 MG"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"30095","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"26994","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"9838","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"113580","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0849","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Other Outpatient CAPD"},{"ServiceGroup":"22811","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"17081","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"22985","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"033","CodeVersion":"2020","CustomName":"Concussion, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"143","CodeVersion":"2020","CustomName":"Chest pain"},{"ServiceGroup":"89937","CodeType":"DRG","Code":"273","CodeVersion":"2020","CustomName":"Major skin disorders without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3344F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3755F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104003","CodeType":"CPT","Code":"0449T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0670T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0196U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69924","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2029F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0022U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0518F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.98","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON SEPTA OF HEART"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"7010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2106","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRAILTY & D MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2630","CodeVersion":"2020","CustomName":"ANTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9103","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2039","CodeVersion":"2020","CustomName":"VEHICLE MODIFICATIONS WAIVER; PER SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7993","CodeVersion":"2020","CustomName":"SURGICAL PLCMT OF CRANIOFACIAL IMPL - EXTRA ORAL"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0584","CodeVersion":"2020","CustomName":"INJECTION BUROSUMAB-TWZA 1 MG"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1450","CodeVersion":"2020","CustomName":"INJECTION FLUCONAZOLE 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1811","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH KNEE DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9852","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3221","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2492","CodeVersion":"2020","CustomName":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8908","CodeVersion":"2020","CustomName":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0725","CodeVersion":"2020","CustomName":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6243","CodeVersion":"2020","CustomName":"PONTIC - PORCELAIN FUSED TO TIT & TIT ALLOYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2134","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9084","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5108","CodeVersion":"2020","CustomName":"HOME CARE TRAINING HOME CARE CLIENT PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8914","CodeVersion":"2020","CustomName":"PT DOC HAVE EXPERNCD HOSP TRNSF\/ADM UPON D\/C ASC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4550","CodeVersion":"2020","CustomName":"SURGICAL TRAYS"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4274","CodeVersion":"2020","CustomName":"MESIAL\/DISTAL WEDGE PROCEDURE SINGLE TOOTH"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2630","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP COOL-TIP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9775","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/P TIB\/PA;IVASC LITH&TL STNT PL&ATH"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"91","CodeType":"ICD10P","Code":"0TY10Z1","CodeVersion":"2020","CustomName":"TRANSPLANTATION LT KIDNEY SYNGENEIC OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0030","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH HOTLINE SERVICE"},{"ServiceGroup":"76094","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0455","CodeVersion":"2020","CustomName":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8915","CodeVersion":"2020","CustomName":"PT DOC NOT EXPERNCD HOSP TRNSF\/ADM UPON D\/C ASC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7181","CodeVersion":"2020","CustomName":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB&TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8946","CodeVersion":"2020","CustomName":"MINIMALLY INVASV BX METH ATMPT BUT NOT DX BR CA"},{"ServiceGroup":"59289","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2623","CodeVersion":"2020","CustomName":"CATHETER TRNSLUM ANGPLASTY DRUG-COATED NON-LASER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2983","CodeVersion":"2020","CustomName":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"9938","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"73603","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"22401","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0562","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Hourly Charge"},{"ServiceGroup":"70048","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"928","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury with CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"393","CodeVersion":"2020","CustomName":"Splenectomy, age 0-17"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"027","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma greater than one hour"},{"ServiceGroup":"79678","CodeType":"DRG","Code":"934","CodeVersion":"2020","CustomName":"Full Thickness Burn without Skin Graft or Inhalation Injury"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"519","CodeVersion":"2020","CustomName":"Cervical fusion with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3345F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0580T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0600T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4054F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0015U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0554T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0103T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93016","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84935","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103605","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47995","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4321","CodeVersion":"2020","CustomName":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9022","CodeVersion":"2020","CustomName":"INJECTION ATEZOLIZUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1016","CodeVersion":"2020","CustomName":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2507","CodeVersion":"2020","CustomName":"INJECTION PEGLOTICASE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0217","CodeVersion":"2020","CustomName":"WATER CIRCULATING HEAT PAD WITH PUMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0610","CodeVersion":"2020","CustomName":"INJECTION CALCIUM GLUCONATE PER 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4036","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; GRAVITY FED PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0435","CodeVersion":"2020","CustomName":"INF AGT ANTIG DETECT RPD AB TST OMT HIV-1\/-2 SCR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4209","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9110","CodeVersion":"2020","CustomName":"PALLIATVE TX DENTAL PAIN-MINOR PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9983","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 10 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2805","CodeVersion":"2020","CustomName":"INJECTION SINCALIDE 5 MICROGRAMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3215","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0210","CodeVersion":"2020","CustomName":"INTRAORAL-COMPLETE SERIES OF RADIOGRAPHIC IMAGES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9272","CodeVersion":"2020","CustomName":"INJECTION, DOSTARLIMAB-GXLY 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9152","CodeVersion":"2020","CustomName":"SINGLE VIT\/MINERAL\/TRACE ELEMENT ORAL-DOSE NOS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1815","CodeVersion":"2020","CustomName":"INJECTION INSULIN PER 5 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4555","CodeVersion":"2020","CustomName":"ELECTRD\/TRANSDUCR E-STIM DVC USED CA TX RPL ONLY"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0400","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3465","CodeVersion":"2020","CustomName":"INJECTION VORICONAZOLE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6050","CodeVersion":"2020","CustomName":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4023","CodeVersion":"2020","CustomName":"PATHOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0484","CodeVersion":"2020","CustomName":"MONITOR FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"92502","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"28624","CodeType":"REV","Code":"0343","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic Radiopharmaceuticals"},{"ServiceGroup":"30062","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0479","CodeVersion":"2020","CustomName":"Audiology - Other Audiology"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1128F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42723","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92548","CodeType":"CPT","Code":"65400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0487T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0676T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0700T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0638T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1036","CodeVersion":"2020","CustomName":"TRANSMITTER; EXT USE W\/ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"65421","CodeType":"HCPCS","Code":"A4290","CodeVersion":"2020","CustomName":"SACRAL NERVE STIMULATION TEST LEAD EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5724","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0241","CodeVersion":"2020","CustomName":"IVI\/SCI CASIRIV&IMDEVIMB& P\/ADM H\/RES SBQ RPT DS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1880","CodeVersion":"2020","CustomName":"VENA CAVA FILTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9247","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN FLUFENAMIDE 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5124","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB-NUNA BS BYOOVIZ 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0047","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR OTHER DRUG ABUSE SERVICES NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0800","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 STD PT WT CAP TO & INCL 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9303","CodeVersion":"2020","CustomName":"INJECTION PANITUMUMAB 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8440","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER BELOW KNEE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0573","CodeVersion":"2020","CustomName":"BUPRENORPHNE\/NALOXONE ORAL >3 MG BUT <\/=6 MG BPN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4707","CodeVersion":"2020","CustomName":"BICARBONATE CONCENTRATE POWDER HEMODIAL-PACKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4001","CodeVersion":"2020","CustomName":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7326","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H1010","CodeVersion":"2020","CustomName":"NON-MEDICAL FAM PLANNING EDUCATION PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9991","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VC ADM ON\/AFTR 60TH BD &B4 END MEAS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9156","CodeVersion":"2020","CustomName":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4255","CodeVersion":"2020","CustomName":"REGUARD FOR TOPICAL USE ONLY PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3213","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR CHILD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9600","CodeVersion":"2020","CustomName":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9600","CodeVersion":"2020","CustomName":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1301","CodeVersion":"2020","CustomName":"INJECTION EDARAVONE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0504","CodeVersion":"2020","CustomName":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C5276","CodeVersion":"2020","CustomName":"APPL SG F-S-N-H-F-G-M-D A TO 100 CM;EA ADD 25 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3222","CodeVersion":"2020","CustomName":"PART PULPOTOMY FOR APEXOGENEIS PERM TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1130","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0305","CodeVersion":"2020","CustomName":"BEDSIDE RAILS HALF-LENGTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0302","CodeVersion":"2020","CustomName":"HOS BED XTRA HEVY DUTY WT CAP>600 PDS W\/O MTTRSS"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7945","CodeVersion":"2020","CustomName":"OSTEOTOMY-BODY OF MANDIBLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9894","CodeVersion":"2020","CustomName":"ANDROGEN DEP TX RX\/ADMN COMB EXT BEAM RT TO PROS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4019","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4170","CodeVersion":"2020","CustomName":"CYGNUS PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0980","CodeVersion":"2020","CustomName":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4104","CodeVersion":"2020","CustomName":"ADDITIVE FOR ENTERAL FORMULA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0383","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAGE CAPTURE FIELD VIEW BOTH JAWS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7332","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRILURON IA INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5254","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL CIC"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1232","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W\/SEAT SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5656","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1561","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2180","CodeVersion":"2020","CustomName":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1049","CodeVersion":"2020","CustomName":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6320","CodeVersion":"2020","CustomName":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8721","CodeVersion":"2020","CustomName":"PT CATEGORY PN CATEGORY & HISTOL GR DOC PATH RPT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"22596","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"81023","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"16116","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"863","CodeVersion":"2020","CustomName":"Postoperative and Posttraumatic Infections without MCC"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"261","CodeVersion":"2020","CustomName":"Breast procedure for non-malignancy except biopsy and local excision"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"287","CodeVersion":"2020","CustomName":"Skin grafts and wound debridement for endocrine, nutritional, and metabolic disorders"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4193F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.8","CodeVersion":"2017","CustomName":"OPERATIONS ON FETUS TO FACILITATE DELIVERY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105470","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3452F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113856","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3394F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113681","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0183U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98592","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1240","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1878","CodeVersion":"2020","CustomName":"MATERIAL FOR VOCAL CORD MEDIALIZATION SYNTHETIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0851","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2034","CodeVersion":"2020","CustomName":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0950","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY TRAY EACH"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2805","CodeVersion":"2020","CustomName":"INJECTION SINCALIDE 5 MICROGRAMS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2540","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1876","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVERED W\/DELIVERY SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0241","CodeVersion":"2020","CustomName":"BATHTUB WALL RAIL EACH"},{"ServiceGroup":"90707","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8514","CodeVersion":"2020","CustomName":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA"},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"96.71","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT < 96 CONSECUTIVE HOURS"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9605","CodeVersion":"2020","CustomName":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5646","CodeVersion":"2020","CustomName":"ADD LOW EXT BELOW KNEE AIR FL GEL\/= CUSHN SOCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8475","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB TX NOT PRESCRIBED RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0130","CodeVersion":"2020","CustomName":"SEXA BN DNSITY STDY 1\/> SITE; APPNDICULR SKEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7983","CodeVersion":"2020","CustomName":"CLOSURE OF SALIVARY FISTULA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1644","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 1000 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0089","CodeVersion":"2020","CustomName":"PROF SVC INI V ADM SUB IMT\/OTH INF RX H EA 15M"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8934","CodeVersion":"2020","CustomName":"LVEF<40%\/DOC MOD\/SEV DPRSD LT VENT SYSTOLIC FCN"},{"ServiceGroup":"588","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"977","CodeType":"REV","Code":"0349","CodeVersion":"2020","CustomName":"Nuclear Medicine - Other Nuclear Medicine"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"3102","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0240","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"471","CodeVersion":"2020","CustomName":"Bilateral or multiple major joint procedures of lower extremity"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"554","CodeVersion":"2020","CustomName":"OTHER VASCULAR PROCEDURES WITH CC WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109507","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80533","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4248F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0641T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83648","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104947","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"74.2","CodeVersion":"2017","CustomName":"EXTRAPERITONEAL CESAREAN SECTION"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12693","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1137F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0320T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2540","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2010","CodeVersion":"2020","CustomName":"INJECTION LINCOMYCIN HCL UP TO 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4392","CodeVersion":"2020","CustomName":"REPLACEMENT SOFT INTERFACE MATERIAL STATIC AFO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2161","CodeVersion":"2020","CustomName":"AMALGAM-FOUR\/MORE SURF PRIM\/PERM"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J0594","CodeVersion":"2020","CustomName":"INJECTION BUSULFAN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6260","CodeVersion":"2020","CustomName":"WOUND CLEANSERS ANY TYPE ANY SIZE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6607","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2615","CodeVersion":"2020","CustomName":"SEALANT PULMONARY LIQUID"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9380","CodeVersion":"2020","CustomName":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD"},{"ServiceGroup":"106600","CodeType":"HCPCS","Code":"V5256","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113693","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89943","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1013","CodeVersion":"2020","CustomName":"EN TUBE W OR W\/O ADAPTER ANY TYPE REPLC ONLY EA"},{"ServiceGroup":"16615","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9061","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5864","CodeVersion":"2020","CustomName":"OVERDENTURE - PARTIAL MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6501","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4208","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 3 CC EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1390","CodeVersion":"2020","CustomName":"O2 CONC 1 DEL PORT 85%\/>02 CONC AT PRSC FLW RATE"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0431","CodeVersion":"2020","CustomName":"ADJUNCT PREDX TST NO CYTOL\/BX PROC"},{"ServiceGroup":"6","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"68988","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0239","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - Other"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"73610","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"26798","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"261","CodeVersion":"2020","CustomName":"Breast procedure for non-malignancy except biopsy and local excision"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34871","CodeType":"ICD9P","Code":"11.69","CodeVersion":"2017","CustomName":"OTHER CORNEAL TRANSPLANT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3370F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36812","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"13470","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"79377","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0602","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply <1 LPM"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0512","CodeVersion":"2020","CustomName":"Clinic - Dental Clinic"},{"ServiceGroup":"20240","CodeType":"DRG","Code":"250","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"058","CodeVersion":"2020","CustomName":"Tonsillectomy and adenoidectomy procedures, except tonsillectomy and\/or adenoidectomy only, age 0-17"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46769","CodeType":"CPT","Code":"90853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98328","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4221F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3518","CodeType":"ICD9P","Code":"46.79","CodeVersion":"2017","CustomName":"OTHER REPAIR OF INTESTINE"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0083U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0045U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1121F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99146","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108443","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113667","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3331F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8664","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE < 0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0037","CodeVersion":"2020","CustomName":"HIGH MOUNT FLIP-UP FOOTREST EACH"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8568","CodeVersion":"2020","CustomName":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5110","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1038","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8424","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE READY MADE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0393","CodeVersion":"2020","CustomName":"TREATMENT SIMULATION USING 3D IMAGE VOLUME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4103","CodeVersion":"2020","CustomName":"ENTRAL FORMULA PED REPL FLS&LYTES 500 ML = 1 U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6752","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN FUSED TO NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1777","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL SINGLE COIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7854","CodeVersion":"2020","CustomName":"SYNOVECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2204","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 2.12-4.00D CYL-EA"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1732","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX\/ABLAT 3D\/VECTOR MAP"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9612","CodeVersion":"2020","CustomName":"TX PARENTERAL DRUGS 2\/> ADMINISTRATIONS DIFF MED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8002","CodeVersion":"2020","CustomName":"BREAST PROS MASTECT BRA W\/INTEG BREAST FORM BIL"},{"ServiceGroup":"80716","CodeType":"HCPCS","Code":"G0109","CodeVersion":"2020","CustomName":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0562","CodeVersion":"2020","CustomName":"HUMDIFIR HEATED USED W\/POS ARWAY PRESSURE DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9779","CodeVersion":"2020","CustomName":"ESD INCLUD ENDOSCOPY\/COLONOSCOPY MUCOSAL CLOS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5655","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0140","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT & AIR TRAVEL INTRA-\/INTERSTATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1017","CodeVersion":"2020","CustomName":"HEVY DUTY SHOCK ABSORBR HEVY\/XTRA HEVY MNL WC EA"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0194","CodeVersion":"2020","CustomName":"AIR FLUIDIZED BED"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"42826","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"44011","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0510","CodeVersion":"2020","CustomName":"Clinic - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0992","CodeVersion":"2020","CustomName":"Patient Convenience Items - Private Linen Service"},{"ServiceGroup":"12670","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"14174","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96353","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99150","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92358","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3761F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0013M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0010U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0722T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84307","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88242","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4053F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91860","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0120","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT: MINI-BUS MTN AREA\/OTH SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2632","CodeVersion":"2020","CustomName":"POSTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9474","CodeVersion":"2020","CustomName":"SRVC PERF DIETARY COUNSELOR HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9996","CodeVersion":"2020","CustomName":"DOCUM STATING PT REC\/OR CURR REC PALLIAT\/HOSPICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7033","CodeVersion":"2020","CustomName":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3221","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9789","CodeVersion":"2020","CustomName":"BLD PRESS RCD DUR INPT S ER V UC V & PT SR BP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0855","CodeVersion":"2020","CustomName":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB\/>"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1516","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED - BILATERAL, MAXILLARY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3288F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0161","CodeVersion":"2020","CustomName":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8711","CodeVersion":"2020","CustomName":"PRESCRIBED OR DISPENSED ANTIBIOTIC ON W\/IN 3 DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3930","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS 1\/> NONTORSION JOINT PREFAB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5830","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN PNEUMAT\/SWING PHASE CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0500","CodeVersion":"2020","CustomName":"INJECTION DICYCLOMINE HCL UP TO 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0168","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4016","CodeVersion":"2020","CustomName":"NEUROSURGICAL MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0173","CodeVersion":"2020","CustomName":"TRIMETHOBENZAMIDE HCL 250 MG ORL NOT>48 HR DOSE"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5858","CodeVersion":"2020","CustomName":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0765","CodeVersion":"2020","CustomName":"FDA APPRVD NRV STIM W\/REPL BATTRY TX NAUSA&VOMIT"},{"ServiceGroup":"48183","CodeType":"REV","Code":"0329","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Other Radiology - Diagnostic"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0843","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"42782","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"49463","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82498","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4069F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0282U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14497","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67072","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0100T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0726T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93076","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3512F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110758","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37202","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0315U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.51","CodeVersion":"2017","CustomName":"MANUAL ROTATION OF FETAL HEAD"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0243U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115366","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47999","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1019","CodeVersion":"2020","CustomName":"PERSONAL CARE SERVICES PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4173","CodeVersion":"2020","CustomName":"PALINGEN OR PALINGEN XPLUS PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2267","CodeVersion":"2020","CustomName":"INDUCED ABORTION 32 WEEKS OR GREATER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0266","CodeVersion":"2020","CustomName":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1805","CodeVersion":"2020","CustomName":"DYN ADJUSTBL WRIST EXT\/FLX DEVC W\/INTERFCE MATL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1726","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0068","CodeVersion":"2020","CustomName":"PROF SRVC ADM ANTI-INFEC PM ADM CD IND HM E 15 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1575","CodeVersion":"2020","CustomName":"DISTAL SHOE SPACE MNTNER - FIXED UNI - PER QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1556","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7998","CodeVersion":"2020","CustomName":"INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W\/FX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1640","CodeVersion":"2020","CustomName":"INJECTION HEMIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0717","CodeVersion":"2020","CustomName":"INJECTION CERTOLIZUMAB PEGOL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0271","CodeVersion":"2020","CustomName":"PHYS MGT PT HOME CARE HOSPICE MONTHLY CASE RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4132","CodeVersion":"2020","CustomName":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1019","CodeVersion":"2020","CustomName":"PT 12-17 YR MD\/DYSTH REM 12 MO SCORE LESS THAN 5"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5505","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/MT BAR SHOE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1014","CodeVersion":"2020","CustomName":"CLINICL DECN SUPP MECH INVENIQA SMNTC ANSWRS MED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9210","CodeVersion":"2020","CustomName":"INJECTION EMAPALUMAB-LZSG 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9231","CodeVersion":"2020","CustomName":"INJECTION DECITABINE PER 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5104","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4104","CodeVersion":"2020","CustomName":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1499","CodeVersion":"2020","CustomName":"SPINAL ORTHOSIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"106930","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8926","CodeVersion":"2020","CustomName":"TEE W OR W\/O FLW W\/CNTRST; PROBE PLCMT ACQ I&R"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0468","CodeVersion":"2020","CustomName":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9600","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA\/BR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6690","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7060","CodeVersion":"2020","CustomName":"5% DEXTROSE\/WATER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2014","CodeVersion":"2020","CustomName":"OMEZA COLLAGEN MATRIX PER 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1810","CodeVersion":"2020","CustomName":"DYN ADJUSTBL KNEE EXT\/FLX DEVC W\/INTERFCE MATL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0496","CodeVersion":"2020","CustomName":"SKD SRVC LPN TRAIN&\/EDU PT\/FAM HH\/HOSPC E 15 MIN"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8913","CodeVersion":"2020","CustomName":"PT DOC NO WRONG SITE SIDE PT PROC\/IMPLANT EVENT"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.29","CodeVersion":"2017","CustomName":"OTHER DIAGNOSTIC PROCEDURES HEART&PERICARDIUM"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104741","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2752","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN FUSED NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0025","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH PREVENTION EDUCATION SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0025","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH PREVENTION EDUCATION SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0444","CodeVersion":"2020","CustomName":"PORTABLE O2 CONTENTS LIQUID 1 MO SUPPLY =1 UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5283","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM NCK LOOP INDUCT RECV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0101","CodeVersion":"2020","CustomName":"CERV\/VAGINAL CANCER SCR; PELV&CLIN BREAST EXAM"},{"ServiceGroup":"89941","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9354","CodeVersion":"2020","CustomName":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1893","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH INTRCARD EP CURVE NOT PEEL-AWAY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4217","CodeVersion":"2020","CustomName":"WNDFIX BIOWND WNDFIX+BIOWND+WNDFIX X+\/X+ P SC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4766","CodeVersion":"2020","CustomName":"DIALYSATE CONC SOL ADD PERITON DIALYSIS-10 ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9302","CodeVersion":"2020","CustomName":"INJECTION OFATUMUMAB 10 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4283","CodeVersion":"2020","CustomName":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8723","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2042","CodeVersion":"2020","CustomName":"TISAGENLECLEUCEL TO 600 M CAR-POS VI T CE PER TD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9231","CodeVersion":"2020","CustomName":"DOC ESRD DIAL RNA TX BF\/DUR MSR PR\/PG DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0504","CodeVersion":"2020","CustomName":"POWER ADAPTER FOR PNEUMAT VAD REPL ONLY VEH TYPE"},{"ServiceGroup":"68259","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9705","CodeVersion":"2020","CustomName":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1450","CodeVersion":"2020","CustomName":"INJECTION FLUCONAZOLE 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2013","CodeVersion":"2020","CustomName":"EXTSV 75 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9557","CodeVersion":"2020","CustomName":"FINAL RPT CT\/CTA MRI CHS\/NCK WO THYRD NOD<1.0 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7328","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9951","CodeVersion":"2020","CustomName":"OCCLUSAL ADJUSTMENT - LIMITED"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4378","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9202","CodeVersion":"2020","CustomName":"GOSERELIN ACETATE IMPLANT PER 3.6 MG"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93118","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0689","CodeVersion":"2020","CustomName":"Trauma Response - Other Trauma Response"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"15480","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"31505","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"37706","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"229","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"11301","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"74584","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"100560","CodeType":"REV","Code":"0916","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Family Therapy"},{"ServiceGroup":"31125","CodeType":"DRG","Code":"793","CodeVersion":"2020","CustomName":"PROC FOR MUL SIG TRAUMA EXC CRANIOT W NON-TRAUM MAJOR CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"ICD9P","Code":"37.21","CodeVersion":"2017","CustomName":"RIGHT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3932","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81058","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.14","CodeVersion":"2017","CustomName":"ENDARTERECTOMY OF AORTA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44143","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3754F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90998","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0710T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"98925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS TO ASSIST DELIVERY"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0013A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57863","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0079U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1070","CodeVersion":"2020","CustomName":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9734","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0574","CodeVersion":"2020","CustomName":"ULTRASONIC\/ELEC AROSL GEN W\/SMALL VOLUME NEB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5973","CodeVersion":"2020","CustomName":"ENDOSKEL ANK FOOT SYS MICRPROCSS CONTROL PWR SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2612","CodeVersion":"2020","CustomName":"GEN WC BACK CUSHN WDTH 22 IN\/GT HT MOUNT HARDWRE"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0156","CodeVersion":"2020","CustomName":"EXEMESTANE 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0118","CodeVersion":"2020","CustomName":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST\/OPHTHLGIST"},{"ServiceGroup":"104226","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5282","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM SYS BINAURL ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0308","CodeVersion":"2020","CustomName":"CREAT SUBQ PKT INSRT 180 D IMPL INTERST GLU SNSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4012","CodeVersion":"2020","CustomName":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8405","CodeVersion":"2020","CustomName":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8601","CodeVersion":"2020","CustomName":"IV ALTEPLASE NOT INIT<= 180 MIN LKW RSN DOC CLIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4416","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED W\/BARRIER ATTCH W\/FILTER EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9327","CodeVersion":"2020","CustomName":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2343","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1225","CodeVersion":"2020","CustomName":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7633","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0514","CodeVersion":"2020","CustomName":"COLOR CONTACT LENS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9132","CodeVersion":"2020","CustomName":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6214","CodeVersion":"2020","CustomName":"PONTIC - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0379","CodeVersion":"2020","CustomName":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0945","CodeVersion":"2020","CustomName":"EXTREMITY BELT\/HARNESS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0948","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0285","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2011","CodeVersion":"2020","CustomName":"SUPRA SDRM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6882","CodeVersion":"2020","CustomName":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2512","CodeVersion":"2020","CustomName":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2020","CodeVersion":"2020","CustomName":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC"},{"ServiceGroup":"29347","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0831","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4766","CodeVersion":"2020","CustomName":"DIALYSATE CONC SOL ADD PERITON DIALYSIS-10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3301","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9773","CodeVersion":"2020","CustomName":"AT LEAST 1 BT MSR =\/>35.5 DEGC NOT ACHV ANES ET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0072","CodeVersion":"2020","CustomName":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0034","CodeVersion":"2020","CustomName":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5247","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98597","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0230","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - General Classification"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"66561","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"60816","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"812","CodeVersion":"2020","CustomName":"MALFUNCTION, REACTION \"&\" COMP OF CARDIAC OR VASC DEV OR PROC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3646","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0273T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0731T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0262T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9321","CodeVersion":"2020","CustomName":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4993","CodeVersion":"2020","CustomName":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1131","CodeVersion":"2020","CustomName":"DOC STAT PT DX DEG NEURO COND DX TM BFR\/DUR EOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9283","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPRT DOC CLASS H TYP\/NSCLC-NOS W\/E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9506","CodeVersion":"2020","CustomName":"BIOLOGIC IMMUNE RESPONSE MODIFIER PRESCRIBED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8569","CodeVersion":"2020","CustomName":"PROLONGED POSTOPERATIVE INTUBATION REQUIRED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1118","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7963","CodeVersion":"2020","CustomName":"FRENULOPLASTY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3217","CodeVersion":"2020","CustomName":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3370","CodeVersion":"2020","CustomName":"INJECTION VANCOMYCIN HCL 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1106","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8937","CodeVersion":"2020","CustomName":"CLIN DID NOT PRSC ACE INHIB\/ARB TX RSN NOT GIVEN"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0827","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1220","CodeVersion":"2020","CustomName":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED"},{"ServiceGroup":"106933","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9223","CodeVersion":"2020","CustomName":"PCP P PRSC 3 MO CD4+BLW 500 CE\/MM3\/CD4 % BLW 15%"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4121","CodeVersion":"2020","CustomName":"THERASKIN PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4633","CodeVersion":"2020","CustomName":"REPLCMT BULB\/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0481","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1632","CodeVersion":"2020","CustomName":"INJECTION BREXANOLONE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"105282","CodeType":"HCPCS","Code":"C1713","CodeVersion":"2020","CustomName":"ANCHOR\/SCREW OPPOSING BN-TO-BN\/SOFT TISSUE-TO-BN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2022","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9848","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0610","CodeVersion":"2020","CustomName":"PACEMKR MON CHECKS BATTRY DEPLET W\/AUDIBL&VISIBL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0341","CodeVersion":"2020","CustomName":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH&INFUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9821","CodeVersion":"2020","CustomName":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F\/U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9988","CodeVersion":"2020","CustomName":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6119","CodeVersion":"2020","CustomName":"IMPL\/ABUT SPTD INT FIX DENTUR EDENT ARCH-MAX"},{"ServiceGroup":"22401","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"514","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"51263","CodeType":"DRG","Code":"250","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, with CC"},{"ServiceGroup":"41367","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111209","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10905","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0032A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76092","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0107T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.2","CodeVersion":"2017","CustomName":"DIAGNOSTIC PROCEDURES ON BLOOD VESSELS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97903","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97730","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0238U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4035","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; PUMP FED PER DAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9981","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A8003","CodeVersion":"2020","CustomName":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4010","CodeVersion":"2020","CustomName":"INFECTIOUS DISEASE MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0103","CodeVersion":"2020","CustomName":"PROSTATE CANCER SCREENING; PSA TEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9974","CodeVersion":"2020","CustomName":"INTERNAL BLEACHING - PER TOOTH"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1906","CodeVersion":"2020","CustomName":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9517","CodeVersion":"2020","CustomName":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9430","CodeVersion":"2020","CustomName":"OV OBS - NO OTH SERVICES PERFORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0912","CodeVersion":"2020","CustomName":"TRAPEZ BAR HEVY DUTY PT WT > 250 LBS FREE STAND"},{"ServiceGroup":"81058","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7502","CodeVersion":"2020","CustomName":"REPL DIAPHRAGM\/FCEPLATE TRACHEOSTOMA VALVE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0248","CodeVersion":"2020","CustomName":"DEMO HOME INR MON PT W\/MECH HT VALVE CAF\/VTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0105","CodeVersion":"2020","CustomName":"IV HANGER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7294","CodeVersion":"2020","CustomName":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG\/24H YR VAG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1630","CodeVersion":"2020","CustomName":"RECIPROCATING PERITONEAL DIALYSIS SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1896","CodeVersion":"2020","CustomName":"LEAD CARDIOVRT-DFIB NOT ENDOCARDIAL 1\/DUL COIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9368","CodeVersion":"2020","CustomName":"HIT TOTAL PARENTERAL NUTRIT; > 3 LITERS-DA -DIEM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4029","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1762","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE HUMAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5679","CodeVersion":"2020","CustomName":"ADD LW EXT BK\/AK CSTM MOLD\/PRFAB NOT W\/LOCK MECH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63469","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7640","CodeVersion":"2020","CustomName":"MANDIBLE-CLOSED REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0951","CodeVersion":"2020","CustomName":"HEEL LOOP\/HOLDER TYPE W\/WO ANKLE STRAP EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1020","CodeVersion":"2020","CustomName":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0176","CodeVersion":"2020","CustomName":"HYDROXYUREA ORAL 500 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2788","CodeVersion":"2020","CustomName":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6122","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAINER FOR METAL FPD - NOBLE AL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9274","CodeVersion":"2020","CustomName":"INJECTION TEBENTAFUSP-TEBN 1 MCG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9591","CodeVersion":"2020","CustomName":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9212","CodeVersion":"2020","CustomName":"TRIGEMINAL DIVISION BLOCK ANES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1805","CodeVersion":"2020","CustomName":"DYN ADJUSTBL WRIST EXT\/FLX DEVC W\/INTERFCE MATL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6194","CodeVersion":"2020","CustomName":"ABUTMENT SUPP RETAIN CROWN FPD - TIT & TIT ALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7730","CodeVersion":"2020","CustomName":"MANDIBLE-OPEN REDUCTION"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4283","CodeVersion":"2020","CustomName":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"27536","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"75080","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"33830","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"46633","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"956","CodeVersion":"2020","CustomName":"Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"477","CodeVersion":"2020","CustomName":"Non-extensive operating room procedure unrelated to principal diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"151","CodeVersion":"2020","CustomName":"Peritoneal adhesiolysis without CC"},{"ServiceGroup":"62","CodeType":"DRG","Code":"103","CodeVersion":"2020","CustomName":"Heart Transplant or Implant of Heart Assist System"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.52","CodeVersion":"2017","CustomName":"OTHER PARTIAL BREECH EXTRACTION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91214","CodeType":"CPT","Code":"97802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98327","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112111","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0492T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90385","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81567","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107060","CodeType":"CPT","Code":"42200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2386","CodeVersion":"2020","CustomName":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5120","CodeVersion":"2020","CustomName":"COMPLETE DENTURE - MANDIBULAR"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6071","CodeVersion":"2020","CustomName":"ABUT SUPP RETN PORCLN FUSD METL FPD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0400","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7650","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6684","CodeVersion":"2020","CustomName":"UP EXTRM ADD TST SCKT SHLDR DISRTC\/INTRSCAP THOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6604","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST PDMT BASE METAL 2 SURFACES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2700","CodeVersion":"2020","CustomName":"INJECTION OXACILLIN SODIUM UP TO 250 MG"},{"ServiceGroup":"51122","CodeType":"HCPCS","Code":"H2019","CodeVersion":"2020","CustomName":"THERAPEUTIC BEHAVIORAL SERVICES PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1165","CodeVersion":"2020","CustomName":"INJECTION PHENYTOIN SODIUM PER 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9718","CodeVersion":"2020","CustomName":"HOSPICE SERVICES PATIENT PROV ANY TM DUR MSR PR"},{"ServiceGroup":"20012","CodeType":"ICD10P","Code":"0TY10Z2","CodeVersion":"2020","CustomName":"TRANSPLANTATION LT KIDNEY ZOOPLASTIC OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9992","CodeVersion":"2020","CustomName":"DENTAL CASE MANAGEMENT - CARE COORDINATION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8015","CodeVersion":"2020","CustomName":"EXT BRST PROS GARMNT W\/MASTECT FORM POST-MASTECT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0035","CodeVersion":"2020","CustomName":"CARDIOKYMOGRAPHY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0311","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/OTH Q HCP VAC NA SAME DOS 16-30 MM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4765","CodeVersion":"2020","CustomName":"DIALYSATE CONC POWDER ADD PERITON DIALYSIS-PCKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0457","CodeVersion":"2020","CustomName":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8423","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7198","CodeVersion":"2020","CustomName":"ANTI-INHIBITOR PER IU"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7642","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2107","CodeVersion":"2020","CustomName":"ADOPTIVE IMMUNOTHERAPY PER COURSE OF TREATMENT"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5220","CodeVersion":"2020","CustomName":"ABVE KNEE SHRT PROSTH W\/ARTIC ANK\/FOOT DYN"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0544","CodeVersion":"2020","CustomName":"Ambulance - Oxygen"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0299","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Other Equipment"},{"ServiceGroup":"26228","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"21818","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0548","CodeVersion":"2020","CustomName":"Ambulance - EKG Transmission"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100286","CodeType":"CPT","Code":"90474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3394F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97460","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38705","CodeType":"ICD9P","Code":"37.27","CodeVersion":"2017","CustomName":"CARDIAC MAPPING"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0217T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110676","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0209T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0244T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81570","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91860","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97972","CodeType":"CPT","Code":"92567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1039F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0039U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9514","CodeVersion":"2020","CustomName":"PT RQR A RETURN TO THE OR W\/I 90 DAYS OF SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5640","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4989","CodeVersion":"2020","CustomName":"CONTRACEPTIVE IUD INCLUDING IMPLANTS&SUPPLIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5053","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0604","CodeVersion":"2020","CustomName":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2740","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN\/CERAMIC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2670","CodeVersion":"2020","CustomName":"INJECTION TOLAZOLINE HCL UP TO 25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0630","CodeVersion":"2020","CustomName":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5660","CodeVersion":"2020","CustomName":"ADD CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4639","CodeVersion":"2020","CustomName":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9470","CodeVersion":"2020","CustomName":"NUTRITIONAL COUNSELING DIETITIAN VISIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1436","CodeVersion":"2020","CustomName":"INJECTION ETIDRONATE DISODIUM PER 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2614","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POST WIDTH 22 IN\/> ANY HEIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4168","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; AMINO ACID 3.5% -HOM MIX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0265","CodeVersion":"2020","CustomName":"HOSP BED TOT ELEC W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1730","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS-SCOTTISH RITE CUSTOM FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2675","CodeVersion":"2020","CustomName":"INJECTION PROGESTERONE PER 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6040","CodeVersion":"2020","CustomName":"SURG PLACEMENT: EPOSTEAL IMPLANT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3317F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4191F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1200","CodeVersion":"2020","CustomName":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1956","CodeVersion":"2020","CustomName":"INJECTION LEVOFLOXACIN 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0602","CodeVersion":"2020","CustomName":"BREAST PUMP MANUAL ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9411","CodeVersion":"2020","CustomName":"PT NOT ADM WI 180 D PST CIED W\/INF RQR DVC RMV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5341","CodeVersion":"2020","CustomName":"SINGLE AXIS KNEE SACH FOOT"},{"ServiceGroup":"96099","CodeType":"HCPCS","Code":"C1754","CodeVersion":"2020","CustomName":"CATHETER INTRADISCAL"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4728","CodeVersion":"2020","CustomName":"DIALYSATE SOLUTION NON-DXTROS CONTAINING 500 ML"},{"ServiceGroup":"52742","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"3273","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"29294","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"108568","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"3138","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"10905","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"79377","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"58454","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"005","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"21826","CodeType":"DRG","Code":"250","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"933","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113696","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0238U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"74.4","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF OTHER SPECIFIED TYPE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102521","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"16000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31377","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4165F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0449T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0021A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0209T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105248","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47529","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3292F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7189","CodeVersion":"2020","CustomName":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0702","CodeVersion":"2020","CustomName":"INJ BETAMETHASONE ACETATE & PHOSPHATE 3 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4217","CodeVersion":"2020","CustomName":"STERILE WATER\/SALINE 500 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7605","CodeVersion":"2020","CustomName":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9560","CodeVersion":"2020","CustomName":"HOME INJECTABLE THERAPY; HORMONAL THERAPY DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1046","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP <37"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9504","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL; Q4 HRS; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1228","CodeVersion":"2020","CustomName":"SPECIAL BACK HEIGHT FOR WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9034","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2627","CodeVersion":"2020","CustomName":"CATHETER SUPRAPUBIC\/CYSTOSCOPIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3360","CodeVersion":"2020","CustomName":"INJECTION DIAZEPAM UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2704","CodeVersion":"2020","CustomName":"INJECTION PROPOFOL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C5271","CodeVersion":"2020","CustomName":"APPL SKN GRFT TRUNK ARM LEG 100 CM; 1ST 25 CM\/<"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1812","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0279","CodeVersion":"2020","CustomName":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI\/BIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9626","CodeVersion":"2020","CustomName":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0245","CodeVersion":"2020","CustomName":"INJECTION BAMLANIVIMAB AND ETESEVIMAB 2100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2326","CodeVersion":"2020","CustomName":"INJECTION NUSINERSEN 0.1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0222","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1875","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2793","CodeVersion":"2020","CustomName":"INJECTION RILONACEPT 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2975","CodeVersion":"2020","CustomName":"COPING"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6247","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD > 48 SQ ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8918","CodeVersion":"2020","CustomName":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1730","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS-SCOTTISH RITE CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0470","CodeVersion":"2020","CustomName":"INJECTION DIMERCAPROL PER 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9518","CodeVersion":"2020","CustomName":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7180","CodeVersion":"2020","CustomName":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB&TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5420","CodeVersion":"2020","CustomName":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK\/KNEE"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0700","CodeVersion":"2020","CustomName":"Cast Room - General Classification"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"58762","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"78537","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"79678","CodeType":"DRG","Code":"927","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft"},{"ServiceGroup":"21108","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.51","CodeVersion":"2017","CustomName":"MANUAL ROTATION OF FETAL HEAD"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82762","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93011","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3384F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4256F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103594","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4148F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9053","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0065U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0622T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"ICD9P","Code":"74.99","CodeVersion":"2017","CustomName":"OTHER CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0450T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106704","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0649T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88101","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.7","CodeVersion":"2017","CustomName":"ENDOVASCULAR PROC ON VESSEL(S)"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12258","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0561T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113967","CodeType":"CPT","Code":"0275T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"50.5","CodeVersion":"2017","CustomName":"LIVER TRANSPLANT"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0725","CodeVersion":"2020","CustomName":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2128","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ON DAILY ASP\/OTH ANTIPLATELET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0222","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2061","CodeVersion":"2020","CustomName":"DONOR LOBECTOMY FOR TRANSPLANTATION LIVING DONOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4612","CodeVersion":"2020","CustomName":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9625","CodeVersion":"2020","CustomName":"PT SUSTAIN BLAD INJ SRG\/DSCV SUBSQ UP 30 DAY P S"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7990","CodeVersion":"2020","CustomName":"EMERGENCY TRACHEOTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1014","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8541","CodeVersion":"2020","CustomName":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7682","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0080","CodeVersion":"2020","CustomName":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR NEW PT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8420","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0985","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0431","CodeVersion":"2020","CustomName":"PRTBLE GASEOUS O2 SYS RENT; FLWMTR HUMIDFR&MASK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8885","CodeVersion":"2020","CustomName":"BIOPSY RESULTS NOT REVIEW COMMUNICATE TRACK\/DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4562","CodeVersion":"2020","CustomName":"PESSARY NON RUBBER ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9040","CodeVersion":"2020","CustomName":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9021","CodeVersion":"2020","CustomName":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0601","CodeVersion":"2020","CustomName":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2187","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: HEAD TRAUMA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3758F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0712","CodeVersion":"2020","CustomName":"INJECTION CEFTAROLINE FOSAMIL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9812","CodeVersion":"2020","CustomName":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1761","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL IVASC LITHOTRIPSY COR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5982","CodeVersion":"2020","CustomName":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0433","CodeVersion":"2020","CustomName":"INF ANTIBODY ELISA TECH ANTIBODY HIV-1\/HIV-2 SCR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1097","CodeVersion":"2020","CustomName":"PHEN 10.16 & KET 2.88 MG\/ML OPHT IRR SOL 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9725","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPCE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3356","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - INTERIM MEDICATION REPLACE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5120","CodeVersion":"2020","CustomName":"CHORE SERVICES; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0020","CodeVersion":"2020","CustomName":"INJECTION BUPIVICAINE HYDROCHLORIDE 30 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4562","CodeVersion":"2020","CustomName":"PESSARY NON RUBBER ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0122","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; BARIUM ENEMA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9515","CodeVersion":"2020","CustomName":"PT DID NOT RQR RTN TO THE OR W\/I 90 DAYS OF SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0047","CodeVersion":"2020","CustomName":"PED PT W\/MIN BLUNT HD TRAUMA & PECARN NOT ASSESS"},{"ServiceGroup":"114565","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"33237","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"147","CodeType":"REV","Code":"0604","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Port Add-on"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"28783","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"474","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3751F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"96.72","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT 96 CONSECUTIVE HRS\/MORE"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.41","CodeVersion":"2017","CustomName":"LAPAROSCOPIC UNILATERAL SALPINGO-OOPHORECTOMY"},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107498","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.27","CodeVersion":"2017","CustomName":"OPEN OTH REPLACEMENT TRICSPD VALV W\/TISSUE GRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29334","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0535T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0344U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0062A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39906","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9113","CodeVersion":"2020","CustomName":"ONC;STATUS;OVARIAN CA; ST IA-B GR 1 NO PROGRESSN"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7686","CodeVersion":"2020","CustomName":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1028","CodeVersion":"2020","CustomName":"DOC PT PRIM HA DX & IMAG OTH THAN CT\/MRI OBTAIND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0220","CodeVersion":"2020","CustomName":"MED CONF PHYS W\/TEAM HLTH PROF PT CARE; 30 MIN"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7504","CodeVersion":"2020","CustomName":"FLTR USE TRACHEOSTOMA HEAT&MOISTR EXCHG SYS EA"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5656","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9293","CodeVersion":"2020","CustomName":"INJECTION MITOXANTRONE HCL PER 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9083","CodeVersion":"2020","CustomName":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL"},{"ServiceGroup":"46234","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5252","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2186","CodeVersion":"2020","CustomName":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2910","CodeVersion":"2020","CustomName":"RECEMENT INLAY ONLAY\/PART COVERAGE RESTORATION"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89417","CodeType":"HCPCS","Code":"H2036","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6602","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST HIGH NOBLE METAL 2 SURFACES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0740","CodeVersion":"2020","CustomName":"INJECTION CIDOFOVIR 375 MG"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9877","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF MO 10-12 UND MDPP EM"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9604","CodeVersion":"2020","CustomName":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8330","CodeVersion":"2020","CustomName":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9395","CodeVersion":"2020","CustomName":"INJECTION FULVESTRANT 25 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8733","CodeVersion":"2020","CustomName":"ELDER MALTX SCR DOC POSITIVE & F\/U PLAN IS DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9279","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0481","CodeVersion":"2020","CustomName":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0090","CodeVersion":"2020","CustomName":"PROF INI V ADM IV CT\/OTH HH COP INFS RX H EA 15M"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"22402","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"90854","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"58455","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"73488","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"439","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"36727","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"858","CodeVersion":"2020","CustomName":"Postoperative or Posttraumatic Infections with O.R. Procedure without CC\/MCC"},{"ServiceGroup":"91657","CodeType":"DRG","Code":"783","CodeVersion":"2020","CustomName":"ACUTE LEUKEMIA W\/O MAJOR O.R. PROCEDURE AGE OVER 17 W\/O CC-NYDRG"},{"ServiceGroup":"30623","CodeType":"DRG","Code":"786","CodeVersion":"2020","CustomName":"MAJOR HEAD \"&\" NECK PROCEDURES FOR MALIGNANCY-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33986","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34603","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0031A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0076U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.1","CodeVersion":"2017","CustomName":"INTRA-ABDOMINAL VENOUS SHUNT"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1205F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35672","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9210","CodeVersion":"2020","CustomName":"INJECTION EMAPALUMAB-LZSG 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5676","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"29406","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0161","CodeVersion":"2020","CustomName":"SITZ TYPE BATH\/EQP PRTBLE USED W\/FAUCET ATTCHS"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"07DQ3ZZ","CodeVersion":"2020","CustomName":"EXTRACTION STERNUM BONE MARROW PERCUTANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2015","CodeVersion":"2020","CustomName":"PHOENIX WOUND MATRIX PER SQ CM"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9920","CodeVersion":"2020","CustomName":"BEHAVIOR MANAGEMENT BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4395","CodeVersion":"2020","CustomName":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9200","CodeVersion":"2020","CustomName":"INJECTION FLOXURIDINE 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3919","CodeVersion":"2020","CustomName":"HAND ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0272","CodeVersion":"2020","CustomName":"BITEWINGS - TWO RADIOGRAPHIC IMAGES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4224","CodeVersion":"2020","CustomName":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0052","CodeVersion":"2020","CustomName":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0364","CodeVersion":"2020","CustomName":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2215","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7285","CodeVersion":"2020","CustomName":"BIOPSY OF ORAL TISSUE HARD"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9364","CodeVersion":"2020","CustomName":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1443","CodeVersion":"2020","CustomName":"INJ FEPP CIT SOLUTION TRIFERIC 0.1 MG IRON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2083","CodeVersion":"2020","CustomName":"ADJ GASTRIC BAND DIAM SUBQ PORT INJ\/ASPIR SALINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0235","CodeVersion":"2020","CustomName":"PARAFFIN BATH UNIT PORTABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8110","CodeVersion":"2020","CustomName":"PEAK EXPIRATORY FLOW RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0409","CodeVersion":"2020","CustomName":"SOCL WRK & PSYCH SRVC EA 15 MIN FACE-TO-FACE IND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4334","CodeVersion":"2020","CustomName":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9131","CodeVersion":"2020","CustomName":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED"},{"ServiceGroup":"12772","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"12163","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"83857","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"30094","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"816","CodeVersion":"2020","CustomName":"NONBACTERIAL GASTROENTERITI \"&\" ABDOMINAL PAIN AGE UNDER 18 W\/O CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"441","CodeVersion":"2020","CustomName":"Hand procedures for injuries"},{"ServiceGroup":"81620","CodeType":"DRG","Code":"768","CodeVersion":"2020","CustomName":"SEIZURE \"&\" HEADACHE AGE UNDER 18 W CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.92","CodeVersion":"2017","CustomName":"EVACUATION OF OTHER HEMATOMA OF VULVA OR VAGINA"},{"ServiceGroup":"111993","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63468","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4190F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0140U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98105","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0102A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4267","CodeVersion":"2020","CustomName":"GUID TISS REGEN-NONRESORB BARRIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5160","CodeVersion":"2020","CustomName":"EMERGENCY RESPONSE SYSTEM; INSTALLATION&TESTING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2613","CodeVersion":"2020","CustomName":"LUNG BIOPSY PLUG WITH DELIVERY SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9088","CodeVersion":"2020","CustomName":"INSTILL BUPIVACAINE & MELOXICAM 1 MG\/0.03 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6209","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD 16 SQ\/< NO ADHES BORDR EA"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1562","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN VIVAGLBIN 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1821","CodeVersion":"2020","CustomName":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H1002","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC;CARE COORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9607","CodeVersion":"2020","CustomName":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0517","CodeVersion":"2020","CustomName":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9938","CodeVersion":"2020","CustomName":"PT 66\/> INST SNP\/RESID LTC >90 DAYS DUR MSR PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6920","CodeVersion":"2020","CustomName":"CONNECTOR BAR"},{"ServiceGroup":"103783","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5275","CodeVersion":"2020","CustomName":"EAR IMPRESSION EACH"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4033","CodeVersion":"2020","CustomName":"SKILLED NURSING FACILITY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5247","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5600","CodeVersion":"2020","CustomName":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3348","CodeVersion":"2020","CustomName":"RETX PREVIOUS RC THERAPY - MOLAR"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6010","CodeVersion":"2020","CustomName":"COLLAGEN BASED WND FILLER DRY FORM STERL PER GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6686","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION SUCTION SOCKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1030","CodeVersion":"2020","CustomName":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0941","CodeVersion":"2020","CustomName":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9461","CodeVersion":"2020","CustomName":"MEDCR_RVU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0501","CodeVersion":"2020","CustomName":"OTHER ORAL PATH PROCEDURES, VARIABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2525","CodeVersion":"2020","CustomName":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9037","CodeVersion":"2020","CustomName":"INJECTION BELANTAMAB MAFODONTIN-BLMF 0.5 MG"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1149","CodeVersion":"2020","CustomName":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL&\/D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3640","CodeVersion":"2020","CustomName":"TRNS ORTHOS SHOE TO ANOTH DENNIS BRWNE BTH SHOES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6065","CodeVersion":"2020","CustomName":"IMPLANT SUPP PORCELN\/CERAMIC CROWN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1162","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL"},{"ServiceGroup":"11301","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"49622","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"3029","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"17065","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"74403","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"34923","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"13297","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0637","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Self-Administrable Drugs"},{"ServiceGroup":"68362","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"683","CodeVersion":"2020","CustomName":"Renal Failure with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"969","CodeVersion":"2020","CustomName":"HIV with Extensive O.R. Procedure with MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.53","CodeVersion":"2017","CustomName":"APPLICATION OF OTHER CAST"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0327T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0143U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101180","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13626","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0725T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0102U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4333","CodeVersion":"2020","CustomName":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5993","CodeVersion":"2020","CustomName":"MAINT CLEAN MAXILLOFACIAL PROSTH OTH THN REQ ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1018","CodeVersion":"2020","CustomName":"SCHOOL-BASED IND EDUCATION PROGRAM SERV BUNDLED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1050","CodeVersion":"2020","CustomName":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9408","CodeVersion":"2020","CustomName":"PATIENTS W\/CT &\/PERICARDIOCENTESIS OCR WI 30 DA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8816","CodeVersion":"2020","CustomName":"STATIN MEDICATION PRESCRIBED AT DISCHARGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1009","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0202","CodeVersion":"2020","CustomName":"INJECTION ALEMTUZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4010","CodeVersion":"2020","CustomName":"REPLACE TRILATERAL SOCKET BRIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1782","CodeVersion":"2020","CustomName":"MORCELLATOR"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1640","CodeVersion":"2020","CustomName":"INJECTION HEMIN 1 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0113","CodeVersion":"2020","CustomName":"PINWORM EXAMINATION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5255","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8049","CodeVersion":"2020","CustomName":"REP\/MOD MAXLOFCE PROSTH LABR EA 15 MIN NON-MD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4002","CodeVersion":"2020","CustomName":"REPL STRAP ANY ORTHOSIS ALL CMPNTS ANY LEN TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0015","CodeVersion":"2020","CustomName":"ALCOHL&\/RX SRVC;INTENSV OP;CRISIS INTRVN&ACTV TX"},{"ServiceGroup":"88978","CodeType":"ICD10P","Code":"10D07Z6","CodeVersion":"2020","CustomName":"EXTRACTION POC VACUUM VIA NATURAL\/ARTIF OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9557","CodeVersion":"2020","CustomName":"FINAL RPT CT\/CTA MRI CHS\/NCK WO THYRD NOD<1.0 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1746","CodeVersion":"2020","CustomName":"INJECTION IBALIZUMAB-UIYK 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0172","CodeVersion":"2020","CustomName":"CHLORAMBUCIL ORAL 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9954","CodeVersion":"2020","CustomName":"PATIENT EXHIBITS 2\/> RISK FAC POST-OP VOMITING"},{"ServiceGroup":"12117","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"860","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - GENERAL CLASSIFICATION"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"69679","CodeType":"DRG","Code":"245","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies without CC"},{"ServiceGroup":"21102","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37873","CodeType":"ICD9P","Code":"81.53","CodeVersion":"2017","CustomName":"REVISION OF HIP REPLACEMENT NOS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0163U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3215F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38585","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74.91","CodeVersion":"2017","CustomName":"HYSTEROTOMY TO TERMINATE PREGNANCY"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0438T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91891","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85981","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100660","CodeType":"CPT","Code":"62322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7320","CodeVersion":"2020","CustomName":"ALVEOPLASTY NOT W\/EXTRACTIONS-QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1505","CodeVersion":"2020","CustomName":"ELECTRONIC MEDICATION COMPLIANCE MANAGE DEVC NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0041","CodeVersion":"2020","CustomName":"FOSTER CARE CHILD NON-THERAPEUTIC PER DIEM"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64795","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3351F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106714","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0045U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98407","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.11","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY AORTIC VALV WITHOUT REPLCMT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87679","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0076U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0213U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0198T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0072U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16551","CodeType":"ICD9P","Code":"89.17","CodeVersion":"2017","CustomName":"POLYSOMNOGRAM"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0514T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.29","CodeVersion":"2017","CustomName":"OTHER DIAGNOSTIC PROCEDURES ON BLOOD VESSELS"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21818","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2635","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRND PALLADIUM-103 >2.2 MCI PER SRC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6114","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2621","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN\/>"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J0894","CodeVersion":"2020","CustomName":"INJECTION DECITABINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8570","CodeVersion":"2020","CustomName":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED"},{"ServiceGroup":"48428","CodeType":"HCPCS","Code":"S5180","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"07DS0ZZ","CodeVersion":"2020","CustomName":"EXTRACTION OF VERTEBRAL BONE MARROW OPEN"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9986","CodeVersion":"2020","CustomName":"MISSED APPOINTMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2010","CodeVersion":"2020","CustomName":"PASRR LEVL I IDENTIFICATION SCREEN PER SCREEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9135","CodeVersion":"2020","CustomName":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3340","CodeVersion":"2020","CustomName":"HEEL WEDGE SACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0651","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS SEG HOM MDL NO CALBRTD GRDNT PRSS"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2330","CodeVersion":"2020","CustomName":"RESIN COMPOS - ONE SURFACE ANTERIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0293","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT HI-LO W\/O SIDE RAIL NO MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9124","CodeVersion":"2020","CustomName":"ONC; CML; ACCEL PHASE NOT HEMA CYT\/MOL REMISS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1756","CodeVersion":"2020","CustomName":"INJECTION IRON SUCROSE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5283","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM NCK LOOP INDUCT RECV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6710","CodeVersion":"2020","CustomName":"RETAINER CROWN - INDIRECT RESIN BASED COMPOSITE"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"88423","CodeType":"HCPCS","Code":"S3800","CodeVersion":"2020","CustomName":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0031","CodeVersion":"2020","CustomName":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4220","CodeVersion":"2020","CustomName":"BELLACELL HD OR SUREDERM PER SQ CM"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89984","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10013","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"68185","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"405","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"42782","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"87537","CodeType":"REV","Code":"0932","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Full Day"},{"ServiceGroup":"33252","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"43285","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0543","CodeVersion":"2020","CustomName":"Ambulance - Heart Mobile"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"7010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10903","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107104","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82698","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4178F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104922","CodeType":"CPT","Code":"92978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0102U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86458","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0256U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3216F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7000","CodeVersion":"2020","CustomName":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5985","CodeVersion":"2020","CustomName":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2076","CodeVersion":"2020","CustomName":"INTK ACT INCL INT MED EX CMPL DOC P EVL&INT ASMT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7203","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX GLYCOPEGYLATED 1 IU"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9088","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1230","CodeVersion":"2020","CustomName":"INJECTION METHADONE HCL UP TO 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4575","CodeVersion":"2020","CustomName":"TOPICAL HYPERBARIC OXYGEN CHAMBER DISPOSABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2426","CodeVersion":"2020","CustomName":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2370","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9211","CodeVersion":"2020","CustomName":"REGIONAL BLOCK ANESTHESIA"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9608","CodeVersion":"2020","CustomName":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY"},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2201","CodeVersion":"2020","CustomName":"DOC OF MED RSN FOR NOT PROV BRIEF COUNSELING"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"90318","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"977","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"44107","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"58432","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"51323","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"12918","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"34557","CodeType":"DRG","Code":"895","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence with Rehabilitation Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"955","CodeVersion":"2020","CustomName":"Craniotomy for Multiple Significant Trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93026","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82808","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91021","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9422","CodeVersion":"2020","CustomName":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2800","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0830","CodeVersion":"2020","CustomName":"AMBULATORY TRACTION DEVICE ALL TYPES EACH"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6084","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - PORCELN FU TI & TI ALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4021","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5699","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8415","CodeVersion":"2020","CustomName":"SUPPLIES FOR HOME DELIVERY OF INFANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2608","CodeVersion":"2020","CustomName":"SKN PROTCT&PSTN WC SEAT CUSHN WDTH 22 IN\/GT DPTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5711","CodeVersion":"2020","CustomName":"REBASE COMPLETE MANDIBULAR DENTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9934","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV PART DENTUR MAXILLARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6120","CodeVersion":"2020","CustomName":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1\/2 CUFF"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0717","CodeVersion":"2020","CustomName":"INJECTION CERTOLIZUMAB PEGOL 1 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9970","CodeVersion":"2020","CustomName":"ENAMEL MICROABRASION"},{"ServiceGroup":"84121","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4142","CodeVersion":"2020","CustomName":"XCM BIOLOGIC TISSUE MATRIX PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2791","CodeVersion":"2020","CustomName":"INJ RHO D IG HUMAN RHOPHYLAC IM\/IV 10 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8539","CodeVersion":"2020","CustomName":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2405","CodeVersion":"2020","CustomName":"ADDITION TO KNEE JOINT DROP LOCK EACH"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4241","CodeVersion":"2020","CustomName":"GINGL FLP PROC 1-3 CONTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3278F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6453","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH <\/= 3 IN PER YARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2105","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2348","CodeVersion":"2020","CustomName":"DECOMP PERQ INTERVERT DISC RF ENERGY 1\/MX LUMB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6444","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0826","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0070","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0423","CodeVersion":"2020","CustomName":"GENETIC TEST SUSCEPTIBILITY DISEASES-SPEC ANALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1320","CodeVersion":"2020","CustomName":"INJECTION AMITRIPTYLINE HCL UP TO 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9452","CodeVersion":"2020","CustomName":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4260","CodeVersion":"2020","CustomName":"OSSEOUS SURG 4\/> CONTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7306","CodeVersion":"2020","CustomName":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL&SPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3841","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR RETINOBLASTOMA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2175","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE HCL PER 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9216","CodeVersion":"2020","CustomName":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS"},{"ServiceGroup":"44711","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6238","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS > 16 BUT <\/= 48 SQ W\/ADHES EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1629","CodeVersion":"2020","CustomName":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0651","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS\/PANELS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4232","CodeVersion":"2020","CustomName":"CORPLEX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4020","CodeVersion":"2020","CustomName":"IVF PROC CANCELLED BEFORE ASPIRATION CASE RATE"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2636","CodeVersion":"2020","CustomName":"BRACHYTX LINEAR NONSTRAND PALLADIUM-103 PER 1 MM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4389","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE W\/BARR W\/BUILT-IN CONVXITY EA"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2510","CodeVersion":"2020","CustomName":"SPCH GEN DEVC SYNTHESIZD MX METH MESS&DEVC ACCSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2213","CodeVersion":"2020","CustomName":"INIT MEDICATION TX OPIOID USE D\/O ED SETTING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0880","CodeVersion":"2020","CustomName":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5666","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0383","CodeVersion":"2020","CustomName":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106322","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1088","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9287","CodeVersion":"2020","CustomName":"ABX REGIMEN NOT PRSCR W\/I 10 DA AFTR ONSET SX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7979","CodeVersion":"2020","CustomName":"NON - SURGICAL SIALOLITHOTOMY"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8505","CodeVersion":"2020","CustomName":"ARTFICL LARYNX REPLCMT BATTRY\/ACCESS ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9120","CodeVersion":"2020","CustomName":"INJECTION DACTINOMYCIN 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0706","CodeVersion":"2020","CustomName":"INTRAORAL - OCCLUSAL RAD IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3891","CodeVersion":"2020","CustomName":"ADD UP EXT JNT WRIST\/ELB CSTM FAB ORTHOT ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1230","CodeVersion":"2020","CustomName":"PWR OPERATED VEH SPEC BRAND NAME & MODEL NUMBER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1810","CodeVersion":"2020","CustomName":"DYN ADJUSTBL KNEE EXT\/FLX DEVC W\/INTERFCE MATL"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5400","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/ERLY FIT APPLY RIGD DRESS W\/1 CHG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9943","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD ADJUSTMENT"},{"ServiceGroup":"68190","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0374","CodeVersion":"2020","CustomName":"Anesthesia - Acupuncture"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"11301","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"16274","CodeType":"REV","Code":"0812","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Cadaver Donor"},{"ServiceGroup":"3277","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"70439","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"526","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"184","CodeVersion":"2020","CustomName":"Esophagitis, gastroenteritis and miscellaneous digestive disorders, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"9004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15477","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4176F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0244U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3397","CodeType":"CPT","Code":"90849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97499","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0262T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.16","CodeVersion":"2017","CustomName":"SCAN OF LYMPHATIC SYSTEM"},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4186F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5810","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0415","CodeVersion":"2020","CustomName":"COLLECT MICROORAGNISMS CULT & SENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3110","CodeVersion":"2020","CustomName":"INJECTION TERIPARATIDE 10 MCG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1160","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN UP TO 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1035","CodeVersion":"2020","CustomName":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8941","CodeVersion":"2020","CustomName":"ELD MALTX SCR POS F\/U NOT DOC NOT ELG F\/U PLN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2203","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV BRF CNSLG ID UH ALC USER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2460","CodeVersion":"2020","CustomName":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5968","CodeVersion":"2020","CustomName":"ADD LW LIMB PROSTH MX-AXIAL ANK W\/SWING PHASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1517","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED - BILATERAL, MANDIBULAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4104","CodeVersion":"2020","CustomName":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1953","CodeVersion":"2020","CustomName":"INJECTION LEVETIRACETAM 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6255","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL >16 <\/= 48 SQ W\/ADHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B5000","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARBS RENL-AMIROSYN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9020","CodeVersion":"2020","CustomName":"PLATELET RICH PLASMA EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0044","CodeVersion":"2020","CustomName":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6548","CodeVersion":"2020","CustomName":"RETN-PORCELN\/CERAM RSN BOND PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0017","CodeVersion":"2020","CustomName":"INJECTION AMINOCAPROIC ACID 5 GRAMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7460","CodeVersion":"2020","CustomName":"REMV BEN NONODONTGN TUMR-TO 1.25 CM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2208","CodeVersion":"2020","CustomName":"MIN INVAS DIR CAB SURG; 1 ART&VEN GFT 1 VEN GFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9607","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL CA CA BR\/CABG; 1 VES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7282","CodeVersion":"2020","CustomName":"MOBILZ ERUPT\/MALPSTN TOOTH AID ERUP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2730","CodeVersion":"2020","CustomName":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1050","CodeVersion":"2020","CustomName":"ADDITION TO CTLSO\/SCOLIOSIS ORTHOSIS STERNAL PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0691","CodeVersion":"2020","CustomName":"INJECTION LEFAMULIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0036","CodeVersion":"2020","CustomName":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0499","CodeVersion":"2020","CustomName":"HEPATITIS B SCREENING IN NON-PREG HIGH RISK IND"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2617","CodeVersion":"2020","CustomName":"STENT NON-COR TEMPORARY WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"64324","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0829","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Other OP Hemodialysis"},{"ServiceGroup":"22816","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"62538","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"886","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W\/O O.R.PROCEDURE -NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90356","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"ICD9P","Code":"37.23","CodeVersion":"2017","CustomName":"COMBINED RIGHT&LEFT HEART CARD CATHETERIZATION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74.3","CodeVersion":"2017","CustomName":"REMOVAL OF EXTRATUBAL ECTOPIC PREGNANCY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91583","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4261F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3141F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103593","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0716T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98687","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0013A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6233","CodeVersion":"2020","CustomName":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL>48 SQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0340","CodeVersion":"2020","CustomName":"2D CEPHALOMETRIC X-RAY - ACQUISITION MSR & ANALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0583","CodeVersion":"2020","CustomName":"INJECTION BIVALIRUDIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2230","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9454","CodeVersion":"2020","CustomName":"STRESS MGMT CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5140","CodeVersion":"2020","CustomName":"FOSTER CARE ADULT; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9993","CodeVersion":"2020","CustomName":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV"},{"ServiceGroup":"76531","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0195","CodeVersion":"2020","CustomName":"ELEVATING LEGREST PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7002","CodeVersion":"2020","CustomName":"TUBING USED WITH SUCTION PUMP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0472","CodeVersion":"2020","CustomName":"ACCESS TISS-GROSS EXAM-PREP & REPRT"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1726","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1741","CodeVersion":"2020","CustomName":"INJECTION IBUPROFEN 100 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108695","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4115","CodeVersion":"2020","CustomName":"ALLOSKIN PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9034","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0880","CodeVersion":"2020","CustomName":"TRACTION STAND FREE STANDING EXTREMITY TRACTION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1551","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0312","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/Q HCP VAC NA SAME DOS A< 21 5-15 M"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4176","CodeVersion":"2020","CustomName":"NEOPATCH OR THERION 1 SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1443","CodeVersion":"2020","CustomName":"INJ FEPP CIT SOLUTION TRIFERIC 0.1 MG IRON"},{"ServiceGroup":"13085","CodeType":"REV","Code":"0720","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - General Classification"},{"ServiceGroup":"51785","CodeType":"REV","Code":"0390","CodeVersion":"2020","CustomName":"ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND COMPONENTS-GENERAL CLASS"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"107750","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0403","CodeVersion":"2020","CustomName":"Other Imaging Services - Screening Mammography"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"691","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - VISIT CHARGE"},{"ServiceGroup":"12597","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"170","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"489","CodeVersion":"2020","CustomName":"HIV with major related condition"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"354","CodeVersion":"2020","CustomName":"Uterine and adnexa procedures for non-ovarian\/adnexal malignancy with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23681","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89949","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0028U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0619T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105219","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0648T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16325","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68543","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0220","CodeVersion":"2020","CustomName":"THORACIC RIB BELT CUSTOM FABRICATED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7180","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8420","CodeVersion":"2020","CustomName":"BMI DOC W\/I NORMAL PARAM & NO F\/U PLAN REQUIRED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2019","CodeVersion":"2020","CustomName":"THERAPEUTIC BEHAVIORAL SERVICES PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0624","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOTIC RIGD\/SEMI-RIGD PANELS CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9404","CodeVersion":"2020","CustomName":"PT DID NOT RCV F\/U DATE D\/C\/WI 30 DAYS AFTER D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9359","CodeVersion":"2020","CustomName":"HIT ANTI-TUMOR NECROS FACTOR IV TX; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8428","CodeVersion":"2020","CustomName":"CUR MEDS NO DOC OBDT UPD\/REV ELIG CLIN RSN N GVN"},{"ServiceGroup":"87040","CodeType":"ICD10P","Code":"10D00Z2","CodeVersion":"2020","CustomName":"EXTRACTION POC EXTRAPERITONEAL OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0945","CodeVersion":"2020","CustomName":"INJECTION BROMPHENIRAMINE MALEATE PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7634","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2460","CodeVersion":"2020","CustomName":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6130","CodeVersion":"2020","CustomName":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2501","CodeVersion":"2020","CustomName":"INJECTION PARICALCITOL 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9906","CodeVersion":"2020","CustomName":"PT ID TOBAC USER RECV TOB CESSATION INTERVENTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0100","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION; TAXI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2251","CodeVersion":"2020","CustomName":"BRIEF COMM TECH-BASED SRVC VR C\/I QUAL HCP"},{"ServiceGroup":"3358","CodeType":"ICD10P","Code":"05H533Z","CodeVersion":"2020","CustomName":"INSERTION INFUSION DEVC RT SUBCLAVIAN VEIN PERQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0310","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/OTH Q HCP VAC NA SAME DOS 5-15 MM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7667","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7971","CodeVersion":"2020","CustomName":"EXCISION OF PERICORONAL GINGIVA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9041","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 5% 50 ML"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8510","CodeVersion":"2020","CustomName":"BUSULFAN ORAL 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9691","CodeVersion":"2020","CustomName":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9923","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1460","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0183","CodeVersion":"2020","CustomName":"PWR PRESS RDUC UNDERLAY\/PAD ALTERNATING W\/PUMP"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"44105","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"113017","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"33832","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0384","CodeVersion":"2020","CustomName":"Blood and Blood Components - Platelets"},{"ServiceGroup":"42763","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"575","CodeVersion":"2020","CustomName":"Septicemia with Mechanical Ventilation 96+ Hours, Age Greater than 17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82806","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0023U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75327","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0014M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0063A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94164","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63456","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81564","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7298","CodeVersion":"2020","CustomName":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9904","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN FOR NOT SCR TOBACCO USE"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2025","CodeVersion":"2020","CustomName":"ONGOING SUPPORT MAINTAIN EMPLOYMENT PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9328","CodeVersion":"2020","CustomName":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1014","CodeVersion":"2020","CustomName":"CLINICL DECN SUPP MECH INVENIQA SMNTC ANSWRS MED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0447","CodeVersion":"2020","CustomName":"PRTB O C LQD 1 MO SPL=1 U PRSC AMT R\/N EXCD 4LPM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2680","CodeVersion":"2020","CustomName":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7677","CodeVersion":"2020","CustomName":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG"},{"ServiceGroup":"65421","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9352","CodeVersion":"2020","CustomName":"INJECTION TRABECTEDIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0186","CodeVersion":"2020","CustomName":"AIR PRESSURE MATTRESS"},{"ServiceGroup":"88269","CodeType":"HCPCS","Code":"C1814","CodeVersion":"2020","CustomName":"RETINAL TAMPONADE DEVICE SILICONE OIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7922","CodeVersion":"2020","CustomName":"PLCMT INTRA-SOC BIOL DRSG AID HEMO\/CLOT SITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4377","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6002","CodeVersion":"2020","CustomName":"STEREOSCOPIC X-RAY GUID LOCALIZ TRG VOL DEL RT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1810","CodeVersion":"2020","CustomName":"INJ DROPERIDOL&FENTANYL CITRATE UP TO 2 ML AMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0642","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN 0.5 MG"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2321","CodeVersion":"2020","CustomName":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9286","CodeVersion":"2020","CustomName":"HYGIENIC ITEM\/DEVC DISPBL\/NON-DISPBL ANY TYPE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9791","CodeVersion":"2020","CustomName":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE"},{"ServiceGroup":"98574","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1260","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9475","CodeVersion":"2020","CustomName":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0360","CodeVersion":"2020","CustomName":"INJECTION HYDRALAZINE HCL UP TO 20 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7660","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0057","CodeVersion":"2020","CustomName":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4147","CodeVersion":"2020","CustomName":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM"},{"ServiceGroup":"90559","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6704","CodeVersion":"2020","CustomName":"TERMINAL DEVICE SPORT\/RECREATIONAL\/WORK ATTACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0179","CodeVersion":"2020","CustomName":"INJECTION BROLUCIZUMAB-DBLL 1 MG"},{"ServiceGroup":"73656","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0822","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"22812","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0517","CodeVersion":"2020","CustomName":"Clinic - Family Practice Clinic"},{"ServiceGroup":"22409","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"88432","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104007","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105731","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93723","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93666","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8560","CodeVersion":"2020","CustomName":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8570","CodeVersion":"2020","CustomName":"PROLONGED POSTOPERATIVE INTUBATION NOT REQUIRED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7525","CodeVersion":"2020","CustomName":"TRACHEOSTOMY MASK EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9692","CodeVersion":"2020","CustomName":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9738","CodeVersion":"2020","CustomName":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1020","CodeVersion":"2020","CustomName":"CLINICAL DECN SUP MECH CURBSIDE CLIN AUGMNTD WF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2000","CodeVersion":"2020","CustomName":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9007","CodeVersion":"2020","CustomName":"ULTRAFILTRATION MONITOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4197","CodeVersion":"2020","CustomName":"PURAPLY XT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2226","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0515","CodeVersion":"2020","CustomName":"INJECTION SERMORELIN ACETATE 1 MICROGRAM"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4520","CodeVersion":"2020","CustomName":"INCONTINENCE GARMENT ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3350","CodeVersion":"2020","CustomName":"INJECTION UREA UP TO 40 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0705","CodeVersion":"2020","CustomName":"TRANSER DEVICE ANY TYPE EACH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0487","CodeVersion":"2020","CustomName":"LEADS FOR ANY TYPE ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4037","CodeVersion":"2020","CustomName":"UROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9300","CodeVersion":"2020","CustomName":"EXERCISE EQUIPMENT"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15071","CodeType":"HCPCS","Code":"S9098","CodeVersion":"2020","CustomName":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3901","CodeVersion":"2020","CustomName":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6015","CodeVersion":"2020","CustomName":"INTENSITY MODULATED TX DEL 1\/MX FLDS PER TX SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5810","CodeVersion":"2020","CustomName":"INTERIM COMPLETE DENTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3530","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SOLE HALF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6010","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:20 MEV\/>"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"70049","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"45965","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"30461","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"16429","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"78180","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"12791","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"64916","CodeType":"DRG","Code":"928","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury with CC\/MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.95","CodeVersion":"2017","CustomName":"HYPERBARIC OXYGENATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44064","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91887","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0322T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0016M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0093U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84932","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0074U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0268T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104554","CodeType":"CPT","Code":"50715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0174T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4026","CodeVersion":"2020","CustomName":"PHYSICAL THER\/OCCUPAT THERAPY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6549","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STOCKING\/SLEEVE NOS"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9262","CodeVersion":"2020","CustomName":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0812","CodeVersion":"2020","CustomName":"PHOTOTHERAPEUTIC KERATECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2202","CodeVersion":"2020","CustomName":"SPHERE BIFOCL +\/- 7.12 TO +\/- 20.00D PER LENS"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3800","CodeVersion":"2020","CustomName":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0185","CodeVersion":"2020","CustomName":"GEL\/GEL-LIKE PRSS PAD MATTRSS STD LEN&WDTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5959","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTH MODIFICATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0911","CodeVersion":"2020","CustomName":"TRAPEZ BAR HEVY DUTY PT WT >250 LBS BED GRAB BAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4017","CodeVersion":"2020","CustomName":"NUTRITION\/DIETICIAN MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3253","CodeVersion":"2020","CustomName":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3649","CodeVersion":"2020","CustomName":"ORTHOPED SHOE MODIFICATION ADDITION\/TRANSFER NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6072","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN CAST METAL FPD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6751","CodeVersion":"2020","CustomName":"RETAINER CROWN-PORCELAIN FUSED PDMT BASE METAL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5822","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4118","CodeVersion":"2020","CustomName":"MATRISTEM MICROMATRIX 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4014","CodeVersion":"2020","CustomName":"CMPL CYCLE ZYGOTE INTRAFALLOPIAN TRNSF CASE RATE"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4163F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3072F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3572F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2032","CodeVersion":"2020","CustomName":"ACTIVITY THERAPY PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0591","CodeVersion":"2020","CustomName":"INJECTION DEOXYCHOLIC ACID 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8509","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2850","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX\/EQUL EA"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9211","CodeVersion":"2020","CustomName":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"75501","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0973","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - THERAPEUTIC"},{"ServiceGroup":"74999","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0374","CodeVersion":"2020","CustomName":"Anesthesia - Acupuncture"},{"ServiceGroup":"25696","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"38444","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0606T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113683","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.95","CodeVersion":"2017","CustomName":"REVISION OF CORRECTIVE PROCEDURE ON HEART"},{"ServiceGroup":"112110","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91025","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83825","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0025U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92822","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0713T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3455F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0509T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100287","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0078U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93741","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0075U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0134U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113978","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0103T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27346","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0960","CodeVersion":"2020","CustomName":"WC ACSS SHLDR HRNSS\/STRAPS\/CHST STRAP W\/TYPE MOU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9770","CodeVersion":"2020","CustomName":"PERIPHERAL NERVE BLOCK"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3430","CodeVersion":"2020","CustomName":"INJECTION PHYTONADIONE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8940","CodeVersion":"2020","CustomName":"EQUESTRIAN\/HIPPOTHERAPY PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9962","CodeVersion":"2020","CustomName":"EMBO EPT DOC SEP EA EMBO VESSEL & OA ANGIO\/EMBO"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10A04ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERQ ENDOSCOPIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9539","CodeVersion":"2020","CustomName":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1429","CodeVersion":"2020","CustomName":"INJECTION GOLODIRSEN 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9651","CodeVersion":"2020","CustomName":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1330","CodeVersion":"2020","CustomName":"ORAL HYGIENE INSTRUCTIONS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1931","CodeVersion":"2020","CustomName":"INJECTION LARONIDASE 0.1 MG"},{"ServiceGroup":"104837","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4259","CodeVersion":"2020","CustomName":"CELERA DUAL LAYER\/CELERA DUAL MEMBRANE PER SQ CM"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8540","CodeVersion":"2020","CustomName":"DEXAMETHASONE ORAL 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5862","CodeVersion":"2020","CustomName":"PRECISION ATTACHMENT BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5585","CodeVersion":"2020","CustomName":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0248","CodeVersion":"2020","CustomName":"INJECTION REMDESIVIR 1 MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5011","CodeVersion":"2020","CustomName":"FITTING\/ORIENTATION\/CHECKING OF HEARING AID"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3927","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS PIP\/DIP W\/O JOINT PREFABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6259","CodeVersion":"2020","CustomName":"TRANSPARENT FILM STERL > 48 SQ IN EA DRESSING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9757","CodeVersion":"2020","CustomName":"LAMINOTOMY DECOMP NERVE ROOT; 1 INTERSPACE LUMB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0784","CodeVersion":"2020","CustomName":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0854","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"26916","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"885","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"158","CodeVersion":"2020","CustomName":"Anal and stomal procedures without CC"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113968","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0287U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0073U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0171U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3284F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4480F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105287","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26275","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73488","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0598T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4159","CodeVersion":"2020","CustomName":"AFFINITY PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2210","CodeVersion":"2020","CustomName":"RD CG SC NCK IMPR NO MSR PT NOT CMPL NFS PROM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9026","CodeVersion":"2020","CustomName":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0010","CodeVersion":"2020","CustomName":"ADMINISTRATION OF HEPATITIS B VACCINE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9437","CodeVersion":"2020","CustomName":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0635","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6780","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 CAST HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9328","CodeVersion":"2020","CustomName":"INJECTION TEMOZOLOMIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2062","CodeVersion":"2020","CustomName":"LOXAPINE FOR INHALATION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1070","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1070","CodeVersion":"2020","CustomName":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2105","CodeVersion":"2020","CustomName":"PT AGE 66\/> INST SNP\/RESID LTC >90 D DUR MSR PRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4217","CodeVersion":"2020","CustomName":"STERILE WATER\/SALINE 500 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9985","CodeVersion":"2020","CustomName":"SALES TAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9283","CodeVersion":"2020","CustomName":"FOOT PRESSURE OFF LOAD\/SUPP DEVICE ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2609","CodeVersion":"2020","CustomName":"CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0006","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SERVICES; CASE MANAGEMENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2543","CodeVersion":"2020","CustomName":"INJ PIPERACILLIN SOD\/TAZOBACTAM SOD 1 G\/0.125 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9537","CodeVersion":"2020","CustomName":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5118","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9001","CodeVersion":"2020","CustomName":"HOME UTERINE MONITOR W\/WO ASSOC NURSING SERVICES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9416","CodeVersion":"2020","CustomName":"PATIENT HAD 1 TET DT & TDAP ON\/BTW PT 10 & 13 BD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2405","CodeVersion":"2020","CustomName":"INJECTION ONDANSETRON HCL PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6707","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7632","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2515","CodeVersion":"2020","CustomName":"INJECTION PENTOBARBITAL SODIUM PER 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9982","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE PER PAGE"},{"ServiceGroup":"10539","CodeType":"HCPCS","Code":"T1021","CodeVersion":"2020","CustomName":"HOME HEALTH AIDE\/CERTIFIED NURSE ASST PER VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8037","CodeVersion":"2020","CustomName":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY"},{"ServiceGroup":"16778","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0460","CodeVersion":"2020","CustomName":"Pulmonary Function - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0731","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - Holter Monitor"},{"ServiceGroup":"17307","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"3132","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"13724","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"12590","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"9506","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"588","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"79678","CodeType":"DRG","Code":"928","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury with CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"100","CodeVersion":"2020","CustomName":"Respiratory signs and symptoms without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104588","CodeType":"CPT","Code":"62320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.74","CodeVersion":"2017","CustomName":"LAPAROSCOPIC SIMPLE SUTURE OF OVARY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0219U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"54962","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2047","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER 15 MINS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7604","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2670","CodeVersion":"2020","CustomName":"INJECTION TOLAZOLINE HCL UP TO 25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7626","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2609","CodeVersion":"2020","CustomName":"CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION SIZE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104737","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2616","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED YTTRIUM-90 PER SOURCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0181","CodeVersion":"2020","CustomName":"UNS ORAL DOSAGE ANTI-EMETIC NOT >48 HR DOSE REG"},{"ServiceGroup":"34357","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5972","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0109","CodeVersion":"2020","CustomName":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5020","CodeVersion":"2020","CustomName":"PART FT MOLDED SOCKET TIB TUBERCLE HT W\/TOE FIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9721","CodeVersion":"2020","CustomName":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8680","CodeVersion":"2020","CustomName":"ORTHODONTIC RETENTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4660","CodeVersion":"2020","CustomName":"SPHYGMOMANOMETER\/BP APPARATUS W\/CUFF&STETHOSCOPE"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"13297","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"9533","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"12214","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"260","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"829","CodeVersion":"2020","CustomName":"PANCREAS TRANSPLANT-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.14","CodeVersion":"2017","CustomName":"OTHER LAPAROSCOPIC DIAGNOSTIC PROCEDURES OVARIES"},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107020","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0080U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0690T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0286T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0032A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9470","CodeVersion":"2020","CustomName":"NUTRITIONAL COUNSELING DIETITIAN VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7902","CodeVersion":"2020","CustomName":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1786","CodeVersion":"2020","CustomName":"INJECTION IMIGLUCERASE 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5992","CodeVersion":"2020","CustomName":"ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9437","CodeVersion":"2020","CustomName":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2036","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5919","CodeVersion":"2020","CustomName":"FACIAL PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0168","CodeVersion":"2020","CustomName":"COMMODE CHAIR XTRA WIDE&\/HEVY DUTY STATION\/MOBIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2011","CodeVersion":"2020","CustomName":"CRISIS INTERVENTION SERVICE PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9307","CodeVersion":"2020","CustomName":"NO RETURN OP ROOM FOR PROC W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0627","CodeVersion":"2020","CustomName":"SEAT LIFT MECHANISM ELECTRIC ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1085","CodeVersion":"2020","CustomName":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6751","CodeVersion":"2020","CustomName":"RETAINER CROWN-PORCELAIN FUSED PDMT BASE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9020","CodeVersion":"2020","CustomName":"PLATELET RICH PLASMA EACH UNIT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4193F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"16036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.0","CodeVersion":"2017","CustomName":"REMOVAL CORONARY ART OBSTRUCTION&INSERTION STENT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69688","CodeType":"CPT","Code":"93623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0223U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0675T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91459","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0090U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105657","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.27","CodeVersion":"2017","CustomName":"CARDIAC MAPPING"},{"ServiceGroup":"91583","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.73","CodeVersion":"2017","CustomName":"OTHER&UNSPEC REPAIR ENDOCARDIAL CUSHION DEFECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4146","CodeVersion":"2020","CustomName":"TENSIX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9900","CodeVersion":"2020","CustomName":"SCR DX F DGTL\/DBT MAMMO RSLT NOT DOC&REV RSN NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1025","CodeVersion":"2020","CustomName":"PATIENT MONTH >1 MCP PROVIDER LISTED FOR MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2020","CodeVersion":"2020","CustomName":"DAY HABILITATION WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0848","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD SLING SEAT PT TO & = 300 LBS"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1950","CodeVersion":"2020","CustomName":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2039","CodeVersion":"2020","CustomName":"VEHICLE MODIFICATIONS WAIVER; PER SERVICE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1180","CodeVersion":"2020","CustomName":"INJECTION DYPHYLLINE UP TO 500 MG"},{"ServiceGroup":"85022","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0597","CodeVersion":"2020","CustomName":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1805","CodeVersion":"2020","CustomName":"DYN ADJUSTBL WRIST EXT\/FLX DEVC W\/INTERFCE MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0140","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID ADJUSTABLE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7170","CodeVersion":"2020","CustomName":"INJECTION EMICIZUMAB-KXWH 0.5 MG"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4106","CodeVersion":"2020","CustomName":"DERMAGRAFT PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4017","CodeVersion":"2020","CustomName":"INCPL CYCLE TX CANCELED PRIOR TO STIM CASE RATE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4206","CodeVersion":"2020","CustomName":"FLUID FLOW OR FLUID GF 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5240","CodeVersion":"2020","CustomName":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9025","CodeVersion":"2020","CustomName":"INJECTION AZACITIDINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1743","CodeVersion":"2020","CustomName":"INJECTION IDURSULFASE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0139","CodeVersion":"2020","CustomName":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4146","CodeVersion":"2020","CustomName":"TENSIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7195","CodeVersion":"2020","CustomName":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8694","CodeVersion":"2020","CustomName":"LVEF < 40% OR DOCUMENTATION OF MOD\/SEV LVSD"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5699","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6235","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS >16 BUT <\/=48 SQ W\/O ADHES EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9820","CodeVersion":"2020","CustomName":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F\/U"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"108914","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9065","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0117","CodeVersion":"2020","CustomName":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9198","CodeVersion":"2020","CustomName":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9372","CodeVersion":"2020","CustomName":"HOME THERAPY; INTERMITTENT ANTICOAGULANT INJ TX;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6113","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2095","CodeVersion":"2020","CustomName":"DOC SYS RSN NOT PRSC ACE INHIB\/ARB\/ARNI THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9056","CodeVersion":"2020","CustomName":"COMA STIMULATION PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0210","CodeVersion":"2020","CustomName":"INTRAORAL-COMPLETE SERIES OF RADIOGRAPHIC IMAGES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A8004","CodeVersion":"2020","CustomName":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6017","CodeVersion":"2020","CustomName":"INTRA-FRAC LOC & TRACKING TARGET\/PT M EA FRAC TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0014","CodeVersion":"2020","CustomName":"OTHER MOTORIZED\/POWER WHEELCHAIR BASE"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104228","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3432","CodeVersion":"2020","CustomName":"GUIDED TISS REGEN RESORB BARR PERIRADICULAR SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9269","CodeVersion":"2020","CustomName":"INJECTION TAGRAXOFUSP-ERZS 10 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2999","CodeVersion":"2020","CustomName":"LOWER EXTREMITY ORTHOSES NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6024","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1200","CodeVersion":"2020","CustomName":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1016","CodeVersion":"2020","CustomName":"TRANSCUT ELEC NERVE STIM FOR ELEC STIM TG NERVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4211","CodeVersion":"2020","CustomName":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS"},{"ServiceGroup":"78537","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"27776","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"32978","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0986","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EEG"},{"ServiceGroup":"14174","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"3493","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0188U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0280U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"93581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"54.51","CodeVersion":"2017","CustomName":"LAPAROSCOPIC LYSIS OF PERITONEAL ADHESIONS"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9017","CodeVersion":"2020","CustomName":"FRESH FRZN PLASMA FRZN WITHIN 8 HRS CLCT EA UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7329","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRIVISC FOR IA INJ 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9624","CodeVersion":"2020","CustomName":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5611","CodeVersion":"2020","CustomName":"REPAIR RESIN PARTIAL DENTURE BASE MANDIBULAR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59424","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"13715","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"59424","CodeType":"REV","Code":"0562","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Hourly Charge"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"180","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0332","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - Oral"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0374","CodeVersion":"2020","CustomName":"Anesthesia - Acupuncture"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"419","CodeVersion":"2020","CustomName":"Fever of unknown origin, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37873","CodeType":"ICD9P","Code":"81.51","CodeVersion":"2017","CustomName":"TOTAL HIP REPLACEMENT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88613","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104739","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93060","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.21","CodeVersion":"2017","CustomName":"CAVAL-PULMONARY ARTERY ANASTOMOSIS"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81567","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4242F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6531","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 30-40 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9118","CodeVersion":"2020","CustomName":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1730","CodeVersion":"2020","CustomName":"INJECTION DIAZOXIDE UP TO 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9338","CodeVersion":"2020","CustomName":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8044","CodeVersion":"2020","CustomName":"HEMI-FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7311","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2760","CodeVersion":"2020","CustomName":"SCRATCH RESISTANT COATING PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8131","CodeVersion":"2020","CustomName":"INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2225","CodeVersion":"2020","CustomName":"MYRINGOTOMY LASER-ASSISTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0452","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3005","CodeVersion":"2020","CustomName":"PERFORMANCE MSR EVAL PT SELF ASSESS DEPRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1810","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7325","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV SYNVISC\/SYNVISC-ONE IA INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1503","CodeVersion":"2020","CustomName":"ADMN MED NOT ORAL & OR INJ HLTH AGENCY\/PROF VST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9071","CodeVersion":"2020","CustomName":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0617","CodeVersion":"2020","CustomName":"EXTERNAL DEFIB W\/INTEGRATED ECG ANALY"},{"ServiceGroup":"44107","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1438","CodeVersion":"2020","CustomName":"INJECTION ETANERCEPT 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7193","CodeVersion":"2020","CustomName":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0491","CodeVersion":"2020","CustomName":"INJECTION ANIFROLUMAB-FNIA 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7323","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE EUFLEXXA IA INJ PER DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1018","CodeVersion":"2020","CustomName":"EXTERNAL UL TREMOR STIM PERIPH NERVES WRIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1031","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME BY LPN PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2614","CodeVersion":"2020","CustomName":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0592","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE HYDROCHLORIDE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4323","CodeVersion":"2020","CustomName":"SPLINT - EXTRA-COR; NATURAL TEETH\/PROSTH CROWNS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2328","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL\/EXT CNTRL ELEC PRPRTNL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9821","CodeVersion":"2020","CustomName":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F\/U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1779","CodeVersion":"2020","CustomName":"LEAD PACEMAKER TRANSVENOUS VDD SINGLE PASS"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"A4263","CodeVersion":"2020","CustomName":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4222","CodeVersion":"2020","CustomName":"INFUS SPL EXT RX INFUS PUMP CASSETTE\/BAG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2144","CodeVersion":"2020","CustomName":"FUNC ST ODI 3MO PO <=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10T24ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC PC ENDO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7550","CodeVersion":"2020","CustomName":"PART OSTEC\/SEQECT REMV NON-VITAL BN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1030","CodeVersion":"2020","CustomName":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7182","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9002","CodeVersion":"2020","CustomName":"COUNSELING INDIVIDUAL BY CHAPLAIN SERVICES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3370F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30041","CodeType":"REV","Code":"0379","CodeVersion":"2020","CustomName":"Anesthesia - Other Anesthesia"},{"ServiceGroup":"73483","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"33267","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0829","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Other OP Hemodialysis"},{"ServiceGroup":"33265","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"3338","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"312","CodeVersion":"2020","CustomName":"Urethral procedures, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"846","CodeVersion":"2020","CustomName":"Chemotherapy without Acute Leukemia as Secondary Diagnosis with MCC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"512","CodeVersion":"2020","CustomName":"Simultaneous pancreas\/kidney transplant"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.37","CodeVersion":"2017","CustomName":"AMNIOINFUSION"},{"ServiceGroup":"107642","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106065","CodeType":"CPT","Code":"90867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"54.21","CodeVersion":"2017","CustomName":"LAPAROSCOPY"},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107826","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1039F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0047U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0082U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.39","CodeVersion":"2017","CustomName":"OPERATIONS OTH STRUCTURES ADJACENT VALVES HEART"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26472","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0264T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113463","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7185","CodeVersion":"2020","CustomName":"ELEC ELB ADOLES VRITY VILLAGE\/EQUAL SWITCH CNTRL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0132","CodeVersion":"2020","CustomName":"INJECTION ACETYLCYSTEINE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8785","CodeVersion":"2020","CustomName":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3285","CodeVersion":"2020","CustomName":"INJECTION TREPROSTINIL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9096","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1\/NX NO PROGRSSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6310","CodeVersion":"2020","CustomName":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5618","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9609","CodeVersion":"2020","CustomName":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4337","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0280","CodeVersion":"2020","CustomName":"BED CRADLE ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9885","CodeVersion":"2020","CustomName":"2 MDPP ONGO MS ATD MDPP BNF MO 22-24 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6625","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD ROTATION WRST UNIT W\/CABLE LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8702","CodeVersion":"2020","CustomName":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL\/DBL UPR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9555","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN RECOMMENDING F\/U IMAGING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2777","CodeVersion":"2020","CustomName":"INJECTION FARICIMAB-SVOA 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2369","CodeVersion":"2020","CustomName":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1841","CodeVersion":"2020","CustomName":"RETINAL PROSTH INCL ALL INTRL & EXTERNL CMPNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9824","CodeVersion":"2020","CustomName":"ENDOMETRIAL SMP\/HYSTEROSCPY BX & RSLT NT DOC 12M"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0064","CodeVersion":"2020","CustomName":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9205","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN LIPOSOME 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0301","CodeVersion":"2020","CustomName":"FABRIC WRAPPING OF ABDOMINAL ANEURYSM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0413","CodeVersion":"2020","CustomName":"PERQ SKEL FIX POST PELV BONE FX&\/DISLOC UNI\/BIL"},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6246","CodeVersion":"2020","CustomName":"HYDROGEL DRESS > 16 SQ BUT <\/= 48 SQ W\/ADHES EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0364","CodeVersion":"2020","CustomName":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2790","CodeVersion":"2020","CustomName":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2787","CodeVersion":"2020","CustomName":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1516","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED - BILATERAL, MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8040","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3323F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72998","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"73461","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"79177","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"9911","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"34551","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"864","CodeVersion":"2020","CustomName":"CERVICAL SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"425","CodeVersion":"2020","CustomName":"Acute adjustment reactions and psychosocial dysfunction"},{"ServiceGroup":"21354","CodeType":"DRG","Code":"251","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3443","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40403","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91686","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65350","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99147","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3343F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2024F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15473","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103542","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113145","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11227","CodeType":"ICD9P","Code":"35.96","CodeVersion":"2017","CustomName":"PERCUTANEOUS VALVULOPLASTY"},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"70.33","CodeVersion":"2017","CustomName":"EXCISION OR DESTRUCTION OF LESION OF VAGINA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9268","CodeVersion":"2020","CustomName":"INJECTION PENTOSTATIN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4725","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>4999<\/=5999CC PERITON DIALYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2642","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9347","CodeVersion":"2020","CustomName":"F\/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6610","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0747","CodeVersion":"2020","CustomName":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC"},{"ServiceGroup":"45469","CodeType":"ICD10P","Code":"8E0XXBZ","CodeVersion":"2020","CustomName":"COMPUTER ASSISTED PROCEDURE OF UPPER EXTREMITY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1628","CodeVersion":"2020","CustomName":"INJECTION GUSELKUMAB 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1557","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1013","CodeVersion":"2020","CustomName":"EN TUBE W OR W\/O ADAPTER ANY TYPE REPLC ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7943","CodeVersion":"2020","CustomName":"OSTEOT-MAND RAMI BN GFT; OBTAIN GFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5170","CodeVersion":"2020","CustomName":"HOME DELIV MEALS INCLUDING PREPARATION; PER MEAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3355","CodeVersion":"2020","CustomName":"INJECTION UROFOLLITROPIN 75 IU"},{"ServiceGroup":"112581","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1006","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS TILT&RECLINE NO SHEAR RDUC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1032","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2265","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9379","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY INFUSION THERAPY NOC; DIEM"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8807","CodeVersion":"2020","CustomName":"TRANSABD\/TRANSVAG U\/S NOT PERF RSN DOC CLINICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2625","CodeVersion":"2020","CustomName":"ENLARGEMENT OF OCULAR PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5275","CodeVersion":"2020","CustomName":"EAR IMPRESSION EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8877","CodeVersion":"2020","CustomName":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E04016","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C INTO CENTRL VEIN OPEN"},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1222","CodeVersion":"2020","CustomName":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5200","CodeVersion":"2020","CustomName":"PERCUT CATH\/TUBE ANCHR DEVICE ADHES SKIN ATTCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2698","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE STRANDED NOS PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9276","CodeVersion":"2020","CustomName":"SENSOR;INVSV DISP INTRSTL CONT GLU MON SYS 1U=1D"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4267","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8514","CodeVersion":"2020","CustomName":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4111","CodeVersion":"2020","CustomName":"GAMMAGRAFT PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4260","CodeVersion":"2020","CustomName":"OSSEOUS SURG 4\/> CONTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0435","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0602","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply <1 LPM"},{"ServiceGroup":"188","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"33269","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"409","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"90318","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9353","CodeVersion":"2020","CustomName":"INJECTION MARGETUXIMAB-CMKB 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7997","CodeVersion":"2020","CustomName":"APPLIANCE REMV INCL REMV ARCHBAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9320","CodeVersion":"2020","CustomName":"INJECTION STREPTOZOCIN 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2052","CodeVersion":"2020","CustomName":"SERVICES SUPPLIES IN HOME MEDICARE IVIG DEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4531","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD UNDWEAR SM\/MED EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0984","CodeVersion":"2020","CustomName":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1720","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7638","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9975","CodeVersion":"2020","CustomName":"EXT BLEACH HOM APPLIC-ARCH; MATL FAB CSTM TRAYS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2270","CodeVersion":"2020","CustomName":"ADD LW EXT VARUS\/VALGUS CORR STRAP PAD\/LINE PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0669","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS HALF LEG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2189","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: ABN NEURO EXAM"},{"ServiceGroup":"89822","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2148","CodeVersion":"2020","CustomName":"MULTIMODAL PAIN MANAGEMENT WAS USED"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91658","CodeType":"ICD10P","Code":"10D07Z5","CodeVersion":"2020","CustomName":"EXTRACTION POC HIGH FORCEPS NATURAL\/ART OPENING"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3285","CodeVersion":"2020","CustomName":"INJECTION TREPROSTINIL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1746","CodeVersion":"2020","CustomName":"INJECTION IBALIZUMAB-UIYK 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0741","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG\/3MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7318","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE DUROLANE FOR IA INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0457","CodeVersion":"2020","CustomName":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8565","CodeVersion":"2020","CustomName":"GEFITINIB ORAL 250 MG"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"33252","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"072","CodeVersion":"2020","CustomName":"Nasal Trauma and Deformity"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3475F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85570","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93018","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0279U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.70","CodeVersion":"2017","CustomName":"INITIAL INSERTION OF LEAD NOS"},{"ServiceGroup":"108692","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4009F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0158U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74470","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0216U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0156U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0032A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9032","CodeVersion":"2020","CustomName":"INJECTION BELINOSTAT 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3202","CodeVersion":"2020","CustomName":"ORTHOPED SHOE OXFORD W\/SUPINATOR\/PRONATOR CHILD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4860","CodeVersion":"2020","CustomName":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1615","CodeVersion":"2020","CustomName":"DEIONIZER WATER PURIFICATION SYSTEM HEMODIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3219","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0776","CodeVersion":"2020","CustomName":"IV POLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9257","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6900","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE THUMB\/1 FNGR REMAIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7340","CodeVersion":"2020","CustomName":"CARBIDOPA 5 MG\/LEVODOPA 20 MG ENTERAL SUSPENSION"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4333","CodeVersion":"2020","CustomName":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9219","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE IMPLANT 65 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0692","CodeVersion":"2020","CustomName":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1753","CodeVersion":"2020","CustomName":"CATHETER INTRAVASCULAR ULTRASOUND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8048","CodeVersion":"2020","CustomName":"UNS MAXILLOFCE PROSTH BR PROVIDED NON-PHYSICIAN"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1815","CodeVersion":"2020","CustomName":"PROSTHESIS URINARY SPHINCTER"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9552","CodeVersion":"2020","CustomName":"INCIDENTAL THYROID NODULE < 1.0 CM NOTED REPORT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"E0785","CodeVersion":"2020","CustomName":"IMPLANTABLE INTRASPINL CATHETER USED W\/PUMP-REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5272","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVICE TDD"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7527","CodeVersion":"2020","CustomName":"TRACHEOSTOMY\/LARYNGECTOMY TUBE PLUG\/STOP EACH"},{"ServiceGroup":"99981","CodeType":"HCPCS","Code":"G0342","CodeVersion":"2020","CustomName":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH&INFUS"},{"ServiceGroup":"113847","CodeType":"HCPCS","Code":"S9443","CodeVersion":"2020","CustomName":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9181","CodeVersion":"2020","CustomName":"INJECTION ETOPOSIDE 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0180","CodeVersion":"2020","CustomName":"CERV MX POST COLLAR OCCIP\/MAND SUPPORTS ADJUSTBL"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7026","CodeVersion":"2020","CustomName":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0139","CodeVersion":"2020","CustomName":"MINOXIDIL 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8702","CodeVersion":"2020","CustomName":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL\/DBL UPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1980","CodeVersion":"2020","CustomName":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5848","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5782","CodeVersion":"2020","CustomName":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9945","CodeVersion":"2020","CustomName":"PT CANCER ACUT FX\/INF REL LUMB SP\/PT HAD IDIO\/CS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7404","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL"},{"ServiceGroup":"87684","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0780","CodeVersion":"2020","CustomName":"Telemedicine - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72","CodeVersion":"2017","CustomName":"FORCEPS VACUUM AND BREECH DELIVERY"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4185F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.9","CodeVersion":"2017","CustomName":"RESPIRATORY THERAPY"},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97462","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0101T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31474","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0179U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90795","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9525","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.19","CodeVersion":"2017","CustomName":"OTHER BYPASS ANASTOMOSIS HEART REVASCULARIZATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41.0","CodeVersion":"2017","CustomName":"BONE MARROW TRANSPLANT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.37","CodeVersion":"2017","CustomName":"RESECTION OF ABDOMINAL VEINS WITH ANASTOMOSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2319","CodeVersion":"2020","CustomName":"TRIFOCAL SEG WIDTH OVER 28 MM"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5513","CodeVersion":"2020","CustomName":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2030","CodeVersion":"2020","CustomName":"MENTAL HEALTH CLUBHOUSE SERVICES PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0130","CodeVersion":"2020","CustomName":"SEXA BN DNSITY STDY 1\/> SITE; APPNDICULR SKEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2116","CodeVersion":"2020","CustomName":"PT 66-80 Y 1 CLM FRLTY&1 IP ADV ILL DR\/YR PRI MP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8652","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE < 0"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1610","CodeVersion":"2020","CustomName":"RVRS OSMOSIS H2O PURIFICATION SYSTEM HEMODIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9033","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4720","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL >249<\/=999 CC PERITON DIALYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2016","CodeVersion":"2020","CustomName":"PERMEADERM B PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0703","CodeVersion":"2020","CustomName":"2-D O\/F PHOTO IMG OBTD INTRAORL\/EO-IMG CAP ONLY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7181","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII A-SUBUNIT PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9831","CodeVersion":"2020","CustomName":"AJCC STAGE AT BREAST CANCER DIAGNOSIS = II \/ III"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9007","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0219","CodeVersion":"2020","CustomName":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0322","CodeVersion":"2020","CustomName":"TOMOGRAPHIC SURVEY"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0116","CodeVersion":"2020","CustomName":"CRTCH UNDARM NOT WOOD ADJUST\/FIX PAD TIP HNDGRIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4087","CodeVersion":"2020","CustomName":"GASTROSTOMY\/J-TUBE STANDARD ANY MATERIAL\/TYPE EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6680","CodeVersion":"2020","CustomName":"UP EXTREM ADD TST SOCKT WRST DISARTIC\/BELW ELB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6117","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0665","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL ARM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4368","CodeVersion":"2020","CustomName":"OSTOMY FILTER ANY TYPE EACH"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5212","CodeVersion":"2020","CustomName":"MANDIBULAR PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6199","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GEL DRESS WND FIL STERL 6 IN"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"27249","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"78377","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"100983","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"43502","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"259","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103973","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99167","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6253","CodeVersion":"2020","CustomName":"INTRM PONTIC-FUR TX\/CMPL DX NEC B4 FINAL IMPRESS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4002","CodeVersion":"2020","CustomName":"CAST SUPPLIES BODY CAST ADULT W\/WO HEAD FIBRGLS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8451","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED WRIST OR ANKLE"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0581","CodeVersion":"2020","CustomName":"NONSTANDARD LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2280","CodeVersion":"2020","CustomName":"INJECTION MOXIFLOXACIN 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4151","CodeVersion":"2020","CustomName":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4706","CodeVersion":"2020","CustomName":"BICARBONATE CONCENTRATE SOL HEMODIAL PER GALLON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9996","CodeVersion":"2020","CustomName":"DOCUM STATING PT REC\/OR CURR REC PALLIAT\/HOSPICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8430","CodeVersion":"2020","CustomName":"DOC MED RSN NOT DOC UPDAT\/REV PT CUR MED LIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6692","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SILCON GEL INSERT\/EQUAL EA"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8530","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE ORAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9005","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0221","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB&CILGAVIMAB INC INJ&PA MONH\/RES;"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5060","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BEHIND THE EAR"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2037","CodeVersion":"2020","CustomName":"DVLPMENTL DLAY PREV ACTV DPND CHLD CLIENT 15 MIN"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9325","CodeVersion":"2020","CustomName":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9997","CodeVersion":"2020","CustomName":"DOCUM PT PREG DUR MEAS PER PRIOR TO&INCL CUR ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2712","CodeVersion":"2020","CustomName":"CROWN 3\/4 RESNBASED COMPOS INDIRECT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6086","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - PREDOMINANTLY BASE ALY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3925","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS PIP\/DIP NONTORSION JOINT PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5937","CodeVersion":"2020","CustomName":"TRISMUS APPLIANCE NOT TMD TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4130","CodeVersion":"2020","CustomName":"REPLACE PRETIBIAL SHELL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3160","CodeVersion":"2020","CustomName":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7527","CodeVersion":"2020","CustomName":"EVEROLIMUS ORAL 0. 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6624","CodeVersion":"2020","CustomName":"RETAINER INLAY - TITANIUM"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0250","CodeVersion":"2020","CustomName":"HOSP BED FIX HT W\/ANY TYPE SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9446","CodeVersion":"2020","CustomName":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9608","CodeVersion":"2020","CustomName":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY"},{"ServiceGroup":"9529","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0924","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Allergy Test"},{"ServiceGroup":"526","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0589","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Other Home Health Visit"},{"ServiceGroup":"70048","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0964","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (CRNA)"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"31782","CodeType":"DRG","Code":"260","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"027","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma greater than one hour"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"870","CodeVersion":"2020","CustomName":"Septicemia or Severe Sepsis with Mechanical Ventilation 96+ Hours"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"55.34","CodeVersion":"2017","CustomName":"LAPAROSCOPIC ABLATION OF RENAL LESION OR TISSUE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0036U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0516F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0110T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"68.16","CodeVersion":"2017","CustomName":"CLOSED BIOPSY OF UTERUS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27781","CodeType":"CPT","Code":"93540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30712","CodeType":"ICD9P","Code":"92.27","CodeVersion":"2017","CustomName":"IMPLANTATION OR INSERTION RADIOACTIVE ELEMENTS"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7197","CodeVersion":"2020","CustomName":"ANTITHROMBIN III PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9090","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; T1-2 N0 M0 NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1003","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH MEDICALIS DEFIND MCR AUC PROG"},{"ServiceGroup":"85040","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0331","CodeVersion":"2020","CustomName":"PET IMAGING RESTAGING OVARIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0404","CodeVersion":"2020","CustomName":"ECG RTN ECG W\/12 LEADS TRACING ONLY W\/O I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0140","CodeVersion":"2020","CustomName":"WALKER W\/TRUNK SUPPORT ADJUSTBLE\/FIX HT ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9976","CodeVersion":"2020","CustomName":"LODGING PER DIEM NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4394","CodeVersion":"2020","CustomName":"REPLACE SOFT INTERFACE MATERIAL FOOT DROP SPLINT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1932","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0552","CodeVersion":"2020","CustomName":"SPL EXT NON-INS RX INFUS PMP SYR T CART STERL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1190","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"96060","CodeType":"HCPCS","Code":"C2614","CodeVersion":"2020","CustomName":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7953","CodeVersion":"2020","CustomName":"BONE REPLCMT GRAFT RIDGE PRES -SITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1015","CodeVersion":"2020","CustomName":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6250","CodeVersion":"2020","CustomName":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1445","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE SOL 0.1 MG IRON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4201","CodeVersion":"2020","CustomName":"MATRION PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0185","CodeVersion":"2020","CustomName":"INJECTION APREPITANT 1 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5661","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"33235","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"65284","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"80259","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"32978","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4186F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106228","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3776F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0507F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0736T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0272T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0296U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1757","CodeVersion":"2020","CustomName":"CATHETER THROMBECTOMY\/EMBOLECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5962","CodeVersion":"2020","CustomName":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9497","CodeVersion":"2020","CustomName":"RECEIVED INSTR ANES\/PROXY ABSTAIN SMOKING DAY SX"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0599","CodeVersion":"2020","CustomName":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9214","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2388","CodeVersion":"2020","CustomName":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2753","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN FUSED TO TIT & TIT ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7472","CodeVersion":"2020","CustomName":"REMOVAL OF TORUS PALATINUS"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2642","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9764","CodeVersion":"2020","CustomName":"REV EVAR OPN\/PERQ LE AA; NO TIB\/PR;IV LITHOTRIP"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8512","CodeVersion":"2020","CustomName":"GELATIN CAPS\/EQUVALNT W\/TRACHEOESOPH VOICE PROS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9935","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV PART DENTUR MANDIBULR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3120","CodeVersion":"2020","CustomName":"PULP CAP - INDIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0244","CodeVersion":"2020","CustomName":"IV INF\/SUBQ INJ CASIRIVIMAB & IMDEVIMAB H\/RES;"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8692","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3388F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9359","CodeVersion":"2020","CustomName":"POROUS PURIFIED COLL MATRIX B VOID FILLR-0.5CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1030","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8565","CodeVersion":"2020","CustomName":"GEFITINIB ORAL 250 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0280","CodeVersion":"2020","CustomName":"MEDICAL HOME PROG COMP CARE COORD INITIAL PLAN"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0541","CodeVersion":"2020","CustomName":"Ambulance - Supplies"},{"ServiceGroup":"104713","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"33264","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"1942","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"22406","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"506","CodeVersion":"2020","CustomName":"Full thickness burn with skin graft or inhalation injury with CC or significant trauma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90376","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0132","CodeVersion":"2020","CustomName":"INJECTION ACETYLCYSTEINE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6056","CodeVersion":"2020","CustomName":"PREFABRICATED ABUTMENT-INCL MOD & PLACEMENT"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10T23ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC PERQ"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4178F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95107","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8999","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0034","CodeVersion":"2020","CustomName":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0466","CodeVersion":"2020","CustomName":"HOME VENTILATOR ANY TYPE USED W\/NON-INVASV INTF"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0091","CodeVersion":"2020","CustomName":"GRANISETRON HYDROCHLORIDE 1 MG"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7658","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1230","CodeVersion":"2020","CustomName":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0034","CodeVersion":"2020","CustomName":"PATIENT RECEIVING PALLIATIVE CARE DUR MEASUR PER"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5644","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6412","CodeVersion":"2020","CustomName":"EYE PATCH OCCLUSIVE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0820","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD PORT SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7522","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE STNLESS STEEL\/EQUAL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9458","CodeVersion":"2020","CustomName":"PT DOC TOBACCO USER & RECV TOBACCO CESSATION INT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0433","CodeVersion":"2020","CustomName":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7599","CodeVersion":"2020","CustomName":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"47343","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"55794","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"13880","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0314","CodeVersion":"2020","CustomName":"Laboratory Pathology - Biopsy"},{"ServiceGroup":"60128","CodeType":"DRG","Code":"885","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE -NYDRG"},{"ServiceGroup":"39136","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"28015","CodeType":"DRG","Code":"469","CodeVersion":"2020","CustomName":"Principal diagnosis invalid as discharge diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"018","CodeVersion":"2020","CustomName":"Cranial and peripheral nerve disorders with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105250","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0163T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3292F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4041F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44143","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0063U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3342F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3573F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1460F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0288U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44303","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0096U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4387","CodeVersion":"2020","CustomName":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9710","CodeVersion":"2020","CustomName":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0038","CodeVersion":"2020","CustomName":"SELF-HELP\/PEER SERVICES PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2810","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4179","CodeVersion":"2020","CustomName":"FLOWERDERM PER SQUARE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0132","CodeVersion":"2020","CustomName":"INJECTION GANIRELIX ACETATE 250 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0348","CodeVersion":"2020","CustomName":"INJECTION ANIDULAFUNGIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0160","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT: PER MILE-CASE\/SOCIAL WORKER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4649","CodeVersion":"2020","CustomName":"SURGICAL SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9819","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5684","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1037","CodeVersion":"2020","CustomName":"TRANSPORT CHAIR PEDIATRIC SIZE"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9726","CodeVersion":"2020","CustomName":"PLCMT & REMV AA INTO BRST IORT ADD-ON BRST PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7120","CodeVersion":"2020","CustomName":"RINGERS LACTATE INFUSION UP TO 1000 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9288","CodeVersion":"2020","CustomName":"DOC MED REASON NOT REPORT H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4176","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID 7 THRU 8.5%-HOM MIX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1642","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 10 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4030","CodeVersion":"2020","CustomName":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2331","CodeVersion":"2020","CustomName":"RESIN COMPOS - 2 SURFACES ANTERIOR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2230","CodeVersion":"2020","CustomName":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS & PLATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3230","CodeVersion":"2020","CustomName":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2620","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0003","CodeVersion":"2020","CustomName":"LIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3351","CodeVersion":"2020","CustomName":"APEXIFICATION\/RECALCIFICATION INITIAL VISIT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3396","CodeVersion":"2020","CustomName":"INJECTION VERTEPORFIN 0.1 MG"},{"ServiceGroup":"14566","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"66561","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"28623","CodeType":"REV","Code":"0343","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic Radiopharmaceuticals"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92084","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3284F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3353F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0234T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0394T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"16020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0194T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.50","CodeVersion":"2017","CustomName":"LIGATION&STRIPPING VARICOSE VEINS UNSPEC SITE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.1","CodeVersion":"2017","CustomName":"OTHER SURGICAL INDUCTION OF LABOR"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0699","CodeVersion":"2020","CustomName":"INJECTION CEFIDEROCOL 10 MG"},{"ServiceGroup":"42975","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2046","CodeVersion":"2020","CustomName":"HOSPICE LONG TERM CARE RM AND BD ONLY PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0469","CodeVersion":"2020","CustomName":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8696","CodeVersion":"2020","CustomName":"ANTENNA FOR USE W\/IMPL DIA\/PN ST DEV REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9839","CodeVersion":"2020","CustomName":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9843","CodeVersion":"2020","CustomName":"RAS GENE MUTATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9420","CodeVersion":"2020","CustomName":"HOSPITAL CALL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9175","CodeVersion":"2020","CustomName":"INJECTION ELLIOTTS B SOLUTION 1 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0694","CodeVersion":"2020","CustomName":"INJECTION CEFOXITIN SODIUM 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9605","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG; EA ADD BR SUBTEND BP GFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5761","CodeVersion":"2020","CustomName":"RELINE MANDIBULAR PARTIAL DENTURE INDIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9363","CodeVersion":"2020","CustomName":"SKIN SUBST INTEGRA MESH BILAYER MATRIX PER SQ CM"},{"ServiceGroup":"13682","CodeType":"HCPCS","Code":"A0432","CodeVersion":"2020","CustomName":"PARAMED INTRCPT RURL AMB NO BILL 3 PARTY PAYER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1830","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2385","CodeVersion":"2020","CustomName":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0800","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 STD PT WT CAP TO & INCL 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4328","CodeVersion":"2020","CustomName":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0287","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0400","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5284","CodeVersion":"2020","CustomName":"REMV UNI PRT DNTUR - 1 PECE FLEX BASE - PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3207","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE HIGHTOP W\/SUPINATOR\/PRONATOR JR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2351","CodeVersion":"2020","CustomName":"DISKECT ANT W\/OSTEOPHYTECT; LUMB EA ADD INTRSP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4425","CodeVersion":"2020","CustomName":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W\/FILTR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7413","CodeVersion":"2020","CustomName":"EXCISION MALIG LESION UP 1.25 CM"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30133","CodeType":"ICD9P","Code":"80.59","CodeVersion":"2017","CustomName":"OTHER DESTRUCTION OF INTERVERTEBRAL DISC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3376F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92411","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105247","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91592","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109760","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106714","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0184U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103081","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112112","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99173","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9025","CodeVersion":"2020","CustomName":"OMNICARDIOGRAM\/CARDIOINTEGRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0702","CodeVersion":"2020","CustomName":"2-D CEPHALOMETRIC RAD IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7465","CodeVersion":"2020","CustomName":"DESTRUC LES PHYS\/CHEM METH BY RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7042","CodeVersion":"2020","CustomName":"5% DEXTROSE\/NORMAL SALINE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9145","CodeVersion":"2020","CustomName":"INSULIN PUMP INITIATION INSTRUCTION USE OF PUMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4026","CodeVersion":"2020","CustomName":"PROCUREMENT OF DONOR SPERM FROM SPERM BANK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9120","CodeVersion":"2020","CustomName":"FIXED PARTIAL DENTURE SECTIONING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3806","CodeVersion":"2020","CustomName":"WHFO CUSTOM FABRICATED INCL FITTING & ADJUSTMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1630","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL UP TO 5 MG"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5857","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1630","CodeVersion":"2020","CustomName":"RECIPROCATING PERITONEAL DIALYSIS SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1032","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1459","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0184","CodeVersion":"2020","CustomName":"DRY PRESSURE MATTRESS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8465","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER UPPER LIMB EACH"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0484","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 PIECE W\/O INTERFCE LINER CSTM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4224","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION ADMINISTRATION KIT PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5973","CodeVersion":"2020","CustomName":"ENDOSKEL ANK FOOT SYS MICRPROCSS CONTROL PWR SRC"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3961","CodeVersion":"2020","CustomName":"SEWHO SHOULDER CAP DESIGN W\/O JOINTS CSTM FAB"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5785","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"872","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Specialized Biologic Processing and Storage - Prior to Transport"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0470","CodeVersion":"2020","CustomName":"Audiology - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0835","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"817","CodeVersion":"2020","CustomName":"HIP REPLACEMENT FOR COMPLICATIONS-NYDRG"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"507","CodeVersion":"2020","CustomName":"Full thickness burn with skin graft or inhalation injury without CC or significant trauma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90426","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64723","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11798","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3395F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107178","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0275T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0483T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0246U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0516F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15472","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0014M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.1","CodeVersion":"2017","CustomName":"OTHER SURGICAL INDUCTION OF LABOR"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112110","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107016","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3917","CodeVersion":"2020","CustomName":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1260","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1140","CodeVersion":"2020","CustomName":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5274","CodeVersion":"2020","CustomName":"ASSISTIVE LEARNING DEVICE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4030","CodeVersion":"2020","CustomName":"PULMONOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3921","CodeVersion":"2020","CustomName":"DECORONATION\/SUBMG ERUPTED TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1031","CodeVersion":"2020","CustomName":"NONPNEU CPRSN CTR W\/O CALIBRATED GRADIENT PRS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4029","CodeVersion":"2020","CustomName":"PREVENTIVE MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0669","CodeVersion":"2020","CustomName":"WC ACCESS WC SEAT\/BACK CUSHION NO DME PDAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5703","CodeVersion":"2020","CustomName":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1351","CodeVersion":"2020","CustomName":"SEALANT - PER TOOTH"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9269","CodeVersion":"2020","CustomName":"INJECTION TAGRAXOFUSP-ERZS 10 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2931","CodeVersion":"2020","CustomName":"PRFABR STAINLESS STEEL CROWN-PERM"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3002","CodeVersion":"2020","CustomName":"FOOT INSRT REMV MOLDED PT MDL PLASTAZOTE\/EQUL EA"},{"ServiceGroup":"48398","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7205","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7313","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5731","CodeVersion":"2020","CustomName":"RELINE COMPLETE MANDIBULAR DENTURE DIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8906","CodeVersion":"2020","CustomName":"MR IMAGING WITH CONTRAST BREAST; BILATERAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2016","CodeVersion":"2020","CustomName":"COMP COMMUNITY SUPPORT SERVICES PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6266","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O SALINE\/ZINC PASTE LINR YD"},{"ServiceGroup":"9438","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0232","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - OB"},{"ServiceGroup":"19973","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"50907","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"31771","CodeType":"DRG","Code":"418","CodeVersion":"2020","CustomName":"Postoperative and post-traumatic infections"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89981","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0227U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69688","CodeType":"CPT","Code":"93640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0103T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32607","CodeType":"ICD9P","Code":"81.55","CodeVersion":"2017","CustomName":"REVISION OF KNEE REPLACEMENT NOS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107028","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0174U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107495","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9360","CodeVersion":"2020","CustomName":"INJECTION VINBLASTINE SULFATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7856","CodeVersion":"2020","CustomName":"MYOTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8037","CodeVersion":"2020","CustomName":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1566","CodeVersion":"2020","CustomName":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3470","CodeVersion":"2020","CustomName":"INTENTIONAL REIMPLANTATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0210","CodeVersion":"2020","CustomName":"INJECTION METHYLDOPATE HCL UP TO 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4149","CodeVersion":"2020","CustomName":"ENTRAL F MANF BLNDRIZD NAT FOODS W\/NUTRIENTS"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3722","CodeVersion":"2020","CustomName":"DOSE OPTIMIZ AUC ANALY INFUSIONAL 5-FLUOROURACIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5686","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE BACK CHECK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6505","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7660","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH-CLOSED REDUCTION"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2622","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE NON-INFLATABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1034","CodeVersion":"2020","CustomName":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP >7 D"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0469","CodeVersion":"2020","CustomName":"FED QUAL HEALTH CNTR VISIT MENTAL HEALTH NEW PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4032","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3353","CodeVersion":"2020","CustomName":"APEXIFICAT\/RECALCIFICAT-FINAL VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0878","CodeVersion":"2020","CustomName":"INJECTION DAPTOMYCIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0910","CodeVersion":"2020","CustomName":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W\/GRAB BAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7624","CodeVersion":"2020","CustomName":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6248","CodeVersion":"2020","CustomName":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0223","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"43787","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"105282","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"20272","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"33789","CodeType":"DRG","Code":"884","CodeVersion":"2020","CustomName":"SPINAL FUSION EXC CERV W CURVATURE OF THE SPINE OR MALIGNANC -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"520","CodeVersion":"2020","CustomName":"Cervical fusion without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4131F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99067","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0300U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5935","CodeVersion":"2020","CustomName":"MANDIB RES PROSTH W\/O GUIDE FLANGE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0220","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1160","CodeVersion":"2020","CustomName":"WHLCHAIR; FIX FULL-LEN ARMS DTACHBL ELEV LEGRSTS"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J0850","CodeVersion":"2020","CustomName":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3652","CodeVersion":"2020","CustomName":"SALIVA TST HORMONE LEVL; ASSESS PRTERM LABR RISK"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1731","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 20\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4155","CodeVersion":"2020","CustomName":"NEOXFLO OR CLARIXFLO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8560","CodeVersion":"2020","CustomName":"ETOPOSIDE ORAL 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4028","CodeVersion":"2020","CustomName":"PODIATRY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9069","CodeVersion":"2020","CustomName":"ONC; STATUS; SCLC SM CELL&COMB SM\/NONSM; EXT MET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0425","CodeVersion":"2020","CustomName":"CARIES SUSCEPTIBILITY TESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8911","CodeVersion":"2020","CustomName":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3925","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS PIP\/DIP NONTORSION JOINT PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2396","CodeVersion":"2020","CustomName":"PWR WC CASTER FORK REPLACEMENT ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2999","CodeVersion":"2020","CustomName":"LOWER EXTREMITY ORTHOSES NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3591","CodeVersion":"2020","CustomName":"UNCLASS RX\/BIOLOGICAL USED FOR ESRD ON DIALYSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9247","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN FLUFENAMIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1575","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN\/HYALURONIDASE 100 MG IG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4614","CodeVersion":"2020","CustomName":"PEAK EXPIRATORY FLOW RATE METER HAND HELD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9355","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0598","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1071","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE CYPIONATE 1 MG"},{"ServiceGroup":"104133","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6382","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3410","CodeVersion":"2020","CustomName":"INJECTION HYDROXYZINE HCL UP TO 25 MG"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0TF6XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION IN RIGHT URETER EXTERNAL APPROACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1295","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0770","CodeVersion":"2020","CustomName":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0739","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9359","CodeVersion":"2020","CustomName":"DOC NEG\/MAN P TB SCR E TB NOT AC W\/I 1 Y PT VST"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9298","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB & RELATLIMAB-RMBW 3 MG\/1 MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"58432","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0385","CodeVersion":"2020","CustomName":"Blood and Blood Components - Leukocytes"},{"ServiceGroup":"13903","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"70050","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"22818","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"062","CodeVersion":"2020","CustomName":"Myringotomy with tube insertion, age 0-17"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"266","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement except for skin ulcer or cellulitis without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94363","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0224U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113856","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113970","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31377","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108443","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107008","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0313T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91631","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100287","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1121F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0121","CodeVersion":"2020","CustomName":"INJECTION OMADACYCLINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2034","CodeVersion":"2020","CustomName":"FLU VIRUS VAC SPLIT VIRUS INTRAMUSCULAR AGRIFLU"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1713","CodeVersion":"2020","CustomName":"ANCHOR\/SCREW OPPOSING BN-TO-BN\/SOFT TISSUE-TO-BN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3320","CodeVersion":"2020","CustomName":"INJ SPECTINOMYCIN DIHYDROCHLORIDE UP TO 2 GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q1005","CodeVersion":"2020","CustomName":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2370","CodeVersion":"2020","CustomName":"INJECTION PHENYLEPHRINE HCL UP TO 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9945","CodeVersion":"2020","CustomName":"PT CANCER ACUT FX\/INF REL LUMB SP\/PT HAD IDIO\/CS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0613","CodeVersion":"2020","CustomName":"ANNUAL GYN EXAM CLIN BREAST EXAM W\/O PELV EXAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6642","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2981","CodeVersion":"2020","CustomName":"INLAY REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7629","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9044","CodeVersion":"2020","CustomName":"PLASMA CRYOPRECIPITATE REDUCED EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6781","CodeVersion":"2020","CustomName":"RETAINER CROWN-3\/4 CAST PREDOMINANTLY BASE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6075","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN CERAMIC FPD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8185","CodeVersion":"2020","CustomName":"FLUTTER DEVICE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0710","CodeVersion":"2020","CustomName":"INJECTION CEPHAPIRIN SODIUM UP TO 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0639","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1426","CodeVersion":"2020","CustomName":"INJECTION CASIMERSEN 10 MG"},{"ServiceGroup":"102261","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9826","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0833","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0870","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0644","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Non-Routine Nursing, Peripheral Line\""},{"ServiceGroup":"90004","CodeType":"DRG","Code":"251","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97463","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93030","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41327","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0029U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0552T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0295U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13849","CodeType":"ICD9P","Code":"98.59","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OTHER SITES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115364","CodeType":"CPT","Code":"69705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5010","CodeVersion":"2020","CustomName":"ASSESSMENT FOR HEARING AID"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0215","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE, ALS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0702","CodeVersion":"2020","CustomName":"2-D CEPHALOMETRIC RAD IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2036","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9057","CodeVersion":"2020","CustomName":"RBCS FRZN\/DEGLYCEROLIZED\/WASHED LEUKOCYTES RDUC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3060","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL\/MT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5867","CodeVersion":"2020","CustomName":"REPLACEMENT REPL PART SEMI-PRCISN\/PRCISN PER ATT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5724","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2375","CodeVersion":"2020","CustomName":"ADD LW EXT TORSION CNTRL ANK JNT&HALF STIRUP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5610","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2530","CodeVersion":"2020","CustomName":"INLAY - METALLIC - 3\/MORE SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5821","CodeVersion":"2020","CustomName":"INTERIM PARTIAL DENTURE MANDIBULAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8045","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9533","CodeVersion":"2020","CustomName":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0745","CodeVersion":"2020","CustomName":"INJECTION CODEINE PHOSPHATE PER 30 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0050","CodeVersion":"2020","CustomName":"RATCHET ASSEMBLY REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9409","CodeVersion":"2020","CustomName":"PATIENTS WO CT &\/PERICARDIOCENTESIS OCR WI 30 DA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4355","CodeVersion":"2020","CustomName":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7771","CodeVersion":"2020","CustomName":"ALVEOL CLOS RDUC STBL TEETH"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4020","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1131","CodeVersion":"2020","CustomName":"DOC STAT PT DX DEG NEURO COND DX TM BFR\/DUR EOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9067","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J0881","CodeVersion":"2020","CustomName":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8559","CodeVersion":"2020","CustomName":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4235","CodeVersion":"2020","CustomName":"AMNIOREPAIR OR ALTIPLY PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1787","CodeVersion":"2020","CustomName":"PATIENT PROGPATIENT PROGRAMMER NEUROSTIMULATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9539","CodeVersion":"2020","CustomName":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2068","CodeVersion":"2020","CustomName":"BREAST RECON DIEP\/SIEA FLAP & CLOS DONR SITE UNI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3354F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17773","CodeType":"REV","Code":"0404","CodeVersion":"2020","CustomName":"Other Imaging Services - Positron Emission Tomography"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"17139","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"526","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0383","CodeVersion":"2020","CustomName":"Blood and Blood Components - Plasma"},{"ServiceGroup":"180","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"13249","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"68189","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"49462","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"443","CodeVersion":"2020","CustomName":"Other operating room procedures for injuries without CC"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"724","CodeVersion":"2020","CustomName":"Malignancy, Male Reproductive System without CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"538","CodeVersion":"2020","CustomName":"Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"292","CodeVersion":"2020","CustomName":"Other endocrine, nutritional, and metabolic operating room procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"434","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91013","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74.0","CodeVersion":"2017","CustomName":"CLASSICAL CESAREAN SECTION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0555T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9911","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30218","CodeType":"ICD9P","Code":"51.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY"},{"ServiceGroup":"95100","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0424T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104969","CodeType":"CPT","Code":"99218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101102","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1940","CodeVersion":"2020","CustomName":"ANK FT ORTHOSIS PLASTIC\/OTH MATERIAL CUSTOM FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1990","CodeVersion":"2020","CustomName":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5984","CodeVersion":"2020","CustomName":"RADIATION SHIELD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4215","CodeVersion":"2020","CustomName":"NEEDLE STERILE ANY SIZE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4127","CodeVersion":"2020","CustomName":"TALYMED PER SQ CM"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2385","CodeVersion":"2020","CustomName":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2543","CodeVersion":"2020","CustomName":"ONLAY METALLIC THREE SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9684","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES UTI BILL SID-BENEF"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4106","CodeVersion":"2020","CustomName":"DERMAGRAFT PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9675","CodeVersion":"2020","CustomName":"PT WHO HAVE HAD F\/DIR LAB RSLT LDL-C=190 MG\/DL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2330","CodeVersion":"2020","CustomName":"ADD LOW EXT LACER MOLD PT MDL CSTM ORTHOS ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5145","CodeVersion":"2020","CustomName":"FOSTER CARE THERAPEUTIC CHILD; PER DIEM"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0766","CodeVersion":"2020","CustomName":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1016","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECHANISM SPEED OF CARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0144","CodeVersion":"2020","CustomName":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W\/POST SEAT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1732","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX\/ABLAT 3D\/VECTOR MAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9807","CodeVersion":"2020","CustomName":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY\/HPV TEST"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1898","CodeVersion":"2020","CustomName":"LEAD PACEMKR OTH THAN TRNS VDD SINGLE PASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5112","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82742","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72994","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0948","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Pulmonary Rehabilitation"},{"ServiceGroup":"45184","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0771","CodeVersion":"2020","CustomName":"Preventive Care Services - Vaccine Administration"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"36093","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"12117","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0189","CodeVersion":"2020","CustomName":"Leave Of Absence - Other LOA"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3291F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0033A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3386F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10985","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62294","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0450T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0300T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0167T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0529T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4285","CodeVersion":"2020","CustomName":"POLYCARBONATE BOTTLE USE W\/BREAST PUMP REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1650","CodeVersion":"2020","CustomName":"INJECTION ENOXAPARIN SODIUM 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9037","CodeVersion":"2020","CustomName":"INJECTION BELANTAMAB MAFODONTIN-BLMF 0.5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7191","CodeVersion":"2020","CustomName":"ELEC ELB CHLD VRITY VILL\/= MYOELECTRNICALY CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3302","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6237","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL 16 SQ\/< ADHES BORDR"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4620","CodeVersion":"2020","CustomName":"VARIABLE CONCENTRATION MASK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2630","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP COOL-TIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1559","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9132","CodeVersion":"2020","CustomName":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4282","CodeVersion":"2020","CustomName":"ADAPTER FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0243","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION CASIRIVIMAB & IMDEVIMAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2207","CodeVersion":"2020","CustomName":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT"},{"ServiceGroup":"114565","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9712","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN FOR PRESCRIB\/DISPENS ABX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9716","CodeVersion":"2020","CustomName":"BMI DOC OUTSD NL PARAM F\/U PLAN NOT CMPL DOC RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8562","CodeVersion":"2020","CustomName":"FLUDARABINE PHOSPHATE ORAL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2115","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS SINGLE VISION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6121","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN METAL FPD - PREDOM BASE AL"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1729","CodeVersion":"2020","CustomName":"CATHETER DRAINAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9311","CodeVersion":"2020","CustomName":"NO SURGICAL SITE INFECTION"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6154","CodeVersion":"2020","CustomName":"WOUND POUCH EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2114","CodeVersion":"2020","CustomName":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W\/FIT & ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6115","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXD DENTURE EDENTULOUS ARCH-MAND"},{"ServiceGroup":"87965","CodeType":"ICD10P","Code":"0DB63Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH PERCUTANEOUS APPROACH VERTICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0886","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76321","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"977","CodeType":"REV","Code":"0323","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Arteriography"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0549","CodeVersion":"2020","CustomName":"Ambulance - Other Ambulance"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"44105","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"12597","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"394","CodeVersion":"2020","CustomName":"Other operating room procedures of the blood and blood forming organs"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113862","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113695","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3384F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3720F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107126","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0228U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0547T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88155","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107019","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2392","CodeVersion":"2020","CustomName":"RESIN COMPOS - 2 SURFACES POSTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9421","CodeVersion":"2020","CustomName":"PRIM NSCLC BX&CY S NO DOC CLASS NSCLC-NOS EXPLAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4179","CodeVersion":"2020","CustomName":"FLOWERDERM PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7210","CodeVersion":"2020","CustomName":"EXTRACTION ERU TOOTH RQR REMV BONE &\/SECTN TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0108","CodeVersion":"2020","CustomName":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5282","CodeVersion":"2020","CustomName":"REMOVABLE UNI PART DENTUR - 1 PECE CAST METL MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2662","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-2 SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0245","CodeVersion":"2020","CustomName":"INJECTION BAMLANIVIMAB AND ETESEVIMAB 2100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1260","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9992","CodeVersion":"2020","CustomName":"DENTAL CASE MANAGEMENT - CARE COORDINATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8562","CodeVersion":"2020","CustomName":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4178","CodeVersion":"2020","CustomName":"FLOWERAMNIOPATCH PER SQUARE CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1720","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOS TRILAT TACHDIJAN CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3000","CodeVersion":"2020","CustomName":"INJECTION STREPTOMYCIN UP TO 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4657","CodeVersion":"2020","CustomName":"SYRINGE WITH OR WITHOUT NEEDLE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2639","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED IODINE-125 PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0606","CodeVersion":"2020","CustomName":"INJECTION ETELCALCETIDE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2358","CodeVersion":"2020","CustomName":"INJECTION OLANZAPINE LONG-ACTING 1 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4025","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6752","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN FUSED TO NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9080","CodeVersion":"2020","CustomName":"ONC; STATUS; PROS CA; TX RISING PSA\/FAIL DECLINE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9356","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6502","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2797","CodeVersion":"2020","CustomName":"INJECTION ROLAPITANT 0.5 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68192","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"45883","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"076","CodeVersion":"2020","CustomName":"Other respiratory system operating room procedures with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0236T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3650F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0602T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52951","CodeType":"CPT","Code":"90846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.8","CodeVersion":"2017","CustomName":"OPERATIONS ON FETUS TO FACILITATE DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88596","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0606","CodeVersion":"2020","CustomName":"INJECTION ETELCALCETIDE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0285","CodeVersion":"2020","CustomName":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9638","CodeVersion":"2020","CustomName":"FINAL REPORTS W\/O DOC 1\/MORE DOSE REDUCTION TECH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5962","CodeVersion":"2020","CustomName":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7060","CodeVersion":"2020","CustomName":"5% DEXTROSE\/WATER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0477","CodeVersion":"2020","CustomName":"SPECIAL STAINS NOT MICROORGANISMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7508","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0177","CodeVersion":"2020","CustomName":"HYDROXYZINE PAMOATE 25 MG ORAL NOT >48 HR DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0841","CodeVersion":"2020","CustomName":"INJECTION CROTALIDAE IMMUNE F120 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0325","CodeVersion":"2020","CustomName":"URINAL; MALE JUG-TYPE ANY MATERIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8655","CodeVersion":"2020","CustomName":"NETUPITANT 300 MG & PALONOSETRON 0.5 MG ORAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2101","CodeVersion":"2020","CustomName":"SPHERE SINGLE VISION +\/- 4.12 +\/- 7.00D PER LENS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1751","CodeVersion":"2020","CustomName":"CATHETER INFUS INSRT PERIPHERALLY CNTRLLY\/MIDLN"},{"ServiceGroup":"104226","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5051","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7191","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR PROCINE PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4029","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1008","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH CRANBERRY PEAK DEFIND MCR AUC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0509","CodeVersion":"2020","CustomName":"MISC SPL\/ACSS IMPL VAD NO PAYMENT MEDICARE PRT A"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1526","CodeVersion":"2020","CustomName":"SPACE MAINTAIN- REMOVABLE- BILATERAL, MAXILLARY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7186","CodeVersion":"2020","CustomName":"INJ AHF\/ VWF CMPLX PER FACTOR VIIII IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6000","CodeVersion":"2020","CustomName":"PARTIAL HAND THUMB REMAINING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9153","CodeVersion":"2020","CustomName":"INJECTION LIPOSOMAL 1 MG DNR & 2.27 MG CA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1355","CodeVersion":"2020","CustomName":"STAND\/RACK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7111","CodeVersion":"2020","CustomName":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6443","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4039","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8520","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 150 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76321","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"405","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"29334","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"13168","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"3448","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"614","CodeVersion":"2020","CustomName":"NEONATE, BWT 1500-1999G, W\/O SIG OR PROC, W OTHER PROB-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4256F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39606","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3319F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106178","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.17","CodeVersion":"2017","CustomName":"ABDOMINAL-CORONARY ARTERY BYPASS"},{"ServiceGroup":"90426","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0088U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77021","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5761","CodeVersion":"2020","CustomName":"RELINE MANDIBULAR PARTIAL DENTURE INDIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0705","CodeVersion":"2020","CustomName":"EXTRA-ORAL POST DENTAL RAD IMG - IMG CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0480","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/O INTERFCE LINER CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5116","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0170","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1234","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W\/O SEAT"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10T24ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC PC ENDO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3090","CodeVersion":"2020","CustomName":"INJECTION TEDIZOLID PHOSPHATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5940","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6448","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH < 3 IN PER YARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5621","CodeVersion":"2020","CustomName":"REPAIR CAST PARTIAL FRAMEWORK MANDIBULAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7860","CodeVersion":"2020","CustomName":"ARTHROTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9715","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1770","CodeVersion":"2020","CustomName":"IMAGING COIL MAGNETIC RESONANCE"},{"ServiceGroup":"38421","CodeType":"HCPCS","Code":"J9015","CodeVersion":"2020","CustomName":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89946","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9891","CodeVersion":"2020","CustomName":"MDPP SESS RPT AS LN-I ON CLM FOR PAYABL MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9366","CodeVersion":"2020","CustomName":"HIT TPN; > 1 LITER BUT NOT > 2 LITERS-DA-DIEM"},{"ServiceGroup":"73524","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0584","CodeVersion":"2020","CustomName":"INJECTION BUROSUMAB-TWZA 1 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4145F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104734","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30983","CodeType":"ICD9P","Code":"00.91","CodeVersion":"2017","CustomName":"TRANSPLANT FROM LIVE RELATED DONOR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25665","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"33270","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0963","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (MD)"},{"ServiceGroup":"22401","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"033","CodeVersion":"2020","CustomName":"Concussion, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"350","CodeVersion":"2020","CustomName":"Inflammation of the male reproductive system"},{"ServiceGroup":"32539","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"675","CodeVersion":"2020","CustomName":"Other Kidney and Urinary Tract Procedures without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4063F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40403","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"411","CodeType":"ICD9P","Code":"37.22","CodeVersion":"2017","CustomName":"LEFT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4054F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0310U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0215U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103644","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.01","CodeVersion":"2017","CustomName":"CLOSED HEART VALVOTOMY AORTIC VALVE"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0254U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0322U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0040","CodeVersion":"2020","CustomName":"PT RECV PHYS\/OCCUP\/SPEECH\/REC THER DUR MSMNT PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2139","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0482","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9153","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9130","CodeVersion":"2020","CustomName":"TMJ DYSFUNCTION - NON-INVASIVE PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6586","CodeVersion":"2020","CustomName":"PREP ELB DISRTC\/ABVE ELB 1 WALL SOCKT DIR FORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2308","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"74588","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4031","CodeVersion":"2020","CustomName":"SPERM PROCUREMENT&CRYOPRES SRVC; SUBSQT VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7508","CodeVersion":"2020","CustomName":"HOUS&INTGR ADHES TRACHEOSTOMA EXCHG SYS &\/ VALV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5845","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN STANCE FLX FEATUR ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0221","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB & CILGAVIMAB CERT ADT&PED 600 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3010","CodeVersion":"2020","CustomName":"FT INSRT REMV MOLD PT MDL LNGTUDNL ARCH SUPP EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0129","CodeVersion":"2020","CustomName":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9482","CodeVersion":"2020","CustomName":"FAMILY STABILIZATION SERVICES PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0446","CodeVersion":"2020","CustomName":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6370","CodeVersion":"2020","CustomName":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6722","CodeVersion":"2020","CustomName":"TERM DEVC HOOK\/HAND HVY-DUTY MECH VOL CLOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7644","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1756","CodeVersion":"2020","CustomName":"INJECTION IRON SUCROSE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0044","CodeVersion":"2020","CustomName":"PATIENTS WITH MODERATE OR SEVERE MITRAL STENOSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2112","CodeVersion":"2020","CustomName":"1 VISN +\/- 7.25 +\/- 12.00D SPH 2.25D-400D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0036","CodeVersion":"2020","CustomName":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9155","CodeVersion":"2020","CustomName":"INJECTION DEGARELIX 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0161","CodeVersion":"2020","CustomName":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48381","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10927","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0642","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - IV Site Care, Central Line\""},{"ServiceGroup":"38444","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"12163","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"109812","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"30089","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0601","CodeVersion":"2020","CustomName":"HOME HEALTH (HH) - OXYGEN - OXYGEN - STAT EQUIP\/SUPPLY\/CONTENT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0696","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - PHYSICIAN SERVICES"},{"ServiceGroup":"13651","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"50942","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"62097","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0649","CodeVersion":"2020","CustomName":"Home IV Therapy Services - Other IV Therapy Services"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"707","CodeVersion":"2020","CustomName":"HIV W VENTILATOR OR NUTRITIONAL SUPPORT-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6320","CodeVersion":"2020","CustomName":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6632","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2530","CodeVersion":"2020","CustomName":"INLAY - METALLIC - 3\/MORE SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0670","CodeVersion":"2020","CustomName":"SEG PNEU APPLINC PNEU COMPRS IN 2 FULL LEGS TRNK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6088","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - TI & TI ALLOYS"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1013","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECH EVIDNCECARE IMAG ADV"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1457","CodeVersion":"2020","CustomName":"INJECTION GALLIUM NITRATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1023","CodeVersion":"2020","CustomName":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ\/TX PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7910","CodeVersion":"2020","CustomName":"SUTURE RECENT SMALL WOUNDS UP 5 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1713","CodeVersion":"2020","CustomName":"ANCHOR\/SCREW OPPOSING BN-TO-BN\/SOFT TISSUE-TO-BN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4190F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2637","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED YTTERBIUM-169 PER SOURCE"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5284","CodeVersion":"2020","CustomName":"REMV UNI PRT DNTUR - 1 PECE FLEX BASE - PER QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5850","CodeVersion":"2020","CustomName":"TISSUE CONDITIONING MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4189","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 10-51 GMS PROT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6199","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GEL DRESS WND FIL STERL 6 IN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1970","CodeVersion":"2020","CustomName":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1950","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4312","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/O DRN BAG W\/CATH 2-WAY SILCON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0606","CodeVersion":"2020","CustomName":"MOLECULAR TESTG PH REL PA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2008","CodeVersion":"2020","CustomName":"MODERATE 45 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2850","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX\/EQUL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0143","CodeVersion":"2020","CustomName":"WALKER FOLDING WHEELED ADJUSTABLE\/FIXED HEIGHT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5639","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0456","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1825","CodeVersion":"2020","CustomName":"DYN ADJUSTBL FNGR EXT\/FLX DEVC W\/SFT INTRFCE MAT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7684","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"103731","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"9506","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"29915","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"11306","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0823","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"22106","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"68191","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"13085","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"89337","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0382","CodeVersion":"2020","CustomName":"Blood and Blood Components - Whole Blood"},{"ServiceGroup":"18007","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"439","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"73806","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"28783","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"9444","CodeType":"REV","Code":"0542","CodeVersion":"2020","CustomName":"Ambulance - Medical Transport"},{"ServiceGroup":"22814","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"084","CodeVersion":"2020","CustomName":"Major chest trauma without CC"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"002","CodeVersion":"2020","CustomName":"Craniotomy, age greater than 17 without CC"},{"ServiceGroup":"53542","CodeType":"DRG","Code":"896","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy with MCC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104614","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101800","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"54086","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89943","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0710","CodeVersion":"2020","CustomName":"RESTRAINT ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9383","CodeVersion":"2020","CustomName":"PATIENT RECV SCREENING HCV INF W\/I 12 MO PERIOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2106","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER OVER 6.00D CYL-LENS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9878","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF IN MO 7-9 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3678","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS JOINT DESIGN NO JOINT PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1002","CodeVersion":"2020","CustomName":"RN SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2118","CodeVersion":"2020","CustomName":"ANISEIKONIC LENS SINGLE VISION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2020","CodeVersion":"2020","CustomName":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2036","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLULAVAL"},{"ServiceGroup":"98720","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"68185","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0280","CodeVersion":"2020","CustomName":"Oncology - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"349","CodeVersion":"2020","CustomName":"Benign prostatic hypertrophy without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.81","CodeVersion":"2017","CustomName":"LAPAROSCPIC LYSIS ADHESIONS OVARY&FALLOPIAN TUBE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69685","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"16025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0185T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37007","CodeType":"ICD9P","Code":"96.71","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT < 96 CONSECUTIVE HOURS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0032U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91577","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9004","CodeVersion":"2020","CustomName":"DEPART VETERANS AFFAIR WHOLE HEALTH PARTNER SERV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9995","CodeVersion":"2020","CustomName":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3480","CodeVersion":"2020","CustomName":"HEEL PAD AND DEPRESSION FOR SPUR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7641","CodeVersion":"2020","CustomName":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1637","CodeVersion":"2020","CustomName":"HEMOSTATS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9810","CodeVersion":"2020","CustomName":"PATIENT ACHIEVED PDC AL 75% FOR ASTHMA CONTR MED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6110","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2021","CodeVersion":"2020","CustomName":"HEALTH CARE PRACTITIONERS RENDERING TIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9562","CodeVersion":"2020","CustomName":"HOM INJ TX PALIVIZUMAB W\/ADMN PHRM CARE-PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8539","CodeVersion":"2020","CustomName":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9985","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 25 M"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0586","CodeVersion":"2020","CustomName":"INJECTION ABOBOTULINUMTOXINA 5 UNITS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4105","CodeVersion":"2020","CustomName":"INTEGRA DRT\/INTEGRA OMNIGR DRML RGN MTX P SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7297","CodeVersion":"2020","CustomName":"CORTICOTOMY-FOUR OR MORE TEETH\/TOOTH SP PER QUAD"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46029","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103970","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88343","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112150","CodeType":"CPT","Code":"26011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112479","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3292F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0342T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4176F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21814","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104723","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0488T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0553T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0051U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"50.51","CodeVersion":"2017","CustomName":"AUXILIARY LIVER TRANSPLANT"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98406","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85682","CodeType":"CPT","Code":"95783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3650F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98268","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103973","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.94","CodeVersion":"2017","CustomName":"CREATION CONDUIT BETWEEN ATRIUM&PULMONARY ARTERY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3600","CodeVersion":"2020","CustomName":"TRANSF ORTHOS 1 SHOE TO ANOTH CALIP PLATE EXIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4024","CodeVersion":"2020","CustomName":"PEDIATRICS MIPS SPECIALTY SET"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1324","CodeVersion":"2020","CustomName":"INJECTION ENFUVIRTIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3217","CodeVersion":"2020","CustomName":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0255","CodeVersion":"2020","CustomName":"BY NURSE SOCIAL WORKER OR OTHER DESIGNATED STAFF"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5150","CodeVersion":"2020","CustomName":"BINAURAL GLASSES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0035","CodeVersion":"2020","CustomName":"CARDIOKYMOGRAPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9629","CodeVersion":"2020","CustomName":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7014","CodeVersion":"2020","CustomName":"FILTER NON-DISPBL USED W\/AROSL COMPRS\/US GEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4252","CodeVersion":"2020","CustomName":"BLOOD KETONE TEST OR REAGENT STRIP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2602","CodeVersion":"2020","CustomName":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"68640","CodeType":"HCPCS","Code":"G0158","CodeVersion":"2020","CustomName":"SERVICE OT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7522","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE STNLESS STEEL\/EQUAL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4002","CodeVersion":"2020","CustomName":"CAST SUPPLIES BODY CAST ADULT W\/WO HEAD FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7626","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1392","CodeVersion":"2020","CustomName":"PORTABLE OXYGEN CONCENTRATOR RENTAL"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9223","CodeVersion":"2020","CustomName":"DEEP SEDAT\/GEN ANESTHESIA-EA SUBSQT 15 MIN INCR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0177","CodeVersion":"2020","CustomName":"LEVAMISOLE HYDROCHLORIDE ORAL 50 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1428","CodeVersion":"2020","CustomName":"INJECTION ETEPLIRSEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9600","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA\/BR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1882","CodeVersion":"2020","CustomName":"CARDIOVERT-DEFIB OTH THAN SINGLE\/DUAL CHAMB"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9178","CodeVersion":"2020","CustomName":"INJECTION EPIRUBICIN HCL 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0671","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL LEG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4183","CodeVersion":"2020","CustomName":"SURGIGRAFT PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4557","CodeVersion":"2020","CustomName":"LEAD WIRES PER PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9141","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGM F\/U VISIT MD PROVIDER"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4110","CodeVersion":"2020","CustomName":"REPLACE LEATHER CUFF KAFO-AFO CALF\/DISTAL THIGH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0205","CodeVersion":"2020","CustomName":"INJECTION ALGLUCERASE PER 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2720","CodeVersion":"2020","CustomName":"INJECTION PROTAMINE SULFATE PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4047","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3440","CodeVersion":"2020","CustomName":"HEEL COUNTER LEATHER REINFORCED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5135","CodeVersion":"2020","CustomName":"COMPANION CARE ADULT ; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9410","CodeVersion":"2020","CustomName":"HOUSE\/EXTENDED CARE FACILITY CALL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2060","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5650","CodeVersion":"2020","CustomName":"ADD TOOTH EXISTING PARTIAL DENTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1502","CodeVersion":"2020","CustomName":"ADMIN ORL IM&\/SUBQ MED HLTH CARE AGCY\/PROF-VISIT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9307","CodeVersion":"2020","CustomName":"INJECTION PRALATREXATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4538","CodeVersion":"2020","CustomName":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9136","CodeVersion":"2020","CustomName":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2182","CodeVersion":"2020","CustomName":"INJECTION MEPOLIZUMAB 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7209","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0471","CodeVersion":"2020","CustomName":"COLL V BLD VP\/URN SMP CATH IND SNF\/LAB BHALF HHA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0171","CodeVersion":"2020","CustomName":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0853","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0470","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/O BACKU"},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10A00ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1043","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2406","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN KIMYRSA 10 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0158","CodeVersion":"2020","CustomName":"SERVICE OT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7411","CodeVersion":"2020","CustomName":"EXCISION OF BENIGN LESION > 1.25 CM"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"22817","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"58460","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"17073","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0307","CodeVersion":"2020","CustomName":"Laboratory - Urology"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"517","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures without acute myocardial infarction (AMI) with coronary artery stent implant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"561","CodeVersion":"2020","CustomName":"Non-Bacterial Infections of Nervous System Except Viral"},{"ServiceGroup":"81620","CodeType":"DRG","Code":"797","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/OUT CC-NYDRG"},{"ServiceGroup":"107734","CodeType":"DRG","Code":"807","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W\/O CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"466","CodeVersion":"2020","CustomName":"Aftercare without history of malignancy as secondary diagnosis"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90977","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"0042T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.8","CodeVersion":"2017","CustomName":"OTHER REHABILITATION THERAPY"},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.81","CodeVersion":"2017","CustomName":"RECREATIONAL THERAPY"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107122","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38818","CodeType":"ICD9P","Code":"17.42","CodeVersion":"2017","CustomName":"LAPAROSCOPIC ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"13437","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4165F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3351F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13739","CodeType":"ICD9P","Code":"20.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON MIDDLE AND INNER EAR"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0616T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62259","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0047U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0350T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88162","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.99","CodeVersion":"2017","CustomName":"OTHER RESPIRATORY THERAPY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4148F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.71","CodeVersion":"2017","CustomName":"INIT INSERTION TRANSVENOUS LEAD INTO VENTRICLE"},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.95","CodeVersion":"2017","CustomName":"IMPLANTATION AUTO CARDIOVERT\/DEFIB LEADS ONLY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1566","CodeVersion":"2020","CustomName":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3355","CodeVersion":"2020","CustomName":"INJECTION UROFOLLITROPIN 75 IU"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0918","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Testing"},{"ServiceGroup":"9526","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"085","CodeVersion":"2020","CustomName":"Pleural effusion with CC"},{"ServiceGroup":"107733","CodeType":"DRG","Code":"783","CodeVersion":"2020","CustomName":"ACUTE LEUKEMIA W\/O MAJOR O.R. PROCEDURE AGE OVER 17 W\/O CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114443","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89949","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0194U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0427T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26233","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0485T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0220","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2662","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-2 SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0485","CodeVersion":"2020","CustomName":"INJECTION BELATACEPT 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2017","CodeVersion":"2020","CustomName":"INJECTION TENIPOSIDE 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1324","CodeVersion":"2020","CustomName":"INJECTION ENFUVIRTIDE 1 MG"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9102","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2392","CodeVersion":"2020","CustomName":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5100","CodeVersion":"2020","CustomName":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8499","CodeVersion":"2020","CustomName":"UNLISTED PROC MISCELLANEOUS PROSTHETIC SERVICES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2382","CodeVersion":"2020","CustomName":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0604","CodeVersion":"2020","CustomName":"CINACALCET ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0838","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5287","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVC PERS FM\/DM RECEIVER NOS"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0483","CodeVersion":"2020","CustomName":"MONITOR\/DISPLAY MODULE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3500","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION INSOLE LEATHER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0275","CodeVersion":"2020","CustomName":"ALPROSTADIL URETHRAL SUPPOSITORY"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9245","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN HCI NOS 50 MG"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"55794","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"73485","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"23132","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"9795","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"768","CodeVersion":"2020","CustomName":"SEIZURE \"&\" HEADACHE AGE UNDER 18 W CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14081","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"75.5","CodeVersion":"2017","CustomName":"REPAIR OF CURRENT OBSTETRIC LACERATION OF UTERUS"},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104616","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"16035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0515T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0582F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0230U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92541","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3388F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14096","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0456","CodeVersion":"2020","CustomName":"INJECTION AZITHROMYCIN 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0879","CodeVersion":"2020","CustomName":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0490","CodeVersion":"2020","CustomName":"INJECTION BELIMUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8039","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5125","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2302","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL +\/- 7.12 TO +\/- 20.00 PER LENS"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1690","CodeVersion":"2020","CustomName":"COMB BIL LUMBO-SAC HIP FEM ORTHO PRFAB W\/FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0166","CodeVersion":"2020","CustomName":"INJECTION OLANZAPINE 2.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6970","CodeVersion":"2020","CustomName":"INTERSCAP-THOR OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2172","CodeVersion":"2020","CustomName":"ALL INCL PMT FOR SRVC REL HI COORD & INT OUD TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1019","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM LOGICNETS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0895","CodeVersion":"2020","CustomName":"INJECTION DEFEROXAMINE MESYLATE 500 MG"},{"ServiceGroup":"9916","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"34551","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"70045","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0997","CodeVersion":"2020","CustomName":"Patient Convenience Items - Admission Kits"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"263","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement for skin ulcer or cellulitis with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.31","CodeVersion":"2017","CustomName":"ASSISTED EXERCISE IN POOL"},{"ServiceGroup":"51063","CodeType":"CPT","Code":"99232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97363","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106065","CodeType":"CPT","Code":"90869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107290","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113670","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3372F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3758F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0319T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0326T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0326U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3971","CodeVersion":"2020","CustomName":"SEWHO SHOULDER CAP DESIGN CSTM FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0215","CodeVersion":"2020","CustomName":"INJECTION ALEFACEPT 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0235","CodeVersion":"2020","CustomName":"PET IMAGING ANY SITE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"48396","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"11073","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2357","CodeVersion":"2020","CustomName":"INJECTION OMALIZUMAB 5 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4167","CodeVersion":"2020","CustomName":"TRUSKIN PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9970","CodeVersion":"2020","CustomName":"ENAMEL MICROABRASION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5978","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK\/FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1329","CodeVersion":"2020","CustomName":"VERSAPOINT DISP ELECTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7628","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP PROD CONC PER MG"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7610","CodeVersion":"2020","CustomName":"MAXILLA-OPEN REDUCTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7503","CodeVersion":"2020","CustomName":"FLTR HOLDER\/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2550","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THIGH\/WEIGHT BEAR HIGH ROLL CUFF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0410","CodeVersion":"2020","CustomName":"POUNDS OF OXYGEN PER LB CHAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2210","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1026","CodeVersion":"2020","CustomName":"NUM ADULT MO DEN HD CATH 3 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5226","CodeVersion":"2020","CustomName":"MANDIBULAR PARTIAL DENTURE - FLEXIBLE BASE"},{"ServiceGroup":"22387","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9305","CodeVersion":"2020","CustomName":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9355","CodeVersion":"2020","CustomName":"ELECTIVE DELIVERY C-BIRTH\/INDUCTION LBR NOT PERF"},{"ServiceGroup":"93098","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"63058","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"45882","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"16","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"74580","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0183","CodeVersion":"2020","CustomName":"Leave Of Absence - Therapeutic Leave"},{"ServiceGroup":"26205","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"22814","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"82096","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0344","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic Radiopharmaceuticals"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76207","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86583","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0282T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92196","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104908","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0392T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91049","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113966","CodeType":"CPT","Code":"0274T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0945","CodeVersion":"2020","CustomName":"EXTREMITY BELT\/HARNESS"},{"ServiceGroup":"20012","CodeType":"ICD10P","Code":"0TS00ZZ","CodeVersion":"2020","CustomName":"REPOSITION RIGHT KIDNEY OPEN APPROACH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9293","CodeVersion":"2020","CustomName":"INJECTION MITOXANTRONE HCL PER 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0282","CodeVersion":"2020","CustomName":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0220","CodeVersion":"2020","CustomName":"MED CONF PHYS W\/TEAM HLTH PROF PT CARE; 30 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2001","CodeVersion":"2020","CustomName":"NON-EMERG TRANSPORTATION; PT ATTENDANT\/ESCORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2322","CodeVersion":"2020","CustomName":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5696","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE\/KNEE DISARTIC PELV JNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7952","CodeVersion":"2020","CustomName":"SINUS AUGMENTATION VIA A VERTICAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5922","CodeVersion":"2020","CustomName":"NASAL SEPTAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2170","CodeVersion":"2020","CustomName":"INJECTION MECASERMIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7000","CodeVersion":"2020","CustomName":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3410","CodeVersion":"2020","CustomName":"INJECTION HYDROXYZINE HCL UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8080","CodeVersion":"2020","CustomName":"COMP ORTHODONT TX ADOLES DENTITION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0500","CodeVersion":"2020","CustomName":"DISPOSABLE CONTACT LENS PER LENS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4204","CodeVersion":"2020","CustomName":"XWRAP PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1007","CodeVersion":"2020","CustomName":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0341","CodeVersion":"2020","CustomName":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH&INFUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0200","CodeVersion":"2020","CustomName":"INJECTION ALATROFLOXACIN MESYLATE 100 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9302","CodeVersion":"2020","CustomName":"INJECTION OFATUMUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2395","CodeVersion":"2020","CustomName":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4038","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4412","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE BARRIER W\/FLNGE W\/O FLTR EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4020","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0606","CodeVersion":"2020","CustomName":"AUTO EXT DEFIB W\/INTGR ECG ANALY GARMENT TYPE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68259","CodeType":"HCPCS","Code":"G0162","CodeVersion":"2020","CustomName":"SKILLED SERVICE RN M&E PLAN OF CARE; EA 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2303","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8430","CodeVersion":"2020","CustomName":"PADDING FOR COMPRESSION BANDAGE ROLL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1041","CodeVersion":"2020","CustomName":"PT CA AC FX\/INF REL TO LSP\/PT IDIO\/CNG SCOLIOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5055","CodeVersion":"2020","CustomName":"STOMA CAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8846","CodeVersion":"2020","CustomName":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"12299","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"68186","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"33831","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"33251","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"20162","CodeType":"DRG","Code":"620","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W NORMAL NEWB DIAG-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"258","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106228","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4201F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.74","CodeVersion":"2017","CustomName":"ENDOVASCULAR REMV OBSTRUCTION HEAD&NECK VESSELS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1267","CodeType":"ICD9P","Code":"41.05","CodeVersion":"2017","CustomName":"ALLO HEMATOPO STEM CELL TRANSPLT W\/O PURG"},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.93","CodeVersion":"2017","CustomName":"INCISION OF CERVIX TO ASSIST DELIVERY"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0280U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46250","CodeType":"CPT","Code":"99507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4239","CodeVersion":"2020","CustomName":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM"},{"ServiceGroup":"82452","CodeType":"HCPCS","Code":"A0225","CodeVersion":"2020","CustomName":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4253","CodeVersion":"2020","CustomName":"BLD GLU TEST\/REAGT STRIPS HOME BLD GLU MON-50"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2810","CodeVersion":"2020","CustomName":"INJECTION THEOPHYLLINE PER 40 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6950","CodeVersion":"2020","CustomName":"PRECISION ATTACHMENT"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5632","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0570","CodeVersion":"2020","CustomName":"NEBULIZER WITH COMPRESSOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1040","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOSIS ORTHOSIS LUMB\/LUMB RIB PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0628","CodeVersion":"2020","CustomName":"LUMBAR-SCARAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3982","CodeVersion":"2020","CustomName":"UP EXTRM FX ORTHOS RADUS\/ULNAR PREFAB W\/FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9427","CodeVersion":"2020","CustomName":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5765","CodeVersion":"2020","CustomName":"SOFT LINER FOR CMPL\/PRTL REM DENTURE - INDIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0382","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2210","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2218","CodeVersion":"2020","CustomName":"ANISEIKONIC PER LENS BIFOCAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9052","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0877","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO &=300 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4230","CodeVersion":"2020","CustomName":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9070","CodeVersion":"2020","CustomName":"ONC; STATUS; SCLC SC&COMB SM\/NONSM; EXTENT UNKN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7850","CodeVersion":"2020","CustomName":"SURGICAL DISCECTOMY W\/WO IMPLANT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2850","CodeVersion":"2020","CustomName":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8633","CodeVersion":"2020","CustomName":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9340","CodeVersion":"2020","CustomName":"INJECTION THIOTEPA 15 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7298","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1814","CodeVersion":"2020","CustomName":"RETINAL TAMPONADE DEVICE SILICONE OIL"},{"ServiceGroup":"59423","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"35950","CodeType":"REV","Code":"0945","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Alcohol Rehabilitation"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0312","CodeVersion":"2020","CustomName":"Laboratory Pathology - Histology"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"184","CodeVersion":"2020","CustomName":"Esophagitis, gastroenteritis and miscellaneous digestive disorders, age 0-17"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"914","CodeVersion":"2020","CustomName":"Traumatic Injury without MCC"},{"ServiceGroup":"28119","CodeType":"DRG","Code":"466","CodeVersion":"2020","CustomName":"Aftercare without history of malignancy as secondary diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"145","CodeVersion":"2020","CustomName":"Other circulatory system diagnoses without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3492F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107662","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109016","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4179F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96352","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90358","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93641","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0074U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0258U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.39","CodeVersion":"2017","CustomName":"OTHER HEART REVASCULARIZATION"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0528F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0343U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107036","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9556","CodeVersion":"2020","CustomName":"FNL RPT CT CTA MRI\/MRA CHST\/NCK F\/U IMAG NOT RCM"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2622","CodeVersion":"2020","CustomName":"SKIN PROTECT WC SEAT CUSH WIDTH <22 IN ANY DEPTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3470","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE UP TO 150 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9781","CodeVersion":"2020","CustomName":"ARTHROSCOPY SHOULDER SURG; W\/IMP SA SPACER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6214","CodeVersion":"2020","CustomName":"PONTIC - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2604","CodeVersion":"2020","CustomName":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0814","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2138","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG 5 PNT\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2207","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1133","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT SEEN ONLY ONE TO TWO VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4060","CodeVersion":"2020","CustomName":"REPLACE HIGH ROLL CUFF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9558","CodeVersion":"2020","CustomName":"HIT GROWTH HORMONE W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1602","CodeVersion":"2020","CustomName":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5863","CodeVersion":"2020","CustomName":"OVERDENTURE - COMPLETE MAXILLARY"},{"ServiceGroup":"97506","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5507","CodeVersion":"2020","CustomName":"DIAB ONLY NOS MOD SHOE\/CSTM MOLD SHOE PER SHOE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2506","CodeVersion":"2020","CustomName":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0081","CodeVersion":"2020","CustomName":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4626","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CLEANING BRUSH EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1675","CodeVersion":"2020","CustomName":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8906","CodeVersion":"2020","CustomName":"MR IMAGING WITH CONTRAST BREAST; BILATERAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0174","CodeVersion":"2020","CustomName":"THIETHYLPERAZINE MALEATE 10 MG ORL NOT>48HR DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5175","CodeVersion":"2020","CustomName":"LAUNDRY SERVICE EXTERNAL PROFESSIONAL; PER ORDER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0610","CodeVersion":"2020","CustomName":"ANNUAL GYNECOLOGICAL EXAMINATION NEW PATIENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1952","CodeVersion":"2020","CustomName":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"68820","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0995","CodeVersion":"2020","CustomName":"Patient Convenience Items - Non-patient Room Rentals"},{"ServiceGroup":"3338","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"583","CodeVersion":"2020","CustomName":"PROCS FOR INJURIES EXCEPT MULTIPLE TRAUMA W MAJOR CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.35","CodeVersion":"2017","CustomName":"OTHER HEAT THERAPY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111584","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100014","CodeType":"CPT","Code":"25400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110845","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107494","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97480","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96355","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"0313U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0103A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106273","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1460F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.22","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION WITH EXTRACTION"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.49","CodeVersion":"2017","CustomName":"RESECTION OF LOWER LIMB VEINS WITH REPLACEMENT"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87677","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4358","CodeVersion":"2020","CustomName":"URINARY LEG BAG; VINYL W\/WO TUBE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9020","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE 10000 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2075","CodeVersion":"2020","CustomName":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4750","CodeVersion":"2020","CustomName":"BLOOD TUBING ARTERIAL\/VENOUS HEMODIALYSIS EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7327","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE MONOVISC IA INJ PER DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9151","CodeVersion":"2020","CustomName":"INJ DAUNORUBICIN CITRATE LIPOSOMAL FORM 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4614","CodeVersion":"2020","CustomName":"PEAK EXPIRATORY FLOW RATE METER HAND HELD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1002","CodeVersion":"2020","CustomName":"CRANIAL ELECTROTHERAPY STIM SYSTEM ANY TYPE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0074","CodeVersion":"2020","CustomName":"INJECTION CEFOTETAN DISODIUM 500 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1201","CodeVersion":"2020","CustomName":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3032","CodeVersion":"2020","CustomName":"INJECTION EPTINEZUMAB-JJMR 1 MG"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0592","CodeVersion":"2020","CustomName":"COMPREHENSIVE CONTACT LENS EVALUATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9294","CodeVersion":"2020","CustomName":"PATH RPT W\/PT CAT THICKNESS ULCERATION PT1 MR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1800","CodeVersion":"2020","CustomName":"DYN ADJUSTBL ELB EXT\/FLX DEVC W\/SFT INTRFCE MATL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0456","CodeVersion":"2020","CustomName":"INJECTION AZITHROMYCIN 500 MG"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8684","CodeVersion":"2020","CustomName":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9043","CodeVersion":"2020","CustomName":"INJECTION CABAZITAXEL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9364","CodeVersion":"2020","CustomName":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9958","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECEIVE COMBINATION THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2199","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7190","CodeVersion":"2020","CustomName":"ELEC ELB ADOLES VRITY VILLAGE\/= MYOELEC CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1850","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 75 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9385","CodeVersion":"2020","CustomName":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9357","CodeVersion":"2020","CustomName":"INJECTION VALRUBICIN INTRAVESICAL 200 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3620","CodeVersion":"2020","CustomName":"NEWBORN METABOLIC SCREENING PANEL SPEC-STATE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4213","CodeVersion":"2020","CustomName":"SYRINGE STERILE 20 CC OR GREATER EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9223","CodeVersion":"2020","CustomName":"INJECTION LURBINECTEDIN 0.1 MG"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"15860","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"66563","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"31853","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"12787","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0623","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - Surgical Dressings"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"91658","CodeType":"DRG","Code":"768","CodeVersion":"2020","CustomName":"SEIZURE \"&\" HEADACHE AGE UNDER 18 W CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4245F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0037U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74","CodeVersion":"2017","CustomName":"CESAREAN SECTION AND REMOVAL OF FETUS"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4067F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16670","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0266T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41","CodeVersion":"2017","CustomName":"OPERATIONS ON BONE MARROW AND SPLEEN"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0379T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4180","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; CARBS > 50% - HOME MIX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4164","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; CARBS 50%\/LESS - HOM MIX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1756","CodeVersion":"2020","CustomName":"INJECTION IRON SUCROSE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9926","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCR POS SCR W\/O PROV MIT REC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9328","CodeVersion":"2020","CustomName":"INJECTION TEMOZOLOMIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9985","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 25 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9351","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS ORD\/REC 90 DAY AFTR DX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1639","CodeVersion":"2020","CustomName":"SCALE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8220","CodeVersion":"2020","CustomName":"FIXED APPLIANCE THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8514","CodeVersion":"2020","CustomName":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9105","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5117","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1932","CodeVersion":"2020","CustomName":"AFO RIGD ANT TIBL TOT CARB FIBER\/EQUL MATL PRFAB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5940","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0512","CodeVersion":"2020","CustomName":"PHRM FEE O ANTI-CA ANTI-EMET\/IS RX; SUBSQT 30-DA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0130","CodeVersion":"2020","CustomName":"INJECTION ABCIXIMAB 10 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2222","CodeVersion":"2020","CustomName":"MNL WC AC SLD C TIRE I WHL SZ RPL E"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3530","CodeVersion":"2020","CustomName":"NASAL VACCINE INHALATION"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4261F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105319","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9494","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL THERAPY; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8749","CodeVersion":"2020","CustomName":"ABSENCE SIGNS MELANOMA\/ABSENCE SYMPTOMS MELANOMA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7485","CodeVersion":"2020","CustomName":"REDUCTION OF OSSEOUS TUBEROSITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9016","CodeVersion":"2020","CustomName":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6930","CodeVersion":"2020","CustomName":"RECEMENT FIXED PARTIAL DENTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0744","CodeVersion":"2020","CustomName":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9101","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRC CA; R1\/R2 RESECT NO PRGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0380","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAG CAP W\/LTD FD VIEW-<1 WHOLE JAW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6062","CodeVersion":"2020","CustomName":"ABUT SUPP CAST MTL CRWN HI NOBL MTL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9908","CodeVersion":"2020","CustomName":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8990","CodeVersion":"2020","CustomName":"PHYSICAL\/MANIP TX MAINT RATHER THAN RESTORATION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3385","CodeVersion":"2020","CustomName":"INJECTION VELAGLUCERASE ALFA 100 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"167","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"10427","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"103552","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"68140","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"53542","CodeType":"DRG","Code":"894","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence, Left Against Medical Advice"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"913","CodeType":"ICD9P","Code":"94.27","CodeVersion":"2017","CustomName":"OTHER ELECTROSHOCK THERAPY"},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.91","CodeVersion":"2017","CustomName":"EXTERNAL VERSION TO ASSIST DELIVERY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4171F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89949","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0447T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91587","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30076","CodeType":"CPT","Code":"99070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4169F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9488","CodeType":"ICD9P","Code":"51.22","CodeVersion":"2017","CustomName":"CHOLECYSTECTOMY"},{"ServiceGroup":"71340","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107869","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91860","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.97","CodeVersion":"2017","CustomName":"OTHER PERFUSION"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0307T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81561","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3260","CodeVersion":"2020","CustomName":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7207","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3480","CodeVersion":"2020","CustomName":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6082","CodeVersion":"2020","CustomName":"IMPLANT SUPP CRWN - PORCELAIN FU PREDOM BASE ALY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0699","CodeVersion":"2020","CustomName":"INJECTION CEFIDEROCOL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9137","CodeVersion":"2020","CustomName":"ONC; DZ STS; NHL; RELAPSED\/REFRACTORY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4176","CodeVersion":"2020","CustomName":"NEOPATCH OR THERION 1 SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4208","CodeVersion":"2020","CustomName":"NOVAFIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4143","CodeVersion":"2020","CustomName":"REPRIZA PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1122","CodeVersion":"2020","CustomName":"DOC PT DX DEGEN NEURO COND DX TM BEFOR\/DUR EOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3060","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL\/MT EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6104","CodeVersion":"2020","CustomName":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2492","CodeVersion":"2020","CustomName":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING"},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2032","CodeVersion":"2020","CustomName":"RESIDENTIAL CARE NOS WAIVER; PER MONTH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9056","CodeVersion":"2020","CustomName":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4082","CodeVersion":"2020","CustomName":"NASOGASTRIC TUBING WITHOUT STYLET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2204","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 2.12-4.00D CYL-EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6635","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5688","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE WAIST BELT WEBBING"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0988","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CONSULTATION"},{"ServiceGroup":"14566","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"30477","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"790","CodeVersion":"2020","CustomName":"WND DEBRID \"&\" SKN GRFT FOR OPEN WOUND, MS CONN TIS, EXC HND-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"927","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3752F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0147","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMERS CERV\/VAG AUTO UND PHYS SUPV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8435","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0004","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH CNSL&THERAPY PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0616","CodeVersion":"2020","CustomName":"IMPL CARD EVENT RECORDR W\/MEM ACTIVATOR&PROGMMER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1070","CodeVersion":"2020","CustomName":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2152","CodeVersion":"2020","CustomName":"RA CHNG RES SC NCK IMPR SUC CALC&SC =TO 0\/>0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1428","CodeVersion":"2020","CustomName":"INJECTION ETEPLIRSEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9307","CodeVersion":"2020","CustomName":"INJECTION PRALATREXATE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9772","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ACHV AL 1 BT MSR =TO\/> 35.5 DEG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3357","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9901","CodeVersion":"2020","CustomName":"DME DEL SET UP&\/DISPNS SRVC CMPNT ANOTH HCPCS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0160","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP\/MAND PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9299","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9659","CodeVersion":"2020","CustomName":"PT>\/=86 YO UNDWNT SC&NO HX CC\/MED RSN COLNOSCOPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2108","CodeVersion":"2020","CustomName":"1 VISN +\/-4.25D-+\/-7.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1930","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7850","CodeVersion":"2020","CustomName":"SURGICAL DISCECTOMY W\/WO IMPLANT"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"17073","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"115","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"13127","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"46632","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"29718","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0923","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Pap Smear"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"33235","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"445","CodeVersion":"2020","CustomName":"Traumatic injury, age greater than 17, without CC"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"904","CodeVersion":"2020","CustomName":"Skin Grafts for Injuries with CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3495F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98494","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89979","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112106","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100284","CodeType":"CPT","Code":"90472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105551","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"74.99","CodeVersion":"2017","CustomName":"OTHER CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0621T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.71","CodeVersion":"2017","CustomName":"VACUUM EXTRACTION WITH EPISIOTOMY"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92324","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7034","CodeVersion":"2020","CustomName":"NASL INTRFCE POS ARWAY PRSS DEVC W\/WO HEAD STRAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4113","CodeVersion":"2020","CustomName":"GRAFTJACKET XPRESS INJECTABLE 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0480","CodeVersion":"2020","CustomName":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4539","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DIAPER\/BRF REUSABLE SIZE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2016","CodeVersion":"2020","CustomName":"COMP COMMUNITY SUPPORT SERVICES PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2641","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED PALLADIUM-103 PER SRC"},{"ServiceGroup":"68381","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1822","CodeVersion":"2020","CustomName":"GEN NEUROSTIM HIGH FREQ RECHARG BATT & CHARG SYS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106240","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3285F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3390F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0207U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96102","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.24","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF MITRAL VALVE"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107472","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28548","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1761","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL IVASC LITHOTRIPSY COR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8092","CodeVersion":"2020","CustomName":"ELECTRON BEAM COMPUTED TOMOGRAPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4254","CodeVersion":"2020","CustomName":"NOVAFIX DL PER SQ CM"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8578","CodeVersion":"2020","CustomName":"REOP NOT REQ MEDIAST BLEED GFT OCCL\/OTH REASN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9209","CodeVersion":"2020","CustomName":"INJECTION MESNA 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0953","CodeVersion":"2020","CustomName":"WHEELCHAIR AC LAT THIGH\/KNEE SUPP ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7202","CodeVersion":"2020","CustomName":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0431","CodeVersion":"2020","CustomName":"PRTBLE GASEOUS O2 SYS RENT; FLWMTR HUMIDFR&MASK"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2710","CodeVersion":"2020","CustomName":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5681","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM INSRT CNGN\/ATYP TRAUMAT AMP INIT"},{"ServiceGroup":"108484","CodeType":"HCPCS","Code":"H0018","CodeVersion":"2020","CustomName":"BHVAL HEALTH; SHORT-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5979","CodeVersion":"2020","CustomName":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3399","CodeVersion":"2020","CustomName":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9991","CodeVersion":"2020","CustomName":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1147","CodeVersion":"2020","CustomName":"ONG CRE NOT MED PSS PT D\/C E D\/T MED EVT DOC MR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1715","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NEEDLE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4140","CodeVersion":"2020","CustomName":"BIODFENCE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7003","CodeVersion":"2020","CustomName":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9160","CodeVersion":"2020","CustomName":"INJECTION DENILEUKIN DIFTITOX 300 MCG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9173","CodeVersion":"2020","CustomName":"INJECTION DURVALUMAB 10 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9250","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 5 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88977","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"45183","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"48085","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"298","CodeVersion":"2020","CustomName":"Nutritional and miscellaneous metabolic disorders, age 0-17"},{"ServiceGroup":"20744","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5122","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0035","CodeVersion":"2020","CustomName":"MENTAL HEALTH PARTIAL HOSP TX < 24 HOURS"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4230","CodeVersion":"2020","CustomName":"ANAT CROWN EXP-4\/>CONT TEETH\/BND TT SPACES QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0169","CodeVersion":"2020","CustomName":"CALCITROL 0.25 MICROGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8562","CodeVersion":"2020","CustomName":"PT NO HISTORY ACTIVE DRAINAGE EAR PREV 90 DAYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9424","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC\/NOS"},{"ServiceGroup":"103902","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9604","CodeVersion":"2020","CustomName":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORATD TRIP CHRG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1785","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"34873","CodeType":"ICD9P","Code":"13.7","CodeVersion":"2017","CustomName":"INSERTION OF PROSTHETIC LENS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44703","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9436","CodeVersion":"2020","CustomName":"CHILDBIRTH PREP\/LAMAZE CLASS NON-MD PER SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4231","CodeVersion":"2020","CustomName":"CORPLEX P PER CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1628","CodeVersion":"2020","CustomName":"INJECTION GUSELKUMAB 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2170","CodeVersion":"2020","CustomName":"INJECTION MECASERMIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9298","CodeVersion":"2020","CustomName":"PT EVAL VTE CV RISK FACTOR W\/I 30 DAY PRIOR PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2210","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0976","CodeVersion":"2020","CustomName":"LSO FULL CORSET"},{"ServiceGroup":"50903","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"9517","CodeType":"REV","Code":"0401","CodeVersion":"2020","CustomName":"Other Imaging Services - Diagnostic Mammography"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"13592","CodeType":"REV","Code":"0240","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"348","CodeVersion":"2020","CustomName":"Benign prostatic hypertrophy with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"9002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.8","CodeVersion":"2017","CustomName":"OBSTETRIC TAMPONADE OF UTERUS OR VAGINA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105248","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3512F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0302U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0719T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0075U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0064U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103544","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105252","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107639","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.4","CodeVersion":"2017","CustomName":"FORCEPS ROTATION OF FETAL HEAD"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13692","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44303","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3219F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106710","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0231U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87524","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47544","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2750","CodeVersion":"2020","CustomName":"CROWN - PORCELN FUSED HI NOBLE METL"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8650","CodeVersion":"2020","CustomName":"NABILONE ORAL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8710","CodeVersion":"2020","CustomName":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1003","CodeVersion":"2020","CustomName":"TB SCR & RSLT INTRP WI 12 MO PRI TO INIT BIO DZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5113","CodeVersion":"2020","CustomName":"LEG STRAP; LATEX REPLACEMENT ONLY PER SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1884","CodeVersion":"2020","CustomName":"EMBOLIZATION PROTECTIVE SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9348","CodeVersion":"2020","CustomName":"INJECTION NAXITAMAB-GQGK 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5283","CodeVersion":"2020","CustomName":"REMOV UNI PART DENTUR - 1 PECE CAST METL MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9688","CodeVersion":"2020","CustomName":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5242","CodeVersion":"2020","CustomName":"HEARING AID ANALOG MONAURAL CIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2009","CodeVersion":"2020","CustomName":"COMP 60 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2214","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5680","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0748","CodeVersion":"2020","CustomName":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5658","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4256","CodeVersion":"2020","CustomName":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION\/CHIPS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5056","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE EXT WEAR BARRIER W\/FILTER EA"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5112","CodeVersion":"2020","CustomName":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9092","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0828","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB\/>"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1758","CodeVersion":"2020","CustomName":"CATHETER URETERAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8397","CodeVersion":"2020","CustomName":"DILATED MACULAR OR FUNDUS EXAM PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5172","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0120","CodeVersion":"2020","CustomName":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9943","CodeVersion":"2020","CustomName":"BP NOT MSR BY VAS W\/I 3 MOS PRE & AT 3 MOS P\/O"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0267T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0102T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.96","CodeVersion":"2017","CustomName":"OTHER OXYGEN ENRICHMENT"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0092A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9911","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90606","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0251T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1885","CodeVersion":"2020","CustomName":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9068","CodeVersion":"2020","CustomName":"ONC; STATUS; SC& COMB SM\/NONSM; LTD NO PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7047","CodeVersion":"2020","CustomName":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9304","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED PEMFEXY 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1322","CodeVersion":"2020","CustomName":"INJECTION ELOSULFASE ALFA 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4010","CodeVersion":"2020","CustomName":"REPLACE TRILATERAL SOCKET BRIM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0886","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7874","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DISC REPOSITIONING & STABILIZATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0105","CodeVersion":"2020","CustomName":"IV HANGER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6110","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9477","CodeVersion":"2020","CustomName":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9190","CodeVersion":"2020","CustomName":"INJECTION FLUOROURACIL 500 MG"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0466","CodeVersion":"2020","CustomName":"FEDERALLY QUALIFIED HEALTH CENTER VISIT NEW PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9445","CodeVersion":"2020","CustomName":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2207","CodeVersion":"2020","CustomName":"MIN INVAS DIR CAB; VEN GFT ONLY 1 COR VEN GFT"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1330","CodeVersion":"2020","CustomName":"ORAL HYGIENE INSTRUCTIONS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0002","CodeVersion":"2020","CustomName":"STANDARD HEMI WHEELCHAIR"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D3220","CodeVersion":"2020","CustomName":"TX PULPOT-CORONL DENTNOCEMENTL JUNC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2083","CodeVersion":"2020","CustomName":"ADJ GASTRIC BAND DIAM SUBQ PORT INJ\/ASPIR SALINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1012","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0117","CodeVersion":"2020","CustomName":"GLAUC SCR HI RISK BY OPTOMETRST\/OPHTHALMOLOGIST"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33087","CodeType":"ICD9P","Code":"17.44","CodeVersion":"2017","CustomName":"ENDOSCOPIC ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5926","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9153","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0506","CodeVersion":"2020","CustomName":"BATTERY LITHIUM-ION ELEC\/PNEUMATIC VAD REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1143","CodeVersion":"2020","CustomName":"INITIATED EPI REHAB TH MED\/CHIRO CARE NCK IMPAIR"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"86722","CodeType":"HCPCS","Code":"S9480","CodeVersion":"2020","CustomName":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5940","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5497","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT NOC; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2341","CodeVersion":"2020","CustomName":"CHEMODENERVATION ADDUCTOR MUSCLE VOCAL CORD"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8513","CodeVersion":"2020","CustomName":"CLEANING DEVC USED W\/TRACHEOESOPH VOICE PROS PIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9316","CodeVersion":"2020","CustomName":"DOC PT RISK ASSESSMENT RISK CALCULATOR W\/PT\/FAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9130","CodeVersion":"2020","CustomName":"DACARBAZINE 100 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0295","CodeVersion":"2020","CustomName":"INJECTION AMPCLLN SODIUM\/SULBACTAM SODIUM-1.5 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8539","CodeVersion":"2020","CustomName":"FNC OUTCOME ASSESSMENT DOC POS CARE PLAN IS DOC"},{"ServiceGroup":"1171","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"30060","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"463","CodeVersion":"2020","CustomName":"Signs and symptoms with CC"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.79","CodeVersion":"2017","CustomName":"OTHER VACUUM EXTRACTION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3291F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104015","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107042","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91013","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97462","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81058","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0044A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72041","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0685T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.3","CodeVersion":"2017","CustomName":"OTHER INTRAUTERINE OPERATIONS FETUS AND AMNION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81570","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5850","CodeVersion":"2020","CustomName":"TISSUE CONDITIONING MAXILLARY"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1458","CodeVersion":"2020","CustomName":"INJECTION GALSULFASE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7962","CodeVersion":"2020","CustomName":"LINGUAL FRENECTOMY FRENULECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9690","CodeVersion":"2020","CustomName":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0486","CodeVersion":"2020","CustomName":"ORL DEVC\/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9421","CodeVersion":"2020","CustomName":"PRIM NSCLC BX&CY S NO DOC CLASS NSCLC-NOS EXPLAN"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7683","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0411","CodeVersion":"2020","CustomName":"HBA1C IN-OFFICE POINT OF SERVICE TESTING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2007","CodeVersion":"2020","CustomName":"TRNSPRT WAIT TIME AIR AMB&NON-EMERG VEH 1\/2 HR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7340","CodeVersion":"2020","CustomName":"CARBIDOPA 5 MG\/LEVODOPA 20 MG ENTERAL SUSPENSION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7503","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4425","CodeVersion":"2020","CustomName":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W\/FILTR EA"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5840","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN 4-BAR LINK\/MX-AXIAL PNEUMAT"},{"ServiceGroup":"38826","CodeType":"ICD9P","Code":"32.26","CodeVersion":"2017","CustomName":"OTHER & UNSPEC ABLATION LUNG LESION OR TISSUE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7490","CodeVersion":"2020","CustomName":"RADICAL RESECTION MAXLA OR MANDIBLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9046","CodeVersion":"2020","CustomName":"COCAINE HYDROCHLORIDE NASAL SOL TOP ADMN 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5975","CodeVersion":"2020","CustomName":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK&FLXBL KEEL FT"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5111","CodeVersion":"2020","CustomName":"HOME CARE TRAINING FAMILY; PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7180","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3845","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR ALPHA-THALASSEMIA"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0514","CodeVersion":"2020","CustomName":"Clinic - OB-GYN Clinic"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"33231","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0916","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Family Therapy"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37593","CodeType":"ICD9P","Code":"41.03","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT W\/O PURGING"},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4174F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3315F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90437","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.80","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION VESSELS UNSPEC SITE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1029","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9972","CodeVersion":"2020","CustomName":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5676","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9285","CodeVersion":"2020","CustomName":"INJECTION OLARATUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3095","CodeVersion":"2020","CustomName":"INJECTION TELAVANCIN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0491","CodeVersion":"2020","CustomName":"EMERG POWER SRC FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4244","CodeVersion":"2020","CustomName":"PROCENTA PER 200 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9325","CodeVersion":"2020","CustomName":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1160","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN UP TO 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0875","CodeVersion":"2020","CustomName":"INJECTION DALBAVANCIN 5MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7209","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C5276","CodeVersion":"2020","CustomName":"APPL SG F-S-N-H-F-G-M-D A TO 100 CM;EA ADD 25 CM"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9547","CodeVersion":"2020","CustomName":"CYST RNL LES\/AD LES<\/=1.0 CM\/>1.0 CM BUT<\/=4.0CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9658","CodeVersion":"2020","CustomName":"A TRANSFER OF CARE PROT\/HANDOFF TOOL\/CHECKLIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1443","CodeVersion":"2020","CustomName":"INJ FEPP CIT SOLUTION TRIFERIC 0.1 MG IRON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0073","CodeVersion":"2020","CustomName":"CASTER PIN LOCK EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1840","CodeVersion":"2020","CustomName":"LENS INTRAOCULAR TELESCOPIC"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0197","CodeVersion":"2020","CustomName":"PRENATAL VITAMINS 30-DAY SUPPLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0326","CodeVersion":"2020","CustomName":"URINAL; FEMALE JUG-TYPE ANY MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3901","CodeVersion":"2020","CustomName":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0018","CodeVersion":"2020","CustomName":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9339","CodeVersion":"2020","CustomName":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2309","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9629","CodeVersion":"2020","CustomName":"DOCUMENTED MED RSN NOT REPORTING BOWEL INJURY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1280","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6403","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 16 <\/= 48 SQ W\/O ADHES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5694","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD&LN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2725","CodeVersion":"2020","CustomName":"INJECTION PROTIRELIN PER 250 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2023","CodeVersion":"2020","CustomName":"TARGETED CASE MANAGEMENT; PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4034","CodeVersion":"2020","CustomName":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0383","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAGE CAPTURE FIELD VIEW BOTH JAWS"},{"ServiceGroup":"212","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0182","CodeVersion":"2020","CustomName":"Leave Of Absence - Patient Convenience"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0973","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - THERAPEUTIC"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"30455","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"11975","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"66168","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"40222","CodeType":"REV","Code":"874","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Infusion of Modified Cells"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"156","CodeVersion":"2020","CustomName":"Stomach, esophageal, and duodenal procedures, age 0-17"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"031","CodeVersion":"2020","CustomName":"Concussion, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100274","CodeType":"CPT","Code":"90715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4058F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.43","CodeVersion":"2017","CustomName":"RESECTION OF UPPER LIMB VESSELS WITH REPLACEMENT"},{"ServiceGroup":"97505","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107083","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109506","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102723","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5180","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9022","CodeVersion":"2020","CustomName":"RED BLOOD CELLS WASHED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3280","CodeVersion":"2020","CustomName":"INJECTION THIETHYLPERAZINE MALEATE UP TO 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0607","CodeVersion":"2020","CustomName":"HOME BLOOD GLUCOSE MONITOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4264","CodeVersion":"2020","CustomName":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV & DEL SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5110","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1741","CodeVersion":"2020","CustomName":"INJECTION IBUPROFEN 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8876","CodeVersion":"2020","CustomName":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8856","CodeVersion":"2020","CustomName":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5052","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0281","CodeVersion":"2020","CustomName":"MEDICAL HOME PROGRAM COMP CARE COORD MAINT PLAN"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5118","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-BVCR BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5530","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC\/=MOLD MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4007","CodeVersion":"2020","CustomName":"GENERAL SURGERY MIPSSPECIALTY SET"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3310","CodeVersion":"2020","CustomName":"INJECTION PERPHENAZINE UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2420","CodeVersion":"2020","CustomName":"GOLD FOIL - TWO SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9077","CodeVersion":"2020","CustomName":"ONC;PROS CA;T1-T2C&GLESN 27&PSA<\/=20 NO PROGRSSN"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2260","CodeVersion":"2020","CustomName":"INDUCED ABORTION 17 TO 24 WEEKS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0143","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG MNL SCR&RSCR UND PHYS"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9986","CodeVersion":"2020","CustomName":"NOT MEDICALLY NECESSARY SERVICE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88340","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6251","CodeVersion":"2020","CustomName":"PONTIC RESIN W\/PREDOM BASE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2012","CodeVersion":"2020","CustomName":"SUPRATHEL PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0978","CodeVersion":"2020","CustomName":"WHLCHAIR ACSS PSTN BELT\/SFTY BELT\/PELV STRAP EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1980","CodeVersion":"2020","CustomName":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0393","CodeVersion":"2020","CustomName":"TREATMENT SIMULATION USING 3D IMAGE VOLUME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6920","CodeVersion":"2020","CustomName":"CONNECTOR BAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7998","CodeVersion":"2020","CustomName":"INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W\/FX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5222","CodeVersion":"2020","CustomName":"IMMEDIATE MANDIBULAR PRTL DENTURE - RESIN BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4367","CodeVersion":"2020","CustomName":"OSTOMY BELT EACH"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"31539","CodeType":"REV","Code":"0290","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - General Classification"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"17307","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"002","CodeVersion":"2020","CustomName":"Craniotomy, age greater than 17 without CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"462","CodeVersion":"2020","CustomName":"Rehabilitation"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24651","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107058","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1121F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73742","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74.9","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0429T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89877","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38585","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0119U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0147U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0510T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0256T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0218T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0050U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7182","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7643","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"53602","CodeType":"HCPCS","Code":"J0475","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5695","CodeVersion":"2020","CustomName":"ADD LW EXTRM ABVE KNEE PELV CNTRL SLV NEOPRENE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9272","CodeVersion":"2020","CustomName":"WND SUCT DISPBL DSG ALL ACC & CMPNT ANY TYP EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3145","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE UNDECANOATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5953","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS ADULT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5911","CodeVersion":"2020","CustomName":"FACIAL MOULAGE"},{"ServiceGroup":"59838","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1891","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE PERMANENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1008","CodeVersion":"2020","CustomName":"<50% OF TOT NUMBER OF A PT O\/P RA ENC ASSESSED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9282","CodeVersion":"2020","CustomName":"WIG ANY TYPE EACH"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9643","CodeVersion":"2020","CustomName":"ELECTIVE SURGERY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2180","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG EVAL FTWR PT BIL LW EXT AMP"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9268","CodeVersion":"2020","CustomName":"INJECTION PENTOSTATIN 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9185","CodeVersion":"2020","CustomName":"INJECTION FLUDARABINE PHOSPHATE 50 MG"},{"ServiceGroup":"80285","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0447","CodeVersion":"2020","CustomName":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8902","CodeVersion":"2020","CustomName":"MR ANGIO WITHOUT CONTRST FOLLOWED W\/CONTRST ABD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9099","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8961","CodeVersion":"2020","CustomName":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG"},{"ServiceGroup":"54966","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"51983","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"15480","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113144","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0488T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0084A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0157T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0325U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0017M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106767","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0076T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9939","CodeVersion":"2020","CustomName":"PATHOLOGISTS\/DERMATOPATH SAME CLINICIAN PRFRM BX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0859","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0434","CodeVersion":"2020","CustomName":"PRTBLE LQD O2 SYS RENT; RESRVOR HUMIDFR FLWMTR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5820","CodeVersion":"2020","CustomName":"INTERIM PARTIAL DENTURE MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0031","CodeVersion":"2020","CustomName":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9854","CodeVersion":"2020","CustomName":"PATIENT WAS NOT ADM TO ICU IN LAST 30 DA OF LIFE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5501","CodeVersion":"2020","CustomName":"DIAB ONLY FIT CSTM PREP&SPL SHOE MOLD PTS FT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1702","CodeVersion":"2020","CustomName":"PFIZER-BIONTECH COVID-19"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9196","CodeVersion":"2020","CustomName":"DOC MED REASON NOT ORD 1ST\/2ND GEN CPH AMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0691","CodeVersion":"2020","CustomName":"UV LIGHT TX SYS BULB\/LAMP TIMER; TX 2 SQ FT\/LESS"},{"ServiceGroup":"76579","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9322","CodeVersion":"2020","CustomName":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN"},{"ServiceGroup":"102419","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6713","CodeVersion":"2020","CustomName":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0649","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1131","CodeVersion":"2020","CustomName":"DOC STAT PT DX DEG NEURO COND DX TM BFR\/DUR EOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9785","CodeVersion":"2020","CustomName":"PATH RPRT CUT BCC SCC\/MM RVW W\/I 7 D RECV PATH"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0492","CodeVersion":"2020","CustomName":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1110","CodeVersion":"2020","CustomName":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8420","CodeVersion":"2020","CustomName":"BMI DOC W\/I NORMAL PARAM & NO F\/U PLAN REQUIRED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5822","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4027","CodeVersion":"2020","CustomName":"STORAGE OF PREVIOUSLY FROZEN EMBRYOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6608","CodeVersion":"2020","CustomName":"RETAINER ONLAY - PORCELAIN\/CERAMIC TWO SURFACES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4258","CodeVersion":"2020","CustomName":"SPRING-POWERED DEVICE FOR LANCET EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0079","CodeVersion":"2020","CustomName":"COMPREHENSIVE CARE MGMT HOME VISIT NEW PATIENT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"E0785","CodeVersion":"2020","CustomName":"IMPLANTABLE INTRASPINL CATHETER USED W\/PUMP-REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4459","CodeVersion":"2020","CustomName":"MANUAL PUMP-OPERATED ENEMA SYS REUSABLE ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1402","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2202","CodeVersion":"2020","CustomName":"SPHERE BIFOCL +\/- 7.12 TO +\/- 20.00D PER LENS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6616","CodeVersion":"2020","CustomName":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6682","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC\/ABVE ELB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9230","CodeVersion":"2020","CustomName":"CHLAMYDIA GONORRHEA SYPHILIS NOT SCREEN NO RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0948","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"313","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"17621","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"109","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"58458","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"26666","CodeType":"DRG","Code":"482","CodeVersion":"2020","CustomName":"Tracheostomy for face, mouth and neck diagnoses"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"282","CodeVersion":"2020","CustomName":"Trauma to the skin, subcutaneous tissue, and breast, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86474","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4067F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0154U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0157U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90438","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103385","CodeType":"CPT","Code":"97802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0114U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0112A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41334","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106101","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107094","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3240","CodeVersion":"2020","CustomName":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9462","CodeVersion":"2020","CustomName":"INJECTION DELAFLOXACIN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2506","CodeVersion":"2020","CustomName":"SPEECH GEN DEVICE DIGITIZED >40 MINS REC TIME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9007","CodeVersion":"2020","CustomName":"HANDLING CHARGE FOR PURCHASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2035","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM AFLURIA"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4421","CodeVersion":"2020","CustomName":"OSTOMY SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0451","CodeVersion":"2020","CustomName":"DEVELPMNT TESTING I&R STANDARDIZD INSTRUMNT FORM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6009","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:11-19 MEV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2387","CodeVersion":"2020","CustomName":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7010","CodeVersion":"2020","CustomName":"CORUGATD TUBING DISPBL W\/LG VOL NEBULIZR 100 FT"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5171","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4011","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9901","CodeVersion":"2020","CustomName":"PT 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DAYS MSR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1206","CodeVersion":"2020","CustomName":"TOPICAL APPLICATION OF FLUORIDE VARNISH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2081","CodeVersion":"2020","CustomName":"PT 66 &> INST SNP\/RESID LTC >90 DAYS DUR MSR PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4537","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4140","CodeVersion":"2020","CustomName":"BIODFENCE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6199","CodeVersion":"2020","CustomName":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4341","CodeVersion":"2020","CustomName":"PRDNTL SCAL&ROOT PLAN 4\/>TEETH-QUAD"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5430","CodeVersion":"2020","CustomName":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9123","CodeVersion":"2020","CustomName":"ONC; CML; CHRON PHASE NOT HEMATOL CYT\/MOL REMISS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7402","CodeVersion":"2020","CustomName":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0541","CodeVersion":"2020","CustomName":"Ambulance - Supplies"},{"ServiceGroup":"8950","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"85570","CodeType":"REV","Code":"0829","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Other OP Hemodialysis"},{"ServiceGroup":"45884","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"10904","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"37.21","CodeVersion":"2017","CustomName":"RIGHT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98407","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0609T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0681T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74470","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1943","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8576","CodeVersion":"2020","CustomName":"NO POSTOP RENAL FAILURE\/DIALYSIS NOT REQUIRED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3031","CodeVersion":"2020","CustomName":"INJECTION FREMANEZUMAB-VFRM 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6093","CodeVersion":"2020","CustomName":"RECEMENT IMPL\/ABUTMNT SUPPORTED FIX PART DENTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5269","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5126","CodeVersion":"2020","CustomName":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1826","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 30 MCG"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A8003","CodeVersion":"2020","CustomName":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1890","CodeVersion":"2020","CustomName":"NO IMPLANT\/INSERTABLE DEVC USED W\/DEVC-INT PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8423","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6604","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST PDMT BASE METAL 2 SURFACES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0265","CodeVersion":"2020","CustomName":"HOSP BED TOT ELEC W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0704","CodeVersion":"2020","CustomName":"3-D PHOTOGRAPHIC IMAGE - IMAGE CAPTURE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3677","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5131","CodeVersion":"2020","CustomName":"APPLINC CLNR INCONT&OSTOMY APPLINCS PER 16 OZ"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8535","CodeVersion":"2020","CustomName":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5926","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4178","CodeVersion":"2020","CustomName":"FLOWERAMNIOPATCH PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4173","CodeVersion":"2020","CustomName":"PALINGEN OR PALINGEN XPLUS PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9014","CodeVersion":"2020","CustomName":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS&REL SRVC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8033","CodeVersion":"2020","CustomName":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2504","CodeVersion":"2020","CustomName":"INJECTION PEGADEMASE BOVINE 25 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0494","CodeVersion":"2020","CustomName":"EMERGENCY HAND PUMP REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0527","CodeVersion":"2020","CustomName":"FS CLINIC - VISITING NURSE SERVICE(S) TO MEMBERS HOME HOME HEALTH SHORTAGE AREA"},{"ServiceGroup":"33832","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"90854","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"11188","CodeType":"DRG","Code":"552","CodeVersion":"2020","CustomName":"OTHER PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3317F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92193","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93730","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0210U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0289T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0611T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100253","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0732T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37591","CodeType":"ICD9P","Code":"41.09","CodeVersion":"2017","CustomName":"AUTOLOGOUS BONE MARROW TRANSPLANT WITH PURGING"},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"43567","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0202U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0034U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0011M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0146U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90489","CodeType":"CPT","Code":"90732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0522T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9881","CodeVersion":"2020","CustomName":"MDPP BNF ACHV AL 9% WL B WT MO 1-24 UND MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4016","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2018","CodeVersion":"2020","CustomName":"PERMEADERM C PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9303","CodeVersion":"2020","CustomName":"INJECTION PANITUMUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9181","CodeVersion":"2020","CustomName":"INJECTION ETOPOSIDE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3905","CodeVersion":"2020","CustomName":"WHO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4159","CodeVersion":"2020","CustomName":"AFFINITY PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3520","CodeVersion":"2020","CustomName":"ORTHOPED SHOE ADDITION INSOLE FELT COVR W\/LEATHR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1240","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6118","CodeVersion":"2020","CustomName":"IMPL\/ABUT SPTD INTRM FIX DENTUR EDENT ARCH-MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9370","CodeVersion":"2020","CustomName":"VINCRISTINE SULFATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5274","CodeVersion":"2020","CustomName":"ASSISTIVE LEARNING DEVICE NOS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7313","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0183","CodeVersion":"2020","CustomName":"PROCHLORPERAZINE MALEATE ORAL 5MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0222","CodeVersion":"2020","CustomName":"INJECTION BEBTELOVIMAB 175 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4415","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/O BUILT-IN CONVXITY >4X4 IN EA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6110","CodeVersion":"2020","CustomName":"BELOW ELBOW MOLDED SOCKET"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7996","CodeVersion":"2020","CustomName":"IMPLNT-MANDIB-AUGMENTATION BR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1240","CodeVersion":"2020","CustomName":"INJECTION DIMENHYDRINATE UP TO 50 MG"},{"ServiceGroup":"98424","CodeType":"HCPCS","Code":"G0108","CodeVersion":"2020","CustomName":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0849","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO & = 300 LBS"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3915","CodeVersion":"2020","CustomName":"WRIST HAND ORTHOSIS 1\/>NONTORSION JNT PRFAB CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6621","CodeVersion":"2020","CustomName":"UP EXTREM PROS ADD FLEXION\/EXTENSION WRIST"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1746","CodeVersion":"2020","CustomName":"INJECTION IBALIZUMAB-UIYK 10 MG"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"13641","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"3142","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"75639","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"68188","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"70067","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30067","CodeType":"ICD9P","Code":"32.01","CodeVersion":"2017","CustomName":"ENDO EXCISION\/DESTRUC LESION\/TISSUE BRONCHUS"},{"ServiceGroup":"15265","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68051","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0055T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0448T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0517T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.27","CodeVersion":"2017","CustomName":"ARTERIOVENOSTOMY FOR RENAL DIALYSIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32607","CodeType":"ICD9P","Code":"81.54","CodeVersion":"2017","CustomName":"TOTAL KNEE REPLACEMENT"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.82","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OTHER VESSELS HEAD&NECK"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0238T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0051","CodeVersion":"2020","CustomName":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5628","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7250","CodeVersion":"2020","CustomName":"REMOVAL OF RESIDUAL TOOTH ROOTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4201","CodeVersion":"2020","CustomName":"MATRION PER SQ CM"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2099","CodeVersion":"2020","CustomName":"PT 66&>1 CLM FRLTY DUR MSR & DUR\/YR PRI MSR PRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2745","CodeVersion":"2020","CustomName":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7310","CodeVersion":"2020","CustomName":"GANCICLOVIR 45 MG LONG-ACTING IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2520","CodeVersion":"2020","CustomName":"INLAY - METALLIC - TWO SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2520","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0187","CodeVersion":"2020","CustomName":"TAMOXIFEN CITRATE ORAL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4532","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD UNDWEAR\/PULLON LG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4559","CodeVersion":"2020","CustomName":"COUPLING GEL\/PASTE USE W\/US DEVICE PER OZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2511","CodeVersion":"2020","CustomName":"CNTC LENS GAS PERMEABLE TORIC PRISM BALLST-LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9310","CodeVersion":"2020","CustomName":"CONSULT DX SERV DENT\/PHY NOT REQUESTING DENT\/PHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2013","CodeVersion":"2020","CustomName":"HABILITATION EDUCATIONAL WAIVER; PER HOUR"},{"ServiceGroup":"80285","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0515","CodeVersion":"2020","CustomName":"INJECTION BENZTROPINE MESYLATE PER 1 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0699","CodeVersion":"2020","CustomName":"INJECTION CEFIDEROCOL 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1639","CodeVersion":"2020","CustomName":"SCALE EACH"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2025","CodeVersion":"2020","CustomName":"WAIVER SERVICES; NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0284","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4009","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"88426","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"33261","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"46183","CodeType":"REV","Code":"0623","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - Surgical Dressings"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"58463","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0648","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training, Disabled Patient, Peripheral Line\""},{"ServiceGroup":"19613","CodeType":"DRG","Code":"559","CodeVersion":"2020","CustomName":"ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113688","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106666","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103538","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0596T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104358","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112111","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106707","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8881","CodeVersion":"2020","CustomName":"STAGE BREAST CANCER GREATER THAN T1N0M0\/T2N0M0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7170","CodeVersion":"2020","CustomName":"ELECTRONIC ELBOW HOSMER\/EQUAL SWITCH CONTROLLED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6023","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING STERILE SIZE >48 SQ IN EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2018","CodeVersion":"2020","CustomName":"PSYCHOSOCIAL REHABILITATION SERVICES PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2198","CodeVersion":"2020","CustomName":"DOC MED RSN NO SCR UH ALC USE SYS SCR METHOD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1000","CodeVersion":"2020","CustomName":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3010","CodeVersion":"2020","CustomName":"INJECTION FENTANYL CITRATE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2622","CodeVersion":"2020","CustomName":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2502","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA BIFOCAL PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1405","CodeVersion":"2020","CustomName":"OXYGEN&WATER VAPOR ENRICHING SYS W\/HEATED DELIV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0560","CodeVersion":"2020","CustomName":"HUMDIFIR DURABLE SUPLMNTL DUR IPPB TX\/O2 DEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1112","CodeVersion":"2020","CustomName":"DOC PT DX DEG NEURO COND ALS\/PARKINSON'S DX TM E"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6910","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE NO FNGR REMAIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7676","CodeVersion":"2020","CustomName":"PENTANUDUBE ISETGUIBATE I SOL CP PROD U D 300 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4323","CodeVersion":"2020","CustomName":"SPLINT - EXTRA-COR; NATURAL TEETH\/PROSTH CROWNS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9341","CodeVersion":"2020","CustomName":"SEARCH PRIOR CT EXT HC FAC\/ENT 12-MO PRI TO IMAG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1160","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN UP TO 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6254","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL 16 SQ\/< ADHES BORDR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0472","CodeVersion":"2020","CustomName":"ACCESS TISS-GROSS EXAM-PREP & REPRT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6696","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB CSTM CNGN\/TRAUMAT AMP INIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0154","CodeVersion":"2020","CustomName":"PLATFORM ATTACHMENT WALKER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3931","CodeVersion":"2020","CustomName":"WHFO PREFABRICATED INCL FITTING & ADJUSTMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9998","CodeVersion":"2020","CustomName":"DOCUM MED REAS INTERVAL <3 YR SINCE LST COLONSCP"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2020","CodeVersion":"2020","CustomName":"INJECTION LINEZOLID 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5560","CodeVersion":"2020","CustomName":"INSULIN DELIVERY DEVICE REUSABLE PEN; 1.5 ML SZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1330","CodeVersion":"2020","CustomName":"INJECTION ERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0580","CodeVersion":"2020","CustomName":"POLYCARBONATE LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9662","CodeVersion":"2020","CustomName":"PREVIOUSLY DIAGNOSED\/HAVE ACTIVE DX CLIN ASCVD"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0549","CodeVersion":"2020","CustomName":"Ambulance - Other Ambulance"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"66563","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"9539","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"395","CodeVersion":"2020","CustomName":"Red blood cell disorders, age greater than 17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"152","CodeVersion":"2020","CustomName":"Minor small and large bowel procedures with CC"},{"ServiceGroup":"20297","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.51","CodeVersion":"2017","CustomName":"MANUAL ROTATION OF FETAL HEAD"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0576T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90438","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0350U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0201T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0511T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.7","CodeVersion":"2017","CustomName":"VACUUM EXTRACTION"},{"ServiceGroup":"81560","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81023","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7665","CodeVersion":"2020","CustomName":"MANNITOL ADMINISTERED THROUGH AN INHALER 5 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2328","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL\/EXT CNTRL ELEC PRPRTNL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4999","CodeVersion":"2020","CustomName":"UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0572","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL <\/=TO 3 MG BPN"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2629","CodeVersion":"2020","CustomName":"INTRDUCR\/SHTH OTH THAN GUID OTH THAN IC EEG LASR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0108","CodeVersion":"2020","CustomName":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1741","CodeVersion":"2020","CustomName":"INJECTION IBUPROFEN 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0247","CodeVersion":"2020","CustomName":"INTRAVENOUS INF SOTROVIMAB INC INF & P ADM MON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9999","CodeVersion":"2020","CustomName":"DOCUM REAS FOR INTERVAL <3 YR SINCE LAST COLONOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0485","CodeVersion":"2020","CustomName":"CNSLT W\/PREP SLIDES BX SPL REF SRC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0488","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/INTERFCE LINER PRFAB"},{"ServiceGroup":"13681","CodeType":"HCPCS","Code":"A0429","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"07DQ0ZZ","CodeVersion":"2020","CustomName":"EXTRACTION OF STERNUM BONE MARROW OPEN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5160","CodeVersion":"2020","CustomName":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9478","CodeVersion":"2020","CustomName":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2425","CodeVersion":"2020","CustomName":"INJECTION PALIFERMIN 50 MICROGRAMS"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2779","CodeVersion":"2020","CustomName":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4186","CodeVersion":"2020","CustomName":"EPIFIX PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0132","CodeVersion":"2020","CustomName":"INJECTION ACETYLCYSTEINE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9769","CodeVersion":"2020","CustomName":"CYSTOURETHROSCOPY INS TEMP PROS IMPL\/STENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0140","CodeVersion":"2020","CustomName":"SAQUINAVIR 200 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9353","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CONT INSULIN; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0746","CodeVersion":"2020","CustomName":"ABSORB WND DRSG HOM MDL PRTBLE PAD SZ > 48 SQ IN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1626","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON HYDROCHLORIDE 100 MCG"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0961","CodeVersion":"2020","CustomName":"Professional Fees - Psychiatric"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0971","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - LABORATORY"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"45884","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"13927","CodeType":"REV","Code":"0932","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Full Day"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0825","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"68188","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"905","CodeVersion":"2020","CustomName":"Skin Grafts for Injuries without CC\/MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.93","CodeVersion":"2017","CustomName":"NONMECHANICAL METHODS OF RESUSCITATION"},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0043A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4480F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0707T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4995","CodeVersion":"2020","CustomName":"SMOKING CESSATION GUM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4335","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9031","CodeVersion":"2020","CustomName":"PLATELETS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8660","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPAIR SC < 0"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7643","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9455","CodeVersion":"2020","CustomName":"PT UNDRWNT ABD IMAG U\/S CE CT\/CONT MRI FOR HCC"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0039","CodeVersion":"2020","CustomName":"ASSERTIVE COMMUNITY TX FACE-TO-FACE PER 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0290","CodeVersion":"2020","CustomName":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8505","CodeVersion":"2020","CustomName":"ARTFICL LARYNX REPLCMT BATTRY\/ACCESS ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7179","CodeVersion":"2020","CustomName":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO"},{"ServiceGroup":"109286","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5260","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9274","CodeVersion":"2020","CustomName":"BP SYS=140 DIA=90\/SYS<140 DIA=90\/SYS=140 DIA <90"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9707","CodeVersion":"2020","CustomName":"PATIENT RCV HOSPICE SRVC ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9264","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7205","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1816","CodeVersion":"2020","CustomName":"RECEIVER AND\/OR TRANSMITTER NEUROSTIMULATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5507","CodeVersion":"2020","CustomName":"DIAB ONLY NOS MOD SHOE\/CSTM MOLD SHOE PER SHOE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8320","CodeVersion":"2020","CustomName":"TRUSS ADDITION TO STANDARD PAD WATER PAD"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5289","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM ADPTR\/BOOT CPLG RECV"},{"ServiceGroup":"103865","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0966","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0246","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION BAMLANIVIMAB & ETESEVIMAB;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1011","CodeVersion":"2020","CustomName":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9340","CodeVersion":"2020","CustomName":"INJECTION THIOTEPA 15 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4050","CodeVersion":"2020","CustomName":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9434","CodeVersion":"2020","CustomName":"MOD SOLID FOOD SUPPLEMENTS INBORN ERRORS METAB"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2624","CodeVersion":"2020","CustomName":"POLISHING\/RESURFACING OF OCULAR PROSTHESIS"},{"ServiceGroup":"39245","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"9526","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0810","CodeVersion":"2020","CustomName":"Acquisition of Body Components - General Classification"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"66482","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"182","CodeVersion":"2020","CustomName":"Esophagitis, gastroenteritis and miscellaneous digestive disorders, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"473","CodeVersion":"2020","CustomName":"Acute leukemia without major operating room procedure, age greater than 17"},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107067","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113284","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105031","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3760F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0465T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0231U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0083A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0490T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0694T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91631","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100270","CodeType":"CPT","Code":"90655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"55.61","CodeVersion":"2017","CustomName":"RENAL AUTOTRANSPLANTATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8656","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STAT CH RSD SC FT\/ANK IMPAIR SC <0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0121","CodeVersion":"2020","CustomName":"INJECTION OMADACYCLINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6625","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD ROTATION WRST UNIT W\/CABLE LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5497","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT NOC; PER DIEM"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9073","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS PATHOGEN-REDUCED EACH UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1208","CodeVersion":"2020","CustomName":"TOPICAL APPLICATION OF FLUORIDE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2370","CodeVersion":"2020","CustomName":"INJECTION PHENYLEPHRINE HCL UP TO 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6650","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0184","CodeVersion":"2020","CustomName":"DRY PRESSURE MATTRESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3332","CodeVersion":"2020","CustomName":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0210","CodeVersion":"2020","CustomName":"ELECTRIC HEAT PAD STANDARD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6883","CodeVersion":"2020","CustomName":"REPL SOCKET BE\/WD MOLDED TO PATIENT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4981","CodeVersion":"2020","CustomName":"INSRTION LEVONORGESTREL-RELEASING INTRAUTERN SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4266","CodeVersion":"2020","CustomName":"GUID TISS REGEN-RESORB BARRIER-SITE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4213","CodeVersion":"2020","CustomName":"SYRINGE STERILE 20 CC OR GREATER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9878","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF IN MO 7-9 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4261","CodeVersion":"2020","CustomName":"TAG PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1016","CodeVersion":"2020","CustomName":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2861","CodeVersion":"2020","CustomName":"ADD LOW EXT JOINT KNEE\/ANK CSTM FAB ONLY EA"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4434","CodeVersion":"2020","CustomName":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8749","CodeVersion":"2020","CustomName":"ABSENCE SIGNS MELANOMA\/ABSENCE SYMPTOMS MELANOMA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6613","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST PDMT BASE METAL 3\/MORE SURF"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"701","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"977","CodeType":"REV","Code":"0332","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - Oral"},{"ServiceGroup":"16778","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0662","CodeVersion":"2020","CustomName":"Respite Care - Hourly Charge\/Aide\/Homemaker\/Companion"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"35964","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"9829","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"138","CodeVersion":"2020","CustomName":"Cardiac arrhythmia and conduction disorders with CC"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"030","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63457","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0723T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0062U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0094U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0022U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104387","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93066","CodeType":"CPT","Code":"0163T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4041F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0024U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91025","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0120U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84704","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0301U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2126","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS THERMOPLSTC CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0496","CodeVersion":"2020","CustomName":"BATTERY NOT LITHIUM-ION ELEC\/PNEUMAT VAD REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9914","CodeVersion":"2020","CustomName":"PATIENT RECEIVING AN ANTI-TNFAGENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0171","CodeVersion":"2020","CustomName":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0340","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7110","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 75500 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7282","CodeVersion":"2020","CustomName":"MOBILZ ERUPT\/MALPSTN TOOTH AID ERUP"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3060","CodeVersion":"2020","CustomName":"INJECTION TALIGLUCERACE ALFA 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9023","CodeVersion":"2020","CustomName":"INJECTION AVELUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9821","CodeVersion":"2020","CustomName":"NO DOCUMENTATION CHLAMYDIA SCR TEST PROPER F\/U"},{"ServiceGroup":"104195","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8633","CodeVersion":"2020","CustomName":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9563","CodeVersion":"2020","CustomName":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5190","CodeVersion":"2020","CustomName":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1300","CodeVersion":"2020","CustomName":"INJECTION ECULIZUMAB 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1430","CodeVersion":"2020","CustomName":"INJECTION ETHANOLAMINE OLEATE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0005","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; GROUP CNSL CLINICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6456","CodeVersion":"2020","CustomName":"ZINC PASTE IMPREGNTD BANDGE WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5968","CodeVersion":"2020","CustomName":"ADD LW LIMB PROSTH MX-AXIAL ANK W\/SWING PHASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4045","CodeVersion":"2020","CustomName":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9051","CodeVersion":"2020","CustomName":"WHOLE BLD\/RBCS LEUKOCYTES RDUC CMV-NEG EA UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9106","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; R1\/R2 RESECT NO PROGRESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6224","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O NL SALINE\/HYDROGEL > 48 SQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1130","CodeVersion":"2020","CustomName":"INJECTION DICLOFENAC SODIUM .5 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3573F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7301","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9538","CodeVersion":"2020","CustomName":"HOME TRANSFUSION OF BLOOD PRODUCT; PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7121","CodeVersion":"2020","CustomName":"5% DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9367","CodeVersion":"2020","CustomName":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"405","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"33230","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"73806","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"73601","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"58458","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0291","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Rental"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"205","CodeVersion":"2020","CustomName":"Disorders of liver except malignancy, cirrhosis and alcoholic hepatitis with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107290","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62294","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0519F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103587","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0504T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0279T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0350","CodeVersion":"2020","CustomName":"ORAL\/FACIAL PHOTO IMAGE OBTAIN INTRA\/EXTRAORLLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9273","CodeVersion":"2020","CustomName":"BP HAS SYSTOLIC VALUE < 140 DIASTOLIC VALUE < 90"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1906","CodeVersion":"2020","CustomName":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0725","CodeVersion":"2020","CustomName":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2011","CodeVersion":"2020","CustomName":"SUPRA SDRM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4657","CodeVersion":"2020","CustomName":"SYRINGE WITH OR WITHOUT NEEDLE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9120","CodeVersion":"2020","CustomName":"INJECTION DACTINOMYCIN 0.5 MG"},{"ServiceGroup":"47764","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1839","CodeVersion":"2020","CustomName":"IRIS PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9489","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 40 MINS"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8969","CodeVersion":"2020","CustomName":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9317","CodeVersion":"2020","CustomName":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6116","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1400","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82112","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3750F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8914","CodeVersion":"2020","CustomName":"MR ANGIO W\/O CONTRST FLWED W\/CONTRST LOW EXTRM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2080","CodeVersion":"2020","CustomName":"LASER-ASSISTED UVULOPALATOPLASTY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5672","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE REMV MED BRIM SUSP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2007","CodeVersion":"2020","CustomName":"TRNSPRT WAIT TIME AIR AMB&NON-EMERG VEH 1\/2 HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2513","CodeVersion":"2020","CustomName":"CNTC LENS GAS PERMEABLE EXTENDED WEAR PER LENS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3000","CodeVersion":"2020","CustomName":"INJECTION STREPTOMYCIN UP TO 1 G"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1744","CodeVersion":"2020","CustomName":"INJECTION ICATIBANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4259","CodeVersion":"2020","CustomName":"CELERA DUAL LAYER\/CELERA DUAL MEMBRANE PER SQ CM"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2106","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER OVER 6.00D CYL-LENS"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1704","CodeVersion":"2020","CustomName":"MODERNA COVID-19 VACCINE"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9060","CodeVersion":"2020","CustomName":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6650","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6783","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 PORCELAIN\/CERAMIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6453","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH <\/= 3 IN PER YARD"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9926","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCR POS SCR W\/O PROV MIT REC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1270","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3110","CodeVersion":"2020","CustomName":"INJECTION TERIPARATIDE 10 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1450","CodeVersion":"2020","CustomName":"INJECTION FLUCONAZOLE 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1122","CodeVersion":"2020","CustomName":"DOC PT DX DEGEN NEURO COND DX TM BEFOR\/DUR EOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4563","CodeVersion":"2020","CustomName":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9790","CodeVersion":"2020","CustomName":"MOST RECNT BP IS >140\/90 MM HG\/BR NOT DOCUMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1195","CodeVersion":"2020","CustomName":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9327","CodeVersion":"2020","CustomName":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7405","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS SD\/INTERSCAP THOR ACRYLC MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4406","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5055","CodeVersion":"2020","CustomName":"STOMA CAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9780","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE DIAGNOSIS RHABDOMYOLYSIS MSRMT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8030","CodeVersion":"2020","CustomName":"BREAST PROSTH SILICONE\/EQUAL W\/O INTEGRAL ADHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0915","CodeVersion":"2020","CustomName":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3759F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5420","CodeVersion":"2020","CustomName":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK\/KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0870","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4198","CodeVersion":"2020","CustomName":"GENESIS AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6905","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE MX FNGR REMAIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9160","CodeVersion":"2020","CustomName":"INJECTION DENILEUKIN DIFTITOX 300 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7007","CodeVersion":"2020","CustomName":"ELECTRIC HAND SWITCH\/MYOELECTRIC CONTROL ADULT"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2627","CodeVersion":"2020","CustomName":"CATHETER SUPRAPUBIC\/CYSTOSCOPIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2920","CodeVersion":"2020","CustomName":"RECEMENT CROWN"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1001","CodeVersion":"2020","CustomName":"DELUXE ITEM PATIENT AWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7996","CodeVersion":"2020","CustomName":"IMPLNT-MANDIB-AUGMENTATION BR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0475","CodeVersion":"2020","CustomName":"HIV ANTIGEN\/ANTIBODY COMBINATION ASSAY SCREENING"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0291","CodeVersion":"2020","CustomName":"INJECTION PLAZOMICIN 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9015","CodeVersion":"2020","CustomName":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9990","CodeVersion":"2020","CustomName":"CERTI TRANSL\/SIGN-LANG SERVICES PER VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0141","CodeVersion":"2020","CustomName":"WALKER RIGID WHEELED ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9716","CodeVersion":"2020","CustomName":"BMI DOC OUTSD NL PARAM F\/U PLAN NOT CMPL DOC RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0077","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME VISIT NEW PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1028","CodeVersion":"2020","CustomName":"TK HM NASAL NALOXONE 2PK 8MG\/0.1 ML NASL SP PRIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6660","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0819","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Other Donor"},{"ServiceGroup":"33825","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"29893","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"24806","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"15788","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"14174","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"17069","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"49862","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"27856","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"442","CodeVersion":"2020","CustomName":"Other operating room procedures for injuries with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91014","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.9","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ASSISTING DELIVERY"},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0743","CodeVersion":"2020","CustomName":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0749","CodeVersion":"2020","CustomName":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0810","CodeVersion":"2020","CustomName":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2042","CodeVersion":"2020","CustomName":"HOSPICE ROUTINE HOME CARE; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1126","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1296","CodeVersion":"2020","CustomName":"SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6501","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9057","CodeVersion":"2020","CustomName":"INJECTION COPANLISIB 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1595","CodeVersion":"2020","CustomName":"INJECTION GLATIRAMER ACETATE 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1032","CodeVersion":"2020","CustomName":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8564","CodeVersion":"2020","CustomName":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9407","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV F\/U ON\/WI 7 DAYS AFTER D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4031","CodeVersion":"2020","CustomName":"RADIATION ONCOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9070","CodeVersion":"2020","CustomName":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1089","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0471","CodeVersion":"2020","CustomName":"COLL V BLD VP\/URN SMP CATH IND SNF\/LAB BHALF HHA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9439","CodeVersion":"2020","CustomName":"VBAC CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9729","CodeVersion":"2020","CustomName":"PT UNABLE COMPLETE LEPF PROM INI EVAL &\/ D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2953","CodeVersion":"2020","CustomName":"EACH ADDITIONAL INDIRECTLY FAB POST SAME TOOTH"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1070","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1020","CodeVersion":"2020","CustomName":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"079T30Z","CodeVersion":"2020","CustomName":"DRN BONE MARROW DRAINAGE DEVICE PERCUTANEOUS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0031","CodeVersion":"2020","CustomName":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER"},{"ServiceGroup":"66480","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"873","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Storage and Processing After Receipt of Cells from Manufacturer"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"58457","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0645","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training Patient\/Caregiver, Central Line\""},{"ServiceGroup":"69683","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"21360","CodeType":"DRG","Code":"473","CodeVersion":"2020","CustomName":"Acute leukemia without major operating room procedure, age greater than 17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.5","CodeVersion":"2017","CustomName":"REPAIR OF CURRENT OBSTETRIC LACERATION OF UTERUS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3117F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12197","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0599T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3321F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0071T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0518F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92012","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105219","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0446T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0206U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0095U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1123","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9995","CodeVersion":"2020","CustomName":"PT WHO USE PALLIATIVE CARE SERVICES DUR MEAS PER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0230","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL EACH ADD RADIOGRAPH IMAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0001","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG ASSESSMENT"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3280","CodeVersion":"2020","CustomName":"INJECTION THIETHYLPERAZINE MALEATE UP TO 10 MG"},{"ServiceGroup":"20070","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1410","CodeVersion":"2020","CustomName":"INJECTION ESTROGEN CONJUGATED PER 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P2033","CodeVersion":"2020","CustomName":"THYMOL TURBIDITY BLOOD"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"E0782","CodeVersion":"2020","CustomName":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3842","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0105","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0479","CodeVersion":"2020","CustomName":"TISS INSITU HYBRIDIZATION W\/INTEPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4312","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/O DRN BAG W\/CATH 2-WAY SILCON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9907","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV TOBACCO CESSNT INTERVENTION"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4611","CodeVersion":"2020","CustomName":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2080","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"38002","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"3434","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"12119","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"59424","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106712","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107642","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87943","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35668","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0687T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0486T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37122","CodeType":"ICD9P","Code":"81.53","CodeVersion":"2017","CustomName":"REVISION OF HIP REPLACEMENT NOS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9299","CodeVersion":"2020","CustomName":"PT NOT EVAL VTE CV RISK W\/I 30 DAY PRIOR PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0045","CodeVersion":"2020","CustomName":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1086","CodeVersion":"2020","CustomName":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK\/FULL FOOTRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9283","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPRT DOC CLASS H TYP\/NSCLC-NOS W\/E"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9003","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0013","CodeVersion":"2020","CustomName":"CUSTOM MOTORIZED\/POWER WHEELCHAIR BASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0076","CodeVersion":"2020","CustomName":"PROLOTHERAPY"},{"ServiceGroup":"33832","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0540","CodeVersion":"2020","CustomName":"Ambulance - General Classification"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"541","CodeVersion":"2020","CustomName":"Tracheostomy with Mechanical Ventilation 96+ Hours or Principal Diagnosis Except Face, Mouth, and Neck Diagnoses with Major O.R. Procedure"},{"ServiceGroup":"83901","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"269","CodeType":"ICD9P","Code":"51.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY"},{"ServiceGroup":"77260","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1032F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4174F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3388F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111858","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98463","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105551","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68102","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113758","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8473","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB THERAPY PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3310","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY ANTERIOR TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3352","CodeVersion":"2020","CustomName":"APEXIFICATION\/RECALCIFICATN INTERIM MED REPLACE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6714","CodeVersion":"2020","CustomName":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED"},{"ServiceGroup":"36971","CodeType":"HCPCS","Code":"Q0081","CodeVersion":"2020","CustomName":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9430","CodeVersion":"2020","CustomName":"PHARMACY COMPOUNDING AND DISPENSING SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9309","CodeVersion":"2020","CustomName":"NO UNPLANNED HOSP RDM W\/I 30 DAY PRINCIPAL PROC"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7681","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9211","CodeVersion":"2020","CustomName":"INJECTION IDARUBICIN HCL 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4533","CodeVersion":"2020","CustomName":"YOUTH SIZED DISPBL INCONT PRODUCT BRF\/DIAPER EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0320","CodeVersion":"2020","CustomName":"TMJ ARTHROGRAM INCLUDING INJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9735","CodeVersion":"2020","CustomName":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0156","CodeVersion":"2020","CustomName":"SEAT ATTACHMENT WALKER"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0710","CodeVersion":"2020","CustomName":"INJECTION CEPHAPIRIN SODIUM UP TO 1 G"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1813","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE INFLATABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9473","CodeVersion":"2020","CustomName":"PULM REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1680","CodeVersion":"2020","CustomName":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0955","CodeVersion":"2020","CustomName":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5960","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3776F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3101","CodeVersion":"2020","CustomName":"INJECTION TENECTEPLASE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2112","CodeVersion":"2020","CustomName":"AFO FX ORTHO TIB FX ORTHOS SFT PRFAB W\/FIT & ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9447","CodeVersion":"2020","CustomName":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0092","CodeVersion":"2020","CustomName":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9306","CodeVersion":"2020","CustomName":"INJECTION PERTUZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9355","CodeVersion":"2020","CustomName":"ELECTIVE DELIVERY C-BIRTH\/INDUCTION LBR NOT PERF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1352","CodeVersion":"2020","CustomName":"PREV RSN REST MOD HIGH CARIES RISK PT-PERM TOOTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9950","CodeVersion":"2020","CustomName":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1849","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE SYNTHETIC RESORBABLE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0455","CodeVersion":"2020","CustomName":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC"},{"ServiceGroup":"10939","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"26179","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"180","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"33312","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"840","CodeVersion":"2020","CustomName":"Lymphoma and Nonacute Leukemia with MCC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106706","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.71","CodeVersion":"2017","CustomName":"ENDOVASCULAR IMPLANTATION OTH GRAFT ABD AORTA"},{"ServiceGroup":"88244","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35733","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90381","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33152","CodeType":"ICD9P","Code":"92.3","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0063U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28623","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0646T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0054U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0241T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"98926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.36","CodeVersion":"2017","CustomName":"CORRECTION OF FETAL DEFECT"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0169","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0500","CodeVersion":"2020","CustomName":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5933","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS MODIFICATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2055","CodeVersion":"2020","CustomName":"HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5826","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3399","CodeVersion":"2020","CustomName":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9187","CodeVersion":"2020","CustomName":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0600","CodeVersion":"2020","CustomName":"RESP SUCTION PUMP HOME MODEL PRTBLE\/STATION ELEC"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2031","CodeVersion":"2020","CustomName":"ASSISTED LIVING WAIVER; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5221","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE\/BTE"},{"ServiceGroup":"27856","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7944","CodeVersion":"2020","CustomName":"OSTEOTOMY SEGMENTED OR SUBAPICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0381","CodeVersion":"2020","CustomName":"CONE BM CT IMAG CAP FD VW 1 FULL DENT ARCH-MAND"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0511","CodeVersion":"2020","CustomName":"PHRM FEE O ANTI-CA ANTI-EMET\/IS RX; 1 PRSC 30-DA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2225","CodeVersion":"2020","CustomName":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0108","CodeVersion":"2020","CustomName":"MERCAPTOPURINE ORAL 50 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91046","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36273","CodeType":"HCPCS","Code":"V2632","CodeVersion":"2020","CustomName":"POSTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1059","CodeVersion":"2020","CustomName":"PATIENT HSPC\/REC PALLIAT C ANY TIME DUR PERF PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0156","CodeVersion":"2020","CustomName":"EXEMESTANE 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0585","CodeVersion":"2020","CustomName":"BOTULINUM TOXIN TYPE A PER UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0223","CodeVersion":"2020","CustomName":"INJECTION GIVOSIRAN 0.5 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7296","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1226","CodeVersion":"2020","CustomName":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0974","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - NUCLEAR"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"26205","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"58764","CodeType":"REV","Code":"0515","CodeVersion":"2020","CustomName":"Clinic - Pediatric Clinic"},{"ServiceGroup":"22407","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"471","CodeVersion":"2020","CustomName":"Bilateral or multiple major joint procedures of lower extremity"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"670","CodeVersion":"2020","CustomName":"Transurethral Procedures without CC\/MCC"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0652T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110057","CodeType":"CPT","Code":"0362T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0015U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0440T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0527T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107271","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39542","CodeType":"ICD9P","Code":"00.92","CodeVersion":"2017","CustomName":"TRANSPLANT FROM LIVE NON-RELATED DONOR"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0540T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8418","CodeVersion":"2020","CustomName":"BMI DOC BLW NML PARAM & A F\/U PLAN IS DOCUMENTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7451","CodeVersion":"2020","CustomName":"REMV BEN ODONTOGNIC TUMR >1.25 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5150","CodeVersion":"2020","CustomName":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0210","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-ESCORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4003","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6500","CodeVersion":"2020","CustomName":"ABVE ELB MOLD SCKT ENDOSKEL W\/SFT PROSTH TISS"},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J1810","CodeVersion":"2020","CustomName":"INJ DROPERIDOL&FENTANYL CITRATE UP TO 2 ML AMP"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1955","CodeVersion":"2020","CustomName":"INJECTION LEVOCARNITINE PER 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2401","CodeVersion":"2020","CustomName":"REPR URIN TRACT OBST FETUS PROC PRFRM UTERO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0020","CodeVersion":"2020","CustomName":"ALCOHL &OR RX SRVC; METHADONE ADMIN &OR SERVICE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8505","CodeVersion":"2020","CustomName":"ARTFICL LARYNX REPLCMT BATTRY\/ACCESS ANY TYPE"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7877","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DEBRIDEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6530","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9396","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC >9 NOT ASSESSED RM AT 12 MO"},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"079T40Z","CodeVersion":"2020","CustomName":"DRAINAGE BONE MARROW DRAINAGE DEVICE PERCUT ENDO"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1881","CodeVersion":"2020","CustomName":"DIALYSIS ACCESS SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1652","CodeVersion":"2020","CustomName":"INJECTION FONDAPARINUX SODIUM 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2782","CodeVersion":"2020","CustomName":"LENS INDX 1.54-1.65 PLSTC\/1.60-1.79 GLASS LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2507","CodeVersion":"2020","CustomName":"INJECTION PEGLOTICASE 1 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4463","CodeVersion":"2020","CustomName":"SURGICAL DRESSING HOLDER REUSABLE EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8520","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 150 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2348","CodeVersion":"2020","CustomName":"DECOMP PERQ INTERVERT DISC RF ENERGY 1\/MX LUMB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8754","CodeVersion":"2020","CustomName":"MOST RECENT DIASTOLIC BLOOD PRESSURE < 90MM HG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0477","CodeVersion":"2020","CustomName":"SPECIAL STAINS NOT MICROORGANISMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0970","CodeVersion":"2020","CustomName":"TLSO CORSET FRONT"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"14187","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"114009","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"45882","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"64202","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"929","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury without CC\/MCC"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"5015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76207","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0098T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0253U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0339T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104617","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57222","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32607","CodeType":"ICD9P","Code":"81.51","CodeVersion":"2017","CustomName":"TOTAL HIP REPLACEMENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"977","CodeType":"REV","Code":"0403","CodeVersion":"2020","CustomName":"Other Imaging Services - Screening Mammography"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"116","CodeVersion":"2020","CustomName":"Other cardiac pacemaker implantation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"444","CodeVersion":"2020","CustomName":"Homocysteine"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.51","CodeVersion":"2017","CustomName":"REPAIR OF CURRENT OBSTETRIC LACERATION OF CERVIX"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19922","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0214U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113694","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0541T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3294F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0150U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0260T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0104A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86233","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0575T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9809","CodeVersion":"2020","CustomName":"PATIENTS USE HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2415","CodeVersion":"2020","CustomName":"ADD KNEE LOCK W\/INTEGRATED RLSE MECH MATL EA JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5812","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FRICT SWING&STANCE CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0240","CodeVersion":"2020","CustomName":"IV INF\/SCI CASIRIV & IMDEVIMB& P\/ADM SUBQ RP DS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5517","CodeVersion":"2020","CustomName":"HIT ALL SPL NECES RESTOR CATH PATENCY\/DECLOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5116","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4290","CodeVersion":"2020","CustomName":"SACRAL NERVE STIMULATION TEST LEAD EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7505","CodeVersion":"2020","CustomName":"MUROMONAB-CD3 PARENTERAL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2308","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7626","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2161","CodeVersion":"2020","CustomName":"AMALGAM-FOUR\/MORE SURF PRIM\/PERM"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1320","CodeVersion":"2020","CustomName":"TOBACCO CNSL CNTRL&PREVION ORL DZ"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0430","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0340","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0338T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.12","CodeVersion":"2017","CustomName":"(AORTO)CORONARY BYPASS OF TWO CORONARY ARTERIES"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"16036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9421","CodeVersion":"2020","CustomName":"PRIM NSCLC BX&CY S NO DOC CLASS NSCLC-NOS EXPLAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0046","CodeVersion":"2020","CustomName":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9045","CodeVersion":"2020","CustomName":"INJECTION CARBOPLATIN 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2230","CodeVersion":"2020","CustomName":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS & PLATE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2213","CodeVersion":"2020","CustomName":"BIFOCL +\/-7.25-+\/-12.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1887","CodeVersion":"2020","CustomName":"CATHETER GUIDING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0486","CodeVersion":"2020","CustomName":"LAB ACCSS TRNSEPI CYTL SMP MICRO EX PREP&WRT RPR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5982","CodeVersion":"2020","CustomName":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0080","CodeVersion":"2020","CustomName":"INJECTION PENTAMIDINE ISETHIONATE 300 MG"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0156","CodeVersion":"2020","CustomName":"EXEMESTANE 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5105","CodeVersion":"2020","CustomName":"BELOW KNEE PLSTC SOCKT JNT&THIGH LACER SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3853","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR MYOTONIC MUSCULAR DYSTROPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0215","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; PER MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4043","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"27725","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0047","CodeVersion":"2020","CustomName":"PED PT W\/MIN BLUNT HD TRAUMA & PECARN NOT ASSESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7900","CodeVersion":"2020","CustomName":"MALE VACUUM ERECTION SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5670","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE MOLD SUPRACONDYLR SUSP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9996","CodeVersion":"2020","CustomName":"MEALS CLIN TRIAL PRTCP&ONE CAREGIVER\/COMPANION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0935","CodeVersion":"2020","CustomName":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9341","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6640","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2460","CodeVersion":"2020","CustomName":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2342","CodeVersion":"2020","CustomName":"NASAL ENDOSCOPIC POSNASAL ENDOSCOPIC POSTOP DEBR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4036","CodeVersion":"2020","CustomName":"URGENT CARE MIPS SPECIALTY SET"},{"ServiceGroup":"12019","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"131","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"350","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"73656","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"19961","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"459","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4063F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1183F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105489","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84931","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93015","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2750","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS PLATING CHROME\/NICKL-BAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1229","CodeVersion":"2020","CustomName":"WHEELCHAIR PEDIATRIC SIZE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1818","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1744","CodeVersion":"2020","CustomName":"INJECTION ICATIBANT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3675","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS VEST ABDUCT RESTRAINER PREFAB"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0877","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD 1 PWR SLING SEAT PT TO &=300 LB"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4165F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9444","CodeType":"REV","Code":"0546","CodeVersion":"2020","CustomName":"Ambulance - Neonatal Ambulance Services"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"28015","CodeType":"DRG","Code":"468","CodeVersion":"2020","CustomName":"Extensive operating room procedure unrelated to principal diagnosis"},{"ServiceGroup":"53962","CodeType":"DRG","Code":"006","CodeVersion":"2020","CustomName":"Carpal tunnel release"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"565","CodeVersion":"2020","CustomName":"Respiratory System Diagnosis with Ventilator Support 96+ Hours"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93064","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0431T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0473T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.4","CodeVersion":"2017","CustomName":"PRODUCTION OF SEPTAL DEFECT IN HEART"},{"ServiceGroup":"84320","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95819","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0197T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.86","CodeVersion":"2017","CustomName":"REPLCMT PACEMAKER W\/SNGL CHAMBR-RATE RESPONS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6689","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0432","CodeVersion":"2020","CustomName":"PARAMED INTRCPT RURL AMB NO BILL 3 PARTY PAYER"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0631T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0070U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0535F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1036F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.86","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF ABDOMINAL ARTERIES"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0260U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.5","CodeVersion":"2017","CustomName":"OTHER REPAIR OF VESSELS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0244T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0175","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2642","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAMIC - 2 SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5072","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6113","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7326","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2210","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0317","CodeVersion":"2020","CustomName":"DISEASE MANAGEMENT PROGRAM; PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7660","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0516","CodeVersion":"2020","CustomName":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0108","CodeVersion":"2020","CustomName":"MERCAPTOPURINE ORAL 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6228","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL >16 SQ NO ADHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6223","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O SALINE\/HYDRGEL >16 <\/=48 SQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7310","CodeVersion":"2020","CustomName":"ALVEOLOPLASTY W\/EXTRACTION 4\/> TEETH\/SPACE QUAD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5981","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM\/EQUAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1096","CodeVersion":"2020","CustomName":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9777","CodeVersion":"2020","CustomName":"ESOPHAGEAL MUCOSAL INTEGR TST ELEC IMPD TO"},{"ServiceGroup":"107173","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1021","CodeVersion":"2020","CustomName":"PATIENT HAD ONLY UC VISITS DUR THE PERF PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0636","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0276","CodeVersion":"2020","CustomName":"BED PAN FRACTURE METAL OR PLASTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9010","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2590","CodeVersion":"2020","CustomName":"INJECTION OXYTOCIN UP TO 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3630","CodeVersion":"2020","CustomName":"TRNSF ORTHOS 1 SHOE TO ANOTHER SOLID STIRRUP NEW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6541","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 40-50 MMHG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1786","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2011","CodeVersion":"2020","CustomName":"PASRR LEVEL II EVALUATION PER EVALUATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1819","CodeVersion":"2020","CustomName":"SURGICAL TISSUE LOCALIZATION AND EXCISION DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0856","CodeVersion":"2020","CustomName":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2508","CodeVersion":"2020","CustomName":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL & CNTCT"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"9911","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0243","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - Specialty"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0929","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Other Diagnostic Services"},{"ServiceGroup":"977","CodeType":"REV","Code":"0342","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"188","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"22406","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"977","CodeType":"REV","Code":"0400","CodeVersion":"2020","CustomName":"Other Imaging Services - General Classification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"596","CodeVersion":"2020","CustomName":"Major Skin Disorders without MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0358T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103970","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0241T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47532","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3354F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0177","CodeVersion":"2020","CustomName":"TRN&ED REL CARE&TX PTS DISABL MENTL HLTH-SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0640","CodeVersion":"2020","CustomName":"INJECTION LEUCOVORIN CALCIUM PER 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0457","CodeVersion":"2020","CustomName":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB"},{"ServiceGroup":"88421","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8926","CodeVersion":"2020","CustomName":"TEE W OR W\/O FLW W\/CNTRST; PROBE PLCMT ACQ I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2614","CodeVersion":"2020","CustomName":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0240","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 600 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0984","CodeVersion":"2020","CustomName":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9250","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 5 MG"},{"ServiceGroup":"74840","CodeType":"HCPCS","Code":"G0157","CodeVersion":"2020","CustomName":"SERVICES PT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5690","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD&LINED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0470","CodeVersion":"2020","CustomName":"FED QUAL HEALTH CNTR VST MENTAL HEALTH ESTAB PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9982","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE PER PAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5561","CodeVersion":"2020","CustomName":"INSULIN DELIVERY DEVICE REUSABLE PEN; 3 ML SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0610","CodeVersion":"2020","CustomName":"INJECTION CALCIUM GLUCONATE PER 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4015","CodeVersion":"2020","CustomName":"CMPL IN VITRO FERTILIZATION CYCLE CASE RATE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5975","CodeVersion":"2020","CustomName":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK&FLXBL KEEL FT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7368","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2209","CodeVersion":"2020","CustomName":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9361","CodeVersion":"2020","CustomName":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2209","CodeVersion":"2020","CustomName":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22408","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0292","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Purchase of New DME"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"32560","CodeType":"DRG","Code":"927","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"641","CodeVersion":"2020","CustomName":"EXTRACORPOREAL MEMBRANE OXYGENATION, BWT OVER 2499 GRAMS-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4174F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3294F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0347T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.78","CodeVersion":"2017","CustomName":"ENDOVASC IMPL BRANCHING\/FENESTRATED GRAFT AORTA"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3515F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33843","CodeType":"CPT","Code":"94762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94479","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3399","CodeVersion":"2020","CustomName":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0411","CodeVersion":"2020","CustomName":"INTERACTV GRP PSYCHOTX PART HOS 45 TO 50 MIN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0493","CodeVersion":"2020","CustomName":"EMERG PWR CABLE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7042","CodeVersion":"2020","CustomName":"5% DEXTROSE\/NORMAL SALINE"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9390","CodeVersion":"2020","CustomName":"INJECTION VINORELBINE TARTRATE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9990","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL NOT ADM ON\/AFT 60TH &B4 ED MEAS NOS"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1303","CodeVersion":"2020","CustomName":"INJECTION RAVULIZUMAB-CWVZ 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9997","CodeVersion":"2020","CustomName":"DOCUM PT PREG DUR MEAS PER PRIOR TO&INCL CUR ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0486","CodeVersion":"2020","CustomName":"LAB ACCSS TRNSEPI CYTL SMP MICRO EX PREP&WRT RPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8410","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH ABOVE KNEE EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3032","CodeVersion":"2020","CustomName":"INJECTION EPTINEZUMAB-JJMR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0462","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1086","CodeVersion":"2020","CustomName":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK\/FULL FOOTRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2170","CodeVersion":"2020","CustomName":"INJECTION MECASERMIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0277","CodeVersion":"2020","CustomName":"POWERED PRESSURE-REDUCING AIR MATTRESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8952","CodeVersion":"2020","CustomName":"ELVATD\/HTN BP DOC INDCD F\/U NOT DOC RSN NOT GIVN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75487","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"45783","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"701","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"9840","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0511","CodeVersion":"2020","CustomName":"Clinic - Chronic Pain Center"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0609","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Other"},{"ServiceGroup":"16618","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0289","CodeVersion":"2020","CustomName":"Oncology - Other Oncology"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"508","CodeVersion":"2020","CustomName":"Full thickness burn without skin graft or inhalation injury with CC or significant trauma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.3","CodeVersion":"2017","CustomName":"OTHER PHYSICAL THERAPY THERAPEUTIC PROCEDURES"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106669","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0353U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0526T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107054","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1020","CodeVersion":"2020","CustomName":"NONINVASIVE VAGUS NERVE STIMULATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8999","CodeVersion":"2020","CustomName":"RESUSCITATION BAG"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6247","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD > 48 SQ ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7320","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVITIVE GENVISC 850 IA INJ 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1444","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE PWD 0.1 MG IRON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5972","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6584","CodeVersion":"2020","CustomName":"PREP ELB DISRTC\/ABVE ELB 1 WALL PLSTC SOCKT MOLD"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0296","CodeVersion":"2020","CustomName":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5999","CodeVersion":"2020","CustomName":"UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0665","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL ARM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1890","CodeVersion":"2020","CustomName":"INJECTION CEPHALOTHIN SODIUM UP TO 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9067","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1067","CodeVersion":"2020","CustomName":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0169","CodeVersion":"2020","CustomName":"PROMETHAZINE HCL 12.5 MG ORAL NOT>48 HR DOSE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"90707","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10D00Z1","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION LOW OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H1003","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9298","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB & RELATLIMAB-RMBW 3 MG\/1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9283","CodeVersion":"2020","CustomName":"FOOT PRESSURE OFF LOAD\/SUPP DEVICE ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0446","CodeVersion":"2020","CustomName":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0297","CodeVersion":"2020","CustomName":"HOSP BED TOTAL ELEC W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82759","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15132","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"60857","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"33830","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0843","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0401","CodeVersion":"2020","CustomName":"Other Imaging Services - Diagnostic Mammography"},{"ServiceGroup":"40222","CodeType":"REV","Code":"861","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - MEG"},{"ServiceGroup":"20272","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42427","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82289","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0035U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0086U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9525","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106273","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113177","CodeType":"CPT","Code":"0021A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0040U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.44","CodeVersion":"2017","CustomName":"RESECTION OF ABDOMINAL AORTA WITH REPLACEMENT"},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0007M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11072","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1110","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D\/C EARLY"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E08316","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C HEART PERQ APPR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0622","CodeVersion":"2020","CustomName":"PHYSICAL EXAM COLLEGE NEW OR ESTABLISHED PATIENT"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0171","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0037","CodeVersion":"2020","CustomName":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS\/HR IMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1222","CodeVersion":"2020","CustomName":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7630","CodeVersion":"2020","CustomName":"MANDIBLE-OPEN REDUCTION"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2177","CodeVersion":"2020","CustomName":"AC BR EPIS PT NU\/REFILL RX ABX 30 D PRIOR EPS DT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0337","CodeVersion":"2020","CustomName":"HOSPICE EVALUATION & CNSL SERVICES PREELECTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0019","CodeVersion":"2020","CustomName":"ARM PAD REPLACEMENT ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0140","CodeVersion":"2020","CustomName":"WALKER W\/TRUNK SUPPORT ADJUSTBLE\/FIX HT ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9433","CodeVersion":"2020","CustomName":"MED FOOD NUTR CMPL ORAL 100% NUTRITNL INTAKE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1771","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONTINENCE W\/SLING GRAFT"},{"ServiceGroup":"93759","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9070","CodeVersion":"2020","CustomName":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0395","CodeVersion":"2020","CustomName":"FUSION 2\/MORE 3D IMAGES VOLUME 1\/MORE MODALITIES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2916","CodeVersion":"2020","CustomName":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"94781","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7527","CodeVersion":"2020","CustomName":"TRACHEOSTOMY\/LARYNGECTOMY TUBE PLUG\/STOP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1830","CodeVersion":"2020","CustomName":"DYN ADJUSTBL TOE EXT\/FLX DEVC W\/SFT INTRFCE MATL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0275","CodeVersion":"2020","CustomName":"ALPROSTADIL URETHRAL SUPPOSITORY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1023","CodeVersion":"2020","CustomName":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ\/TX PER"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14067","CodeType":"REV","Code":"0989","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - PRIVATE DUTY NURSE"},{"ServiceGroup":"73606","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0180","CodeVersion":"2020","CustomName":"Leave Of Absence - General Classification"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"9526","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"29780","CodeType":"DRG","Code":"555","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3281F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103973","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91590","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0007U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88740","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1001","CodeVersion":"2020","CustomName":"CERV THOR LUMB SACRAL IMMOBLIZR INFANT SZ PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q3031","CodeVersion":"2020","CustomName":"COLLAGEN SKIN TEST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2794","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5411","CodeVersion":"2020","CustomName":"ADJUST COMPLETE DENTUR - MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5114","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0417","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2205","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1017","CodeVersion":"2020","CustomName":"TARGETED CASE MANAGEMENT EACH 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4555","CodeVersion":"2020","CustomName":"ELECTRD\/TRANSDUCR E-STIM DVC USED CA TX RPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0056","CodeVersion":"2020","CustomName":"OPTIMIZING CHRONIC DISEASE MGMNT MIPS VALUE PTHW"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1833","CodeVersion":"2020","CustomName":"INJECTION ISAVUCONAZONIUM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3215","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8696","CodeVersion":"2020","CustomName":"REPAIR OF ORTHODONTIC APPLIANCE - MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9820","CodeVersion":"2020","CustomName":"DOCUMENTATION CHLAMYDIA SCREENING TST PROPER F\/U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1003","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/O SHEAR RDUC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2052","CodeVersion":"2020","CustomName":"SERVICES SUPPLIES IN HOME MEDICARE IVIG DEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8565","CodeVersion":"2020","CustomName":"GEFITINIB ORAL 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0260","CodeVersion":"2020","CustomName":"HOS BED SEMI-ELEC W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2205","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7300","CodeVersion":"2020","CustomName":"INTRAUTERINE COPPER CONTRACEPTIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9074","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST III; ER&PR NEG; NO PROGRESSN"},{"ServiceGroup":"48397","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"104840","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9530","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0438","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2794","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0012","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG OP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7540","CodeVersion":"2020","CustomName":"REMV REACT-PRODUC FB MUSCLOSKEL SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6011","CodeVersion":"2020","CustomName":"SURGICAL ACCESS TO AN IMPLANT BODY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25686","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"79644","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0839","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"42870","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"47250","CodeType":"DRG","Code":"880","CodeVersion":"2020","CustomName":"ACUTE ISCHEMIC STOKE W USE OF THROMBOLYTIC AGENT -NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103538","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3218F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0170U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.0","CodeVersion":"2017","CustomName":"LOW FORCEPS OPERATION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0036U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0168","CodeVersion":"2020","CustomName":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY"},{"ServiceGroup":"104745","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9951","CodeVersion":"2020","CustomName":"OCCLUSAL ADJUSTMENT - LIMITED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4234","CodeVersion":"2020","CustomName":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0371","CodeVersion":"2020","CustomName":"SIALOENDOSCOPY CAPTURE AND INTERPRETATION"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9543","CodeVersion":"2020","CustomName":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7780","CodeVersion":"2020","CustomName":"FACIAL BONES-COMP RDUC FIX & MX SURG APPROACHES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0189","CodeVersion":"2020","CustomName":"TESTOSTERONE PELLET 75 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9277","CodeVersion":"2020","CustomName":"DOC PT D ASP\/ANTI-PLT\/DOC CONTRAIND ASP\/ANTI-PLT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2995","CodeVersion":"2020","CustomName":"INJECTION STREPTOKINASE PER 250000 IU"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4218","CodeVersion":"2020","CustomName":"SURGICORD PER SQ CM"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0516","CodeVersion":"2020","CustomName":"SAFETY EYEGLASS FRAMES"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7307","CodeVersion":"2020","CustomName":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL & SPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2962","CodeVersion":"2020","CustomName":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1110","CodeVersion":"2020","CustomName":"PROPHYLAXIS - ADULT"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0717","CodeVersion":"2020","CustomName":"INJECTION CERTOLIZUMAB PEGOL 1 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1517","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED - BILATERAL, MANDIBULAR"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9271","CodeVersion":"2020","CustomName":"INJECTION PEMBROLIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4019","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2206","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER OVR 6.00D CYL-EA"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1170","CodeVersion":"2020","CustomName":"INJECTION HYDROMORPHONE UP TO 4 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3431","CodeVersion":"2020","CustomName":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0841","CodeVersion":"2020","CustomName":"PWR WC GRP 2 MX PWR SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4709","CodeVersion":"2020","CustomName":"ACID CONCENTRATE SOLUTION HEMODIAL PER GALLON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T5999","CodeVersion":"2020","CustomName":"SUPPLY NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2230","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9349","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY TOCOLYTIC; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4009","CodeVersion":"2020","CustomName":"HOSPITALISTS MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2373","CodeVersion":"2020","CustomName":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK"},{"ServiceGroup":"80260","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"74383","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114581","CodeType":"CPT","Code":"0671T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0353T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0260U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3380F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0533T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3650F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0560T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106708","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.62","CodeVersion":"2017","CustomName":"REPAIR VENTRICULAR SEPTAL DEFECT W\/TISSUE GRAFT"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0167","CodeVersion":"2020","CustomName":"DRONABINOL 2.5 MG ORAL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5341","CodeVersion":"2020","CustomName":"SINGLE AXIS KNEE SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8451","CodeVersion":"2020","CustomName":"BETA-BLOCKER TX LVEF <40% NOT PRSCR RSN DOC CLIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2045","CodeVersion":"2020","CustomName":"HOSPICE GENERAL INPATIENT CARE; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9972","CodeVersion":"2020","CustomName":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8923","CodeVersion":"2020","CustomName":"TTE FLW W\/CNTRST R-T DOC 2D INCL M-MODE REC CMPL"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1887","CodeVersion":"2020","CustomName":"CATHETER GUIDING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2235","CodeVersion":"2020","CustomName":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3430","CodeVersion":"2020","CustomName":"INJECTION PHYTONADIONE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2275","CodeVersion":"2020","CustomName":"ADD LW EXTRM VARUS\/VULGUS CORR PLSTC MOD PADD\/LN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1881","CodeVersion":"2020","CustomName":"DIALYSIS ACCESS SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1896","CodeVersion":"2020","CustomName":"LEAD CARDIOVRT-DFIB NOT ENDOCARDIAL 1\/DUL COIL"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2020","CodeVersion":"2020","CustomName":"KAFO DBL UPRT SOLID STIRUP THI&CALF CSTM FAB"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0033","CodeVersion":"2020","CustomName":"2< BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1896","CodeVersion":"2020","CustomName":"LEAD CARDIOVRT-DFIB NOT ENDOCARDIAL 1\/DUL COIL"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7169","CodeVersion":"2020","CustomName":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2760","CodeVersion":"2020","CustomName":"SCRATCH RESISTANT COATING PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0165","CodeVersion":"2020","CustomName":"COMMODE CHAIR MOBILE\/STATIONARY W\/DETACHBLE ARMS"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7362","CodeVersion":"2020","CustomName":"BATTERY CHARGER 6 VOLT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9723","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR"},{"ServiceGroup":"31931","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0975","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OPERATING ROOM"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0383","CodeVersion":"2020","CustomName":"Blood and Blood Components - Plasma"},{"ServiceGroup":"40403","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"28015","CodeType":"DRG","Code":"466","CodeVersion":"2020","CustomName":"Aftercare without history of malignancy as secondary diagnosis"},{"ServiceGroup":"29294","CodeType":"DRG","Code":"945","CodeVersion":"2020","CustomName":"Rehabilitation with CC\/MCC"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.52","CodeVersion":"2017","CustomName":"APPLICATION OF NECK SUPPORT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.32","CodeVersion":"2017","CustomName":"EXCISION OF ANEURYSM OF HEART"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0044A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3750F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4054F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69926","CodeType":"CPT","Code":"93642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0243T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0250U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"98926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67990","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0628T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21784","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37593","CodeType":"ICD9P","Code":"41.05","CodeVersion":"2017","CustomName":"ALLO HEMATOPO STEM CELL TRANSPLT W\/O PURG"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0347U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"0042T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28623","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21818","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38352","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105757","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87054","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.62","CodeVersion":"2017","CustomName":"REPR CURRNT OBSTETRIC LAC RECT&SPHNCTR ANI"},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1020","CodeVersion":"2020","CustomName":"NONINVASIVE VAGUS NERVE STIMULATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0917","CodeVersion":"2020","CustomName":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B9999","CodeVersion":"2020","CustomName":"NOC FOR PARENTERAL SUPPLIES"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7170","CodeVersion":"2020","CustomName":"INJECTION EMICIZUMAB-KXWH 0.5 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7050","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 250 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6211","CodeVersion":"2020","CustomName":"PONTIC - CAST PREDOM BASE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6060","CodeVersion":"2020","CustomName":"ABUT PORCLN TO METL CROWN BASE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0201","CodeVersion":"2020","CustomName":"COVID-19 VACCINE ADM INSIDE PATIENT'S HOME;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1301","CodeVersion":"2020","CustomName":"INJECTION EDARAVONE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0486","CodeVersion":"2020","CustomName":"MON CNTRL CABLE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8922","CodeVersion":"2020","CustomName":"TTE W\/CONTRAST OR W\/O FLW W\/CONTRAST; F\/U OR LTD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4162","CodeVersion":"2020","CustomName":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7650","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3257","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7131","CodeVersion":"2020","CustomName":"HYPERTONIC SALINE SOLUTION 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1701","CodeVersion":"2020","CustomName":"PFIZER-BIONTECH COVID-19"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9918","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS NOT PERFORMED REASON NOS"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7607","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0315","CodeVersion":"2020","CustomName":"BED ACCESS: BOARD TABLE\/SUPPORT DEVICE ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4251","CodeVersion":"2020","CustomName":"VIM PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8909","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST CHEST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0177","CodeVersion":"2020","CustomName":"TRN&ED REL CARE&TX PTS DISABL MENTL HLTH-SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0326","CodeVersion":"2020","CustomName":"URINAL; FEMALE JUG-TYPE ANY MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0510","CodeVersion":"2020","CustomName":"PHARM SPL FEE INIT IMS DRUG 1ST MO FLW TRANSPLNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2069","CodeVersion":"2020","CustomName":"MED ASST TX BUPRENORPHINE INJ; WEEKLY BUNDLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8930","CodeVersion":"2020","CustomName":"E-STIM AUR ACUPUNCT PNTS; EA 15 MIN 1-1 CNTC PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0261","CodeVersion":"2020","CustomName":"HOS BED SEMI-ELEC ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7629","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0188","CodeVersion":"2020","CustomName":"SYNTHETIC SHEEPSKIN PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5848","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0604","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7682","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8783","CodeVersion":"2020","CustomName":"NORMAL BLOOD PRESS READING DOC F\/U NOT REQUIRED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2799","CodeVersion":"2020","CustomName":"INTERIM CR - FUR TX\/COMPL DX NES PRI FINAL IMP"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0596","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U"},{"ServiceGroup":"83824","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1195","CodeVersion":"2020","CustomName":"HEVY DUTY WHLCHAIR; FIX FULL ARMS DTACHBL LEGRST"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9991","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE EXT-RLSE <\/= TO 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8735","CodeVersion":"2020","CustomName":"ELDER MALTX SCR DOC POS F\/U NOT DOC RSN NOT GIVN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2642","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAMIC - 2 SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9474","CodeVersion":"2020","CustomName":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0270","CodeVersion":"2020","CustomName":"HOSP BED INSTITUTIONAL TYPE: W\/MATTRSS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6940","CodeVersion":"2020","CustomName":"ELB DISARTIC OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4015","CodeVersion":"2020","CustomName":"CMPL IN VITRO FERTILIZATION CYCLE CASE RATE NOS"},{"ServiceGroup":"42404","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4007","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER"},{"ServiceGroup":"45924","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9490","CodeVersion":"2020","CustomName":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"30267","CodeType":"HCPCS","Code":"E0694","CodeVersion":"2020","CustomName":"UV MX DIR LT TX SYS 6 FT CABINET W\/BULB\/LAMP TMR"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0FF9XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION COMMON BILE DUCT EXTERNAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2358","CodeVersion":"2020","CustomName":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9451","CodeVersion":"2020","CustomName":"EXERCISE CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8648","CodeVersion":"2020","CustomName":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE <0"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"12116","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0960","CodeVersion":"2020","CustomName":"Professional Fees - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0823","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"70047","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0311","CodeVersion":"2020","CustomName":"Laboratory Pathology - Cytology"},{"ServiceGroup":"74999","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0720","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"63","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"44105","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"30165","CodeType":"REV","Code":"0384","CodeVersion":"2020","CustomName":"Blood and Blood Components - Platelets"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0269","CodeVersion":"2020","CustomName":"IV Therapy - Other IV Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0822","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"245","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"200","CodeVersion":"2020","CustomName":"Hepatobiliary diagnostic procedure for non-malignancy"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"517","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures without acute myocardial infarction (AMI) with coronary artery stent implant"},{"ServiceGroup":"92622","CodeType":"DRG","Code":"268","CodeVersion":"2020","CustomName":"Skin, subcutaneous tissue, and breast plastic procedures"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14552","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93061","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42762","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89983","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51","CodeType":"ICD9P","Code":"81.55","CodeVersion":"2017","CustomName":"REVISION OF KNEE REPLACEMENT NOS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107096","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28285","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107640","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92407","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84931","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4480F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96919","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13739","CodeType":"ICD9P","Code":"20.98","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT COCHLEAR PROSTH DEVICE MX CHANNEL"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0691T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0283T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.11","CodeVersion":"2017","CustomName":"CARDIOTOMY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0416T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93006","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16242","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82746","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6713","CodeVersion":"2020","CustomName":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0369","CodeVersion":"2020","CustomName":"MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0588","CodeVersion":"2020","CustomName":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9755","CodeVersion":"2020","CustomName":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6531","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 30-40 MMHG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0290","CodeVersion":"2020","CustomName":"INJECTION AMPICILLIN SODIUM 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0274","CodeVersion":"2020","CustomName":"BITEWINGS - FOUR RADIOGRAPHIC IMAGES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2182","CodeVersion":"2020","CustomName":"INJECTION MEPOLIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2218","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4024","CodeVersion":"2020","CustomName":"PEDIATRICS MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9915","CodeVersion":"2020","CustomName":"NO RECORD OF HBV RESULTS DOCUMENTED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5160","CodeVersion":"2020","CustomName":"EMERGENCY RESPONSE SYSTEM; INSTALLATION&TESTING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1113","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0369","CodeVersion":"2020","CustomName":"MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7325","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV SYNVISC\/SYNVISC-ONE IA INJ 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6100","CodeVersion":"2020","CustomName":"SURGICAL REMOVAL OF IMPLANT BODY"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0170","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1245","CodeVersion":"2020","CustomName":"INJECTION DIPYRIDAMOLE PER 10 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0182","CodeVersion":"2020","CustomName":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4100","CodeVersion":"2020","CustomName":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1833","CodeVersion":"2020","CustomName":"INJECTION ISAVUCONAZONIUM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4208","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 3 CC EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9772","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/PERC TIB\/PER ART IVASC LITHOTRIPSY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9527","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IODIDE SOL TX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1013","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4176","CodeVersion":"2020","CustomName":"NEOPATCH OR THERION 1 SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2209","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9288","CodeVersion":"2020","CustomName":"DOC MED REASON NOT REPORT H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8047","CodeVersion":"2020","CustomName":"NASAL SEPTAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"E0783","CodeVersion":"2020","CustomName":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE"},{"ServiceGroup":"14654","CodeType":"ICD10P","Code":"0SWB3JZ","CodeVersion":"2020","CustomName":"REVISION SYNTH SUBST LT HIP JOINT PERQ APPRCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6722","CodeVersion":"2020","CustomName":"RETAINER CROWN - RESIN WITH NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9832","CodeVersion":"2020","CustomName":"AJCC STG BC DX = I & T-STG DOES NOT = T1 T1A T1B"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4256","CodeVersion":"2020","CustomName":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION\/CHIPS"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0329","CodeVersion":"2020","CustomName":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3470","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE UP TO 150 UNITS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39524","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5299","CodeVersion":"2020","CustomName":"HEARING SERVICE MISCELLANEOUS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5520","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC\/=DIR FORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5500","CodeVersion":"2020","CustomName":"DIAB ONLY FIT CSTM PREP&SPL SHOE MX DNSITY INSRT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4392","CodeVersion":"2020","CustomName":"REPLACEMENT SOFT INTERFACE MATERIAL STATIC AFO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4558","CodeVersion":"2020","CustomName":"CONDUCTIVE GEL\/PASTE FOR USE W\/ELECTRICAL DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1637","CodeVersion":"2020","CustomName":"HEMOSTATS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9504","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL; Q4 HRS; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5634","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4226","CodeVersion":"2020","CustomName":"MYOWN SKIN INCL HARVEST & PREP PROC PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5638","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9044","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB NOS 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6512","CodeVersion":"2020","CustomName":"COMPRESSION BURN GARMENT NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9100","CodeVersion":"2020","CustomName":"PATHOGEN TEST FOR PLATELETS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1012","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM AGILEMD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9050","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS VST; WRKUP EVAL\/STAG@TM DX\/RECUR"},{"ServiceGroup":"7","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"15158","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"40222","CodeType":"REV","Code":"891","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X and 063X - Special Processed Drugs - FDA Approved Cell Therapy"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"50905","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"3660","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"12197","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"75503","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0669","CodeVersion":"2020","CustomName":"Respite Care - Other Respite Care"},{"ServiceGroup":"701","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0834","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0874","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Infusion of Modified Cells"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0539","CodeVersion":"2020","CustomName":"Osteopathic Services - Other Osteopathic Services"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0964","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (CRNA)"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"164","CodeVersion":"2020","CustomName":"Appendectomy with complicated principal diagnosis with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"987","CodeVersion":"2020","CustomName":"Nonextensive O.R. Procedure Unrelated to Principal Diagnosis with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"040","CodeVersion":"2020","CustomName":"Extraocular procedures, except orbit, age greater than 17"},{"ServiceGroup":"91658","CodeType":"DRG","Code":"796","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/ CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91003","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62361","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109965","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3725F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0265U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.09","CodeVersion":"2017","CustomName":"OTHER RADIOISOTOPE FUNCTION STUDIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0589T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0519F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0002U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0055U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98686","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92086","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0061U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0082U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107657","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115367","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7508","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8933","CodeVersion":"2020","CustomName":"MR ANGIO NO CONTRST FLW W\/CONTRST SP CANAL CNTN"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0202","CodeVersion":"2020","CustomName":"INJECTION ALEMTUZUMAB 1 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2118","CodeVersion":"2020","CustomName":"ANISEIKONIC LENS SINGLE VISION"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"104839","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7910","CodeVersion":"2020","CustomName":"SUTURE RECENT SMALL WOUNDS UP 5 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7006","CodeVersion":"2020","CustomName":"ADMIN SET W\/SMALL VOLUME FILTR PNEUMAT NEBULIZR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1324","CodeVersion":"2020","CustomName":"INJECTION ENFUVIRTIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0438","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0445","CodeVersion":"2020","CustomName":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2650","CodeVersion":"2020","CustomName":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4018","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0702","CodeVersion":"2020","CustomName":"2-D CEPHALOMETRIC RAD IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3250","CodeVersion":"2020","CustomName":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2359","CodeVersion":"2020","CustomName":"PWR WC ACCESSORY GRP 34 SEALED LEAD ACID BATT EA"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2022","CodeVersion":"2020","CustomName":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9138","CodeVersion":"2020","CustomName":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2224","CodeVersion":"2020","CustomName":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0161","CodeVersion":"2020","CustomName":"SITZ TYPE BATH\/EQP PRTBLE USED W\/FAUCET ATTCHS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5634","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D07Z5","CodeVersion":"2020","CustomName":"EXTRACTION POC HIGH FORCEPS NATURAL\/ART OPENING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2786","CodeVersion":"2020","CustomName":"INJECTION RESLIZUMAB 1 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0642","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7028","CodeVersion":"2020","CustomName":"ORAL CUSHION COMB ORAL\/NASAL MASK REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1150","CodeVersion":"2020","CustomName":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9270","CodeVersion":"2020","CustomName":"NONCOVERED ITEM OR SERVICE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2292","CodeVersion":"2020","CustomName":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8042","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9055","CodeVersion":"2020","CustomName":"PLT LEUKOCYTES RDUC CMV-NEG APHERES\/PHERES EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0180","CodeVersion":"2020","CustomName":"PHYS\/ALLOWED PRAC CERT MCR-COV HHS UNDER HH POC"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0368","CodeVersion":"2020","CustomName":"CONE BEAM CT CAP&INTEPR TMJ SERIES 2\/> EXPOSURES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1620","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9824","CodeVersion":"2020","CustomName":"ENDOMETRIAL SMP\/HYSTEROSCPY BX & RSLT NT DOC 12M"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4205","CodeVersion":"2020","CustomName":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0255","CodeVersion":"2020","CustomName":"CURRNT PERCEPT THRESHOLD\/SNCT PER LIMB ANY NERVE"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6100","CodeVersion":"2020","CustomName":"SURGICAL REMOVAL OF IMPLANT BODY"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"30461","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"29893","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"184","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"33269","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"80098","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"13881","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"306","CodeVersion":"2020","CustomName":"Prostatectomy with CC"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"504","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft"},{"ServiceGroup":"107734","CodeType":"DRG","Code":"798","CodeVersion":"2020","CustomName":"TUBERCULOSIS W\/ OPERATING ROOM PROCEDURES-NYDRG"},{"ServiceGroup":"20293","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.2","CodeVersion":"2017","CustomName":"MID FORCEPS OPERATION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53745","CodeType":"CPT","Code":"90657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113673","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0334U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14514","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1128F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3725F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88858","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105551","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37591","CodeType":"ICD9P","Code":"41","CodeVersion":"2017","CustomName":"OPERATIONS ON BONE MARROW AND SPLEEN"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91866","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3756F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0012M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0110U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0529F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0494T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36591","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99176","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91892","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0689T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91583","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0525T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104097","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4139","CodeVersion":"2020","CustomName":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9040","CodeVersion":"2020","CustomName":"INJECTION BLEOMYCIN SULFATE 15 UNITS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"113637","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1720","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOS TRILAT TACHDIJAN CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5288","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC PERS FM\/DM TRANSMITTER ALD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9890","CodeVersion":"2020","CustomName":"BRDG PMT:1ST MDPP CS C\/OM S SPL BNF MO 1-24 EM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7299","CodeVersion":"2020","CustomName":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1305","CodeVersion":"2020","CustomName":"INJECTION EVINACUMAB-DGNB 5MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0220","CodeVersion":"2020","CustomName":"MED CONF PHYS W\/TEAM HLTH PROF PT CARE; 30 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2067","CodeVersion":"2020","CustomName":"BRST RECON 1 BRST DIEP FLAP(S)&\/GAP FLAP(S) UNI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9783","CodeVersion":"2020","CustomName":"BLINDED PROC TC IMP CS RD DVCE\/PLACEBO CONTROL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4670","CodeVersion":"2020","CustomName":"AUTOMATIC BLOOD PRESSURE MONITOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4244","CodeVersion":"2020","CustomName":"PROCENTA PER 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2322","CodeVersion":"2020","CustomName":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1944","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9134","CodeVersion":"2020","CustomName":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0465","CodeVersion":"2020","CustomName":"AUTOLOG PRP DIAB CHRON WOUND\/ULCER FDA CLEAR DEV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0150","CodeVersion":"2020","CustomName":"COMP ORAL EVALUATION - NEW\/EST PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5130","CodeVersion":"2020","CustomName":"BINAURAL IN THE EAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2800","CodeVersion":"2020","CustomName":"INJECTION METHOCARBAMOL UP TO 10 ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4132","CodeVersion":"2020","CustomName":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7667","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4381","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH"},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J2405","CodeVersion":"2020","CustomName":"INJECTION ONDANSETRON HCL PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8220","CodeVersion":"2020","CustomName":"FIXED APPLIANCE THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1021","CodeVersion":"2020","CustomName":"HOME HEALTH AIDE\/CERTIFIED NURSE ASST PER VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0005","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; GROUP CNSL CLINICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9178","CodeVersion":"2020","CustomName":"INJECTION EPIRUBICIN HCL 2 MG"},{"ServiceGroup":"33152","CodeType":"ICD10P","Code":"DG20DZZ","CodeVersion":"2020","CustomName":"STEREOTACTIC OTH PHOTON RADIOSURGERY PITUITARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0428","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1960","CodeVersion":"2020","CustomName":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2850","CodeVersion":"2020","CustomName":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9009","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8916","CodeVersion":"2020","CustomName":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9020","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE 10000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9986","CodeVersion":"2020","CustomName":"MISSED APPOINTMENT"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4090","CodeVersion":"2020","CustomName":"REPLACE METAL BANDS KAFO-AFO CALF\/DISTAL THIGH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2787","CodeVersion":"2020","CustomName":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9443","CodeVersion":"2020","CustomName":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1990","CodeVersion":"2020","CustomName":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2274","CodeVersion":"2020","CustomName":"INJECTION MS PRES-FREE EPID\/INTRATHECL USE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4455","CodeVersion":"2020","CustomName":"ADHESIVE REMOVER OR SOLVENT PER OUNCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0770","CodeVersion":"2020","CustomName":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8990","CodeVersion":"2020","CustomName":"PHYSICAL\/MANIP TX MAINT RATHER THAN RESTORATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1830","CodeVersion":"2020","CustomName":"DYN ADJUSTBL TOE EXT\/FLX DEVC W\/SFT INTRFCE MATL"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0489","CodeVersion":"2020","CustomName":"POWER PACK BASE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9859","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2020","CodeVersion":"2020","CustomName":"DAY HABILITATION WAIVER; PER DIEM"},{"ServiceGroup":"48394","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0850","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6655","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2700","CodeVersion":"2020","CustomName":"BALANCE LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5760","CodeVersion":"2020","CustomName":"RELINE MAXILLARY PARTIAL DENTURE INDIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9960","CodeVersion":"2020","CustomName":"AMB SERVICE AIR NONEMERGENCY 1 WAY FIXED WING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0694","CodeVersion":"2020","CustomName":"INJECTION CEFOXITIN SODIUM 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9728","CodeVersion":"2020","CustomName":"PLCMT INTERSTITIAL DEV NOT ABD PELV PROS RP THOR"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4385","CodeVersion":"2020","CustomName":"OST SKN BARRIER SOLID 4X4 EXT W\/O CONVXITY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4452","CodeVersion":"2020","CustomName":"TAPE WATERPROOF PER 18 SQUARE INCHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9348","CodeVersion":"2020","CustomName":"HIT SYMPATHOMIMETIC\/INOTROPIC AGENT PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2542","CodeVersion":"2020","CustomName":"ONLAY - METALLIC - TWO SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9976","CodeVersion":"2020","CustomName":"LODGING PER DIEM NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"REV","Code":"695","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - INPATIENT CARE"},{"ServiceGroup":"36093","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"10111","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0600","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - General Classification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"25535","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"11919","CodeType":"REV","Code":"0811","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Living Donor"},{"ServiceGroup":"68187","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"196","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"440","CodeVersion":"2020","CustomName":"Wound debridements for injuries"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"743","CodeVersion":"2020","CustomName":"OPIOID ABUSE OR DEPENDENCE LEFT AGAINST MEDICAL ADVICE-NYDRG"},{"ServiceGroup":"47250","CodeType":"DRG","Code":"876","CodeVersion":"2020","CustomName":"CHEMO W ACUTE LEUK AS SDX OR W USE OF HIGH DOSE CHEMO AGENT-NYDRG"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"69679","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"9007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51066","CodeType":"CPT","Code":"99239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.55","CodeVersion":"2017","CustomName":"DENTAL WIRING"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31773","CodeType":"CPT","Code":"93540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40945","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0331T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92194","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107121","CodeType":"CPT","Code":"41520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46583","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4255F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89883","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3515F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0440T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0209U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0591T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0170U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37202","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0683T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3351F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87062","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99148","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115366","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0430T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107136","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0509F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2145","CodeVersion":"2020","CustomName":"FUNC ST ODI 3MO PO >=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4227","CodeVersion":"2020","CustomName":"AMNIOCORETM PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2210","CodeVersion":"2020","CustomName":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0171","CodeVersion":"2020","CustomName":"INJECTION ADRENALIN EPINEPHRINE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1034","CodeVersion":"2020","CustomName":"ARTIF PANCREAS DEVC SYS THAT CMNCT W\/ALL DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2390","CodeVersion":"2020","CustomName":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6248","CodeVersion":"2020","CustomName":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ"},{"ServiceGroup":"113552","CodeType":"HCPCS","Code":"U0004","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/COVID-19 ANY T"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8970","CodeVersion":"2020","CustomName":"NO RISK FACTOR\/1 MOD RISK FACTOR THROMBOEMBOLISM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2171","CodeVersion":"2020","CustomName":"PERQ AVF DIR ANY SITE MAG-GD ART&V CATH & RF E"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5119","CodeVersion":"2020","CustomName":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1572","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3350","CodeVersion":"2020","CustomName":"INJECTION UREA UP TO 40 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3995","CodeVersion":"2020","CustomName":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE\/EQUAL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0561","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7008","CodeVersion":"2020","CustomName":"LG VOL NEBULIZR DISPBL PREFIL W\/AROSL COMPRS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1645","CodeVersion":"2020","CustomName":"INJECTION DALTEPARIN SODIUM PER 2500 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6507","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2699","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE NONSTRANDED NOS PER SOURCE"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"76094","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9988","CodeVersion":"2020","CustomName":"SERV PROVIDED AS PART OF PHASE 1 CLINICAL TRIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4216","CodeVersion":"2020","CustomName":"ARTACENT CORD PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4049","CodeVersion":"2020","CustomName":"FINGER SPLINT STATIC"},{"ServiceGroup":"50905","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5114","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG"},{"ServiceGroup":"91584","CodeType":"HCPCS","Code":"C9604","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG COMB DE IC STNT; 1 VES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8915","CodeVersion":"2020","CustomName":"PT DOC NOT EXPERNCD HOSP TRNSF\/ADM UPON D\/C ASC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1130","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE BC PT SELF DISCH EARLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2628","CodeVersion":"2020","CustomName":"ADD LW EXT PELV METL FRME RECIP HIP JNT&CABLES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8501","CodeVersion":"2020","CustomName":"APREPITANT ORAL 5 MG"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4990","CodeVersion":"2020","CustomName":"NICOTINE PATCHES LEGEND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7017","CodeVersion":"2020","CustomName":"NEB GLASS\/AUTOCLAV NOT USE W\/O2"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2023","CodeVersion":"2020","CustomName":"TARGETED CASE MANAGEMENT; PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0470","CodeVersion":"2020","CustomName":"FED QUAL HEALTH CNTR VST MENTAL HEALTH ESTAB PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6051","CodeVersion":"2020","CustomName":"INTERIM IMPLANT ABUTMENT PLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9416","CodeVersion":"2020","CustomName":"PATIENT HAD 1 TET DT & TDAP ON\/BTW PT 10 & 13 BD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6955","CodeVersion":"2020","CustomName":"ABVE ELB OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0007","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; CRISIS INTERVENTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7285","CodeVersion":"2020","CustomName":"BIOPSY OF ORAL TISSUE HARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5649","CodeVersion":"2020","CustomName":"ADD LW EXT ISCHIAL CONTAINMENT\/NARROW M-L SOCKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9482","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 20 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9708","CodeVersion":"2020","CustomName":"WOMEN WHO HAD BIL MASTECTOMY\/HX BIL MASTECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1438","CodeVersion":"2020","CustomName":"INJECTION ETANERCEPT 25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0597","CodeVersion":"2020","CustomName":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2250","CodeVersion":"2020","CustomName":"INTRAVERTEBRAL BODY FX AUGMENTATION W\/IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9785","CodeVersion":"2020","CustomName":"PATH RPRT CUT BCC SCC\/MM RVW W\/I 7 D RECV PATH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1015","CodeVersion":"2020","CustomName":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH"},{"ServiceGroup":"14566","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0670","CodeVersion":"2020","CustomName":"Outpatient Special Residence Charges - General Classification"},{"ServiceGroup":"9541","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"551","CodeVersion":"2020","CustomName":"PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR CARDIOVASCULAR DIAGNOSIS OR AICD LEAD OR GENERATOR"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"379","CodeVersion":"2020","CustomName":"Threatened abortion"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.4","CodeVersion":"2017","CustomName":"FORCEPS ROTATION OF FETAL HEAD"},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91458","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102959","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.1","CodeVersion":"2017","CustomName":"ENDARTERECTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0071U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"96.72","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT 96 CONSECUTIVE HRS\/MORE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100275","CodeType":"CPT","Code":"90733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0042T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52955","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0245T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0269T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0224U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0336U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0238T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91528","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115220","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0339T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72120","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87201","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61558","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0145","CodeVersion":"2020","CustomName":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2232","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4229","CodeVersion":"2020","CustomName":"COGENEX AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5671","CodeVersion":"2020","CustomName":"REPL ALL TEETH&ACRYLC FRMEWRK MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6549","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STOCKING\/SLEEVE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8724","CodeVersion":"2020","CustomName":"PT CAT PN CAT&HISTOL GR NOT DOC PATH RPT NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1017","CodeVersion":"2020","CustomName":"HEVY DUTY SHOCK ABSORBR HEVY\/XTRA HEVY MNL WC EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5284","CodeVersion":"2020","CustomName":"ASSIST LIST DEVICE PERS FM\/DM EAR LEVEL RECEIVER"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4012","CodeVersion":"2020","CustomName":"INTERVENTIONAL RADIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0501","CodeVersion":"2020","CustomName":"SHOWER COVER ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5105","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 100 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6890","CodeVersion":"2020","CustomName":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W\/FIT&ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0659","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8704","CodeVersion":"2020","CustomName":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0076","CodeVersion":"2020","CustomName":"BRIEF CARE MANAGEMENT HOME VISIT NEW PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2009","CodeVersion":"2020","CustomName":"COMP 60 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0418","CodeVersion":"2020","CustomName":"ANALYSIS OF SALIVA SAMPLE"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6101","CodeVersion":"2020","CustomName":"DEBR PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6670","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6881","CodeVersion":"2020","CustomName":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2083","CodeVersion":"2020","CustomName":"OFF\/OTH OP E&M EST PT PROV>56 MG ESKETAMINE N SA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5050","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL IN THE EAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9741","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9303","CodeVersion":"2020","CustomName":"INJECTION PANITUMUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4157","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1560","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6645","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1322","CodeVersion":"2020","CustomName":"INJECTION ELOSULFASE ALFA 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5979","CodeVersion":"2020","CustomName":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2957","CodeVersion":"2020","CustomName":"EA ADD PREFABR POST - SAME TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1320","CodeVersion":"2020","CustomName":"TOBACCO CNSL CNTRL&PREVION ORL DZ"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0308","CodeVersion":"2020","CustomName":"CREAT SUBQ PKT INSRT 180 D IMPL INTERST GLU SNSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2933","CodeVersion":"2020","CustomName":"PRFABR STNLSS STEEL CROWN RSN WNDOW"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0500","CodeVersion":"2020","CustomName":"INJECTION DICYCLOMINE HCL UP TO 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2341","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5678","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9025","CodeVersion":"2020","CustomName":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0302","CodeVersion":"2020","CustomName":"CMPL EARLY PERIODIC SCREENING DX&TX SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0200","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLRY: LODGNG-ESCORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6413","CodeVersion":"2020","CustomName":"ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0257","CodeVersion":"2020","CustomName":"CNSL&DISCUSS ADV DIRCTV\/EOL CARE PT&\/SURROGATE"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9290","CodeVersion":"2020","CustomName":"INJECTION BUPIVACAINE LIPOSOME 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0419","CodeVersion":"2020","CustomName":"ASSESSMENT OF SALIVARY FLOW BY MEASUREMENT"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8515","CodeVersion":"2020","CustomName":"CABERGOLINE ORAL 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7327","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE MONOVISC IA INJ PER DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8520","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 150 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1054","CodeVersion":"2020","CustomName":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2004","CodeVersion":"2020","CustomName":"COMP 60 MINUTES IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4418","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOS; W\/O BARRIER ATTCH W\/FILTER EA"},{"ServiceGroup":"104316","CodeType":"HCPCS","Code":"C9600","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA\/BR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6628","CodeVersion":"2020","CustomName":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK\/="},{"ServiceGroup":"40222","CodeType":"REV","Code":"0333","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Radiation Therapy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"22811","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"38002","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"439","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"22092","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9438","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"188","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"3102","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"34865","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0994","CodeVersion":"2020","CustomName":"Patient Convenience Items - TV\/Radio"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"14951","CodeType":"DRG","Code":"123","CodeVersion":"2020","CustomName":"Circulatory disorders with acute MI, expired"},{"ServiceGroup":"91658","CodeType":"DRG","Code":"797","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/OUT CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0222U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77278","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104262","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89847","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6506","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5640","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1130","CodeVersion":"2020","CustomName":"STD WHLCHAIR; FIX FULL-LEN ARMS DTACHBL FOOTRSTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9130","CodeVersion":"2020","CustomName":"DACARBAZINE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8838","CodeVersion":"2020","CustomName":"PATIENT NOT D\/C TO HOME BY POSTOP DAY #2 FLW CEA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6098","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETN - PORC FU TO PDMT BASE ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9011","CodeVersion":"2020","CustomName":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9025","CodeVersion":"2020","CustomName":"INJECTION AZACITIDINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8693","CodeVersion":"2020","CustomName":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2170","CodeVersion":"2020","CustomName":"INJECTION MECASERMIN 1 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9147","CodeVersion":"2020","CustomName":"OP IV INSULIN TX MEASURE: RQ; &\/UUN; &\/GLU; &\/K+"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3425","CodeVersion":"2020","CustomName":"APICOECTOMY - MOLAR FIRST ROOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0433","CodeVersion":"2020","CustomName":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3920","CodeVersion":"2020","CustomName":"HEMISECTION NOT INCL RC THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2181","CodeVersion":"2020","CustomName":"BMI NOT DOC D\/T MED RSN\/PT REFUS HGT\/WGT MSR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7364","CodeVersion":"2020","CustomName":"TWELVE VOLT BATTERY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7699","CodeVersion":"2020","CustomName":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0087","CodeVersion":"2020","CustomName":"COMPREHENSIVE CARE MGMT HOME CARE PLAN OVERSIGHT"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10D07Z6","CodeVersion":"2020","CustomName":"EXTRACTION POC VACUUM VIA NATURAL\/ARTIF OPENING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2353","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5914","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS"},{"ServiceGroup":"3358","CodeType":"ICD10P","Code":"06HM33Z","CodeVersion":"2020","CustomName":"INSERTION INFUS DEVICE RT FEMORAL VEIN PERQ"},{"ServiceGroup":"42871","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"25346","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"58642","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"17075","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"73605","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"11108","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"33230","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"43986","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"88.53","CodeVersion":"2017","CustomName":"ANGIOCARDIOGRAPHY OF LEFT HEART STRUCTURES"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99148","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93088","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3224","CodeVersion":"2020","CustomName":"ORTHOPED FOOTWEAR WOMAN SHOE OXFRD PART BRACE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9794","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN\/OTH AP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2952","CodeVersion":"2020","CustomName":"POST AND CORE ADDITION TO CROWN INDIRECTLY FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0209","CodeVersion":"2020","CustomName":"WHEELCHAIR VAN MILEAGE PER MILE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9551","CodeVersion":"2020","CustomName":"FINAL RPT IMAG STDY W\/O INCIDENTAL FND LES NOTED"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9045","CodeVersion":"2020","CustomName":"INJECTION CARBOPLATIN 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0861","CodeVersion":"2020","CustomName":"ADD HALO PROC REPLCMT LINER\/INTERFCE MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0433","CodeVersion":"2020","CustomName":"PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9603","CodeVersion":"2020","CustomName":"PERQ TL COR ATHERECT; EA ADD BR MAJ CORONARY ART"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2760","CodeVersion":"2020","CustomName":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1644","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 1000 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4159","CodeVersion":"2020","CustomName":"AFFINITY PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1027","CodeVersion":"2020","CustomName":"FAMILY TRAIN & COUNSEL CHILD DEVELOPMENT 15 MINS"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5253","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9771","CodeVersion":"2020","CustomName":"AT LEAST 1 BODY TEMPERATURE MSR =\/>35.5 DEG CELS"},{"ServiceGroup":"73283","CodeType":"HCPCS","Code":"G0339","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4382","CodeVersion":"2020","CustomName":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0885","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4032","CodeVersion":"2020","CustomName":"RHEUMATOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0118","CodeVersion":"2020","CustomName":"CRUTCH SUBST LOWER LEG PLATFORM W\/WO WHEELS EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8560","CodeVersion":"2020","CustomName":"ETOPOSIDE ORAL 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1883","CodeVersion":"2020","CustomName":"ADAPTOR\/EXT PACING LEAD\/NEUROSTIMULATOR LEAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8923","CodeVersion":"2020","CustomName":"LVEF< 40%\/DOC MOD\/SEV DPRSD LT VENT SYSTOLIC FCN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2610","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAMIC - 1 SURFACE"},{"ServiceGroup":"9889","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"9506","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"33826","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"13903","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"22404","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"024","CodeVersion":"2020","CustomName":"Seizure and headache, age greater than 17 with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"950","CodeVersion":"2020","CustomName":"Aftercare without CC\/MCC"},{"ServiceGroup":"51263","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93018","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105759","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0208T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"0195U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0351U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0662T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0538T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98499","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0617T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72","CodeVersion":"2017","CustomName":"FORCEPS VACUUM AND BREECH DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90398","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107123","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4138","CodeVersion":"2020","CustomName":"BIODFENCE DRYFLEX PER SQ CM"},{"ServiceGroup":"90341","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0353","CodeVersion":"2020","CustomName":"TX PLANNING CARE COORDINATION MGMT CANCR INIT TX"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9212","CodeVersion":"2020","CustomName":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9025","CodeVersion":"2020","CustomName":"INJECTION AZACITIDINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4020","CodeVersion":"2020","CustomName":"OPHTHALMOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1631","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL DECANOATE PER 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2830","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH SFT INTERFCE MOLD ABVE KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0257","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1982","CodeVersion":"2020","CustomName":"CATHETER PRES GENERAT 1-WAY VALV INTERMIT OCCL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5925","CodeVersion":"2020","CustomName":"ADD ENDOSKEL AK-DISARTIC\/HIP DISARTIC MNL LOCK"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5910","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1778","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1620","CodeVersion":"2020","CustomName":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4736","CodeVersion":"2020","CustomName":"TOPICAL ANESTHETIC FOR DIALYSIS PER GRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4197","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 74-100 GM PROT"},{"ServiceGroup":"78377","CodeType":"HCPCS","Code":"H0009","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; ACUTE DTOX HOSP IP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1891","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE PERMANENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9900","CodeVersion":"2020","CustomName":"SRVC JOURNAL-LISTED CS PRACT HEALING PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2214","CodeVersion":"2020","CustomName":"INIT\/SUB PSY CCM 1ST 30 M IN MO OF BH CARE ACTY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2086","CodeVersion":"2020","CustomName":"OFF-BASED TX OPIOID USE D\/O; AL 70 MIN 1ST CA MO"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0775","CodeVersion":"2020","CustomName":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5506","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/OFF SET HEEL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4043","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7799","CodeVersion":"2020","CustomName":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"31539","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"51962","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"34346","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"041","CodeVersion":"2020","CustomName":"Extraocular procedures, except orbit, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.98","CodeVersion":"2017","CustomName":"OTHER CONTROL ATMOSPHERIC PRESSURE&COMPOSITION"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4043F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94882","CodeType":"CPT","Code":"90658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.91","CodeVersion":"2017","CustomName":"INTERMITTENT POSITIVE PRESSURE BREATHING"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3318F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91580","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0247T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0226T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110763","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98580","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83625","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.8","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF VESSELS"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0135","CodeVersion":"2020","CustomName":"WALKER FOLDING ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1702","CodeVersion":"2020","CustomName":"PFIZER-BIONTECH COVID-19"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9313","CodeVersion":"2020","CustomName":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8015","CodeVersion":"2020","CustomName":"EXT BRST PROS GARMNT W\/MASTECT FORM POST-MASTECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9205","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN LIPOSOME 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0295","CodeVersion":"2020","CustomName":"HOSP BED SEMI-ELEC W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2610","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS\/THRUST BEAR LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9341","CodeVersion":"2020","CustomName":"SEARCH PRIOR CT EXT HC FAC\/ENT 12-MO PRI TO IMAG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9473","CodeVersion":"2020","CustomName":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8490","CodeVersion":"2020","CustomName":"INSULIN SYRINGES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1952","CodeVersion":"2020","CustomName":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0200","CodeVersion":"2020","CustomName":"HEAT LAMP W\/O STAND INCL BULB\/INFRARED ELEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0561","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5986","CodeVersion":"2020","CustomName":"FLUORIDE GEL CARRIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0425","CodeVersion":"2020","CustomName":"GROUND MILEAGE PER STATUTE MILE"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4323","CodeVersion":"2020","CustomName":"SPLINT - EXTRA-COR; NATURAL TEETH\/PROSTH CROWNS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7351","CodeVersion":"2020","CustomName":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0800","CodeVersion":"2020","CustomName":"LASER IN SITU KERATOMILEUSIS"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2512","CodeVersion":"2020","CustomName":"CONTACT LENS GAS PERMEABLE BIFOCAL PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6254","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL 16 SQ\/< ADHES BORDR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3905","CodeVersion":"2020","CustomName":"WHO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90779","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4031","CodeVersion":"2020","CustomName":"RADIATION ONCOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"17574","CodeType":"HCPCS","Code":"H0015","CodeVersion":"2020","CustomName":"ALCOHL&\/RX SRVC;INTENSV OP;CRISIS INTRVN&ACTV TX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7525","CodeVersion":"2020","CustomName":"TACROLIMUS PARENTERAL 5 MG"},{"ServiceGroup":"25282","CodeType":"HCPCS","Code":"A0427","CodeVersion":"2020","CustomName":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0222","CodeVersion":"2020","CustomName":"INJECTION PATISIRAN 0.1 MG"},{"ServiceGroup":"82981","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0277","CodeVersion":"2020","CustomName":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1285","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4415","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/O BUILT-IN CONVXITY >4X4 IN EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"24806","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"28147","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"33812","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"14210","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"70041","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0971","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - LABORATORY"},{"ServiceGroup":"11312","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"337","CodeVersion":"2020","CustomName":"Transurethral prostatectomy without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62295","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92362","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.59","CodeVersion":"2017","CustomName":"OTHER IMMOBILIZATION PRESSURE&ATTENTION TO WOUND"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0622T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91588","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0603T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58775","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0101A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88156","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1806","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH WRIST DEVICE"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0TFCXZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION IN BLADDER NECK EXTERNAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6083","CodeVersion":"2020","CustomName":"IMPLANT SUPP CROWN - PORCELAIN FU NOBLE ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0431","CodeVersion":"2020","CustomName":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5535","CodeVersion":"2020","CustomName":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END"},{"ServiceGroup":"26336","CodeType":"HCPCS","Code":"T1001","CodeVersion":"2020","CustomName":"NURSING ASSESSMENT\/EVALUATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8735","CodeVersion":"2020","CustomName":"ELDER MALTX SCR DOC POS F\/U NOT DOC RSN NOT GIVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9314","CodeVersion":"2020","CustomName":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0269","CodeVersion":"2020","CustomName":"PLCMT OCCL DEVC VENUS\/ART POST SURG\/INTRVNL PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9502","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL; Q8 HRS PER DIEM"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4257","CodeVersion":"2020","CustomName":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3853","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR MYOTONIC MUSCULAR DYSTROPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4410","CodeVersion":"2020","CustomName":"OST SKN BARR EXT W\/O BUILT-IN CONVXITY>4X4 IN EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1457","CodeVersion":"2020","CustomName":"INJECTION GALLIUM NITRATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1071","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE CYPIONATE 1 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1813","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE INFLATABLE"},{"ServiceGroup":"91657","CodeType":"ICD10P","Code":"10D00Z1","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION LOW OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0173","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7669","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0018","CodeVersion":"2020","CustomName":"BHVAL HEALTH; SHORT-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4999","CodeVersion":"2020","CustomName":"UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5699","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4532","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD UNDWEAR\/PULLON LG EA"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"103616","CodeType":"HCPCS","Code":"G0109","CodeVersion":"2020","CustomName":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6192","CodeVersion":"2020","CustomName":"SEMI-PRECISION ATTACHMENT - PLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0433","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT LEVEL 2"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"57222","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"70049","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"24807","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"001","CodeVersion":"2020","CustomName":"Craniotomy, age greater than 17 with CC"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0107T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37591","CodeType":"ICD9P","Code":"41.01","CodeVersion":"2017","CustomName":"AUTOL BONE MARROW TRANSPLANT WITHOUT PURGING"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3511F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0309T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100273","CodeType":"CPT","Code":"90707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3384F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0068U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0518","CodeVersion":"2020","CustomName":"SUNGLASSES FRAMES"},{"ServiceGroup":"27540","CodeType":"HCPCS","Code":"S9465","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3411","CodeVersion":"2020","CustomName":"INJECTION THIAMINE HCL 100 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9204","CodeVersion":"2020","CustomName":"INJECTION MOGAMULIZUMAB-KPKC 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0232","CodeVersion":"2020","CustomName":"WOUND WARMING WOUND COVER"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5251","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1881","CodeVersion":"2020","CustomName":"DIALYSIS ACCESS SYSTEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1570","CodeVersion":"2020","CustomName":"INJECTION GANCICLOVIR SODIUM 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5199","CodeVersion":"2020","CustomName":"PERSONAL CARE ITEM NOS EACH"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4050","CodeVersion":"2020","CustomName":"REPLACE MOLDED CALF LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1930","CodeVersion":"2020","CustomName":"ANKLE FOOT ORTHOSIS PLASTIC\/OTH MATL PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9811","CodeVersion":"2020","CustomName":"PATIENT NOT ACHV PDC AL 75% ASTHMA CONTROL MED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0482","CodeVersion":"2020","CustomName":"COUGH STIM DEVICE ALTRNAT POS&NEG ARWAY PRESS"},{"ServiceGroup":"70241","CodeType":"HCPCS","Code":"C2641","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED PALLADIUM-103 PER SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5931","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS SURGICAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1876","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVERED W\/DELIVERY SYSTEM"},{"ServiceGroup":"50904","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2014","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5014","CodeVersion":"2020","CustomName":"REPAIR\/MODIFICATION OF A HEARING AID"},{"ServiceGroup":"115169","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9072","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST I\/II; ER&PR NEG;NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0455","CodeVersion":"2020","CustomName":"INFUSION PUMP UNINTERRUPTED PARENTERAL ADMIN MED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1399","CodeVersion":"2020","CustomName":"DURABLE MEDICAL EQUIPMENT MISCELLANEOUS"},{"ServiceGroup":"66168","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0639","CodeVersion":"2020","CustomName":"PT LIFT MOVEABLE ROOM-ROOM W\/DISASSMBL&REASSMBL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2324","CodeVersion":"2020","CustomName":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1448","CodeVersion":"2020","CustomName":"INJECTION TRILACICLIB 1MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0390","CodeVersion":"2020","CustomName":"TRAUMA RESPONSE TEAM ASSOC W\/HOSP CC SERVICE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3763F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81405","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3350","CodeVersion":"2020","CustomName":"INJECTION UREA UP TO 40 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8564","CodeVersion":"2020","CustomName":"PT REFERRED PHYS OTOLOGIC EVAL REASON NOT SPEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0259","CodeVersion":"2020","CustomName":"INJECTION PROCEDURE FOR SI JNT; ARTHROGRAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0009","CodeVersion":"2020","CustomName":"OTHER MANUAL WHEELCHAIR\/BASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3350","CodeVersion":"2020","CustomName":"HEEL WEDGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0273","CodeVersion":"2020","CustomName":"BITEWINGS - THREE RADIOGRAPHIC IMAGES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5682","CodeVersion":"2020","CustomName":"ADD LW EXTRM BELW KNEE THI LACER GLUTL\/ISCH MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9507","CodeVersion":"2020","CustomName":"DOC PT ON STATIN MED\/DOC VALID CONTRAINDICATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1636","CodeVersion":"2020","CustomName":"SORBENT CARTRIDGES FOR HEMODIALYSIS PER 10"},{"ServiceGroup":"70050","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"36770","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"33261","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"675","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"109976","CodeType":"DRG","Code":"271","CodeVersion":"2020","CustomName":"Skin ulcers"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"535","CodeVersion":"2020","CustomName":"Cardiac Defibrillator Implant with Cardiac Catheterization with Acute Myocardial Infarction, Heart Failure, or Shock"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0349T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63459","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33312","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0197U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.77","CodeVersion":"2017","CustomName":"REMOVAL OF LEAD WITHOUT REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83825","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0217U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0643","CodeVersion":"2020","CustomName":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0560","CodeVersion":"2020","CustomName":"HUMDIFIR DURABLE SUPLMNTL DUR IPPB TX\/O2 DEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0642","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS MOBILE DYNAMIC ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7352","CodeVersion":"2020","CustomName":"AFAMELANOTIDE IMPLANT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0488","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/INTERFCE LINER PRFAB"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2300","CodeVersion":"2020","CustomName":"WHEELCHAIR ACC PWR SEAT ELEVATION SYS ANY TYPE"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8695","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATTERY W\/IMPL NEUROSTIM REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9290","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPT NOT DOC H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0397","CodeVersion":"2020","CustomName":"ALCOHOL &\/ SUBST MISUSE ST ASMT & INTERV >30 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0439","CodeVersion":"2020","CustomName":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2108","CodeVersion":"2020","CustomName":"AFO FX ORTHOSIS TIB FX CAST ORTHOSIS CSTM FAB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5679","CodeVersion":"2020","CustomName":"ADD LW EXT BK\/AK CSTM MOLD\/PRFAB NOT W\/LOCK MECH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4608","CodeVersion":"2020","CustomName":"TRANSTRACHEAL OXYGEN CATHETER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3316","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9982","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 60 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0967","CodeVersion":"2020","CustomName":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105220","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7628","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP PROD CONC PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2660","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9285","CodeVersion":"2020","CustomName":"INJECTION OLARATUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7290","CodeVersion":"2020","CustomName":"SURGICAL REPOSITIONING OF TEETH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9106","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; R1\/R2 RESECT NO PROGRESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9998","CodeVersion":"2020","CustomName":"DOCUM MED REAS INTERVAL <3 YR SINCE LST COLONSCP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1010","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1781","CodeVersion":"2020","CustomName":"MESH"},{"ServiceGroup":"30475","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"9511","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"73605","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0640","CodeVersion":"2020","CustomName":"Home IV Therapy Services - General Classification"},{"ServiceGroup":"61817","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0341","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic"},{"ServiceGroup":"54973","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15878","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0501T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90976","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0509T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0219T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0039U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1004","CodeVersion":"2020","CustomName":"CLINICAL DEC SUPP MECH NDSC DEFINED MCR AUC PROG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9331","CodeVersion":"2020","CustomName":"INJECTION SIROLIMUS PROTEIN-BOUND PARTICLES 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0609","CodeVersion":"2020","CustomName":"REPL ELEC W\/AUTO EXT DEFIB GARMNT TYPE ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5973","CodeVersion":"2020","CustomName":"ENDOSKEL ANK FOOT SYS MICRPROCSS CONTROL PWR SRC"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4773","CodeVersion":"2020","CustomName":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2042","CodeVersion":"2020","CustomName":"HOSPICE ROUTINE HOME CARE; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9073","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS PATHOGEN-REDUCED EACH UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9979","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 20 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0512","CodeVersion":"2020","CustomName":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8530","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE ORAL 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0279","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0494","CodeVersion":"2020","CustomName":"EMERGENCY HAND PUMP REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0007","CodeVersion":"2020","CustomName":"EXTRA HEAVY-DUTY WHEELCHAIR"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2751","CodeVersion":"2020","CustomName":"CROWN-PORCELN FUSD PREDOM BASE METL"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0471","CodeVersion":"2020","CustomName":"COLL V BLD VP\/URN SMP CATH IND SNF\/LAB BHALF HHA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5650","CodeVersion":"2020","CustomName":"ADD LW EXT TOTAL CONTACT ABVE KNEE\/KNEE DISARTC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9213","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2745","CodeVersion":"2020","CustomName":"ADD LENS; TINT COLOR SOLID EXCLD PHOTOCHRMATC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74.2","CodeVersion":"2017","CustomName":"EXTRAPERITONEAL CESAREAN SECTION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106174","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6605","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0033","CodeVersion":"2020","CustomName":"2< BENZODIAZ SEIZ REM BNZ WD ETH WD GAD IPSD BNZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9022","CodeVersion":"2020","CustomName":"RED BLOOD CELLS WASHED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8501","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SPEAKING VALVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1020","CodeVersion":"2020","CustomName":"PERSONAL CARE SERVICES PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0048","CodeVersion":"2020","CustomName":"ALC &\/OTH RX TST: CLCT&HNDLING ONLY OTH THAN BLD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0672","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL ARM"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9260","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 50 MG"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"16526","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"74932","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"12359","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"8960","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"48183","CodeType":"REV","Code":"0321","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Angiocardiography"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"880","CodeVersion":"2020","CustomName":"ACUTE ISCHEMIC STOKE W USE OF THROMBOLYTIC AGENT -NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"88.58","CodeVersion":"2017","CustomName":"NEGATIVE-CONTRAST CARDIAC ROENTGENOGRAPHY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78282","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88823","CodeType":"CPT","Code":"69620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77486","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3751F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3775F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"68.61","CodeVersion":"2017","CustomName":"LAPAROSCOPIC RADICAL ABDOMINAL HYSTERECTOMY"},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102724","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0735T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.53","CodeVersion":"2017","CustomName":"LAP REMOVAL BOTH OVARIES@SAME OPERATIVE EPIS"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91588","CodeType":"CPT","Code":"93657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.0","CodeVersion":"2017","CustomName":"INCISION OF VESSEL"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32607","CodeType":"ICD9P","Code":"81.53","CodeVersion":"2017","CustomName":"REVISION OF HIP REPLACEMENT NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9412","CodeVersion":"2020","CustomName":"PT ADM WI 180 D PST CIED W\/INF DVC RMV\/SURG REV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5210","CodeVersion":"2020","CustomName":"ABVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10A07ZX","CodeVersion":"2020","CustomName":"ABORTION POC ABORTIFACIENT VIA NAT\/ART OPENING"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0822","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9975","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT PRFRM A DILATED MACULAR EXAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4212","CodeVersion":"2020","CustomName":"GING\/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1438","CodeVersion":"2020","CustomName":"INJECTION ETANERCEPT 25 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7208","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3346","CodeVersion":"2020","CustomName":"RETX PREVIOUS RC THERAPY - ANTERIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0372","CodeVersion":"2020","CustomName":"PHYS SRVC RQR TO EST & DOC NEED PWR MOBIL DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6410","CodeVersion":"2020","CustomName":"EYE PAD STERILE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5013","CodeVersion":"2020","CustomName":"5% DXTROS\/0.45% NL SALINE KCL&MGSO4 1000 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1238","CodeVersion":"2020","CustomName":"WHLCHAIR PED SZ FOLD ADJUSTBL W\/O SEATING SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4100","CodeVersion":"2020","CustomName":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2150","CodeVersion":"2020","CustomName":"MULTIMODAL PAIN MANAGEMENT WAS NOT USED"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13152","CodeType":"ICD9P","Code":"37.33","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OPN APPRCH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53962","CodeType":"ICD9P","Code":"50.51","CodeVersion":"2017","CustomName":"AUXILIARY LIVER TRANSPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6192","CodeVersion":"2020","CustomName":"SEMI-PRECISION ATTACHMENT - PLACEMENT"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9885","CodeVersion":"2020","CustomName":"2 MDPP ONGO MS ATD MDPP BNF MO 22-24 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3255","CodeVersion":"2020","CustomName":"NONSTANDARD SIZE OR LENGTH"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"33262","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"358","CodeVersion":"2020","CustomName":"Uterine and adnexa procedures for nonmalignancy with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"073","CodeVersion":"2020","CustomName":"Other ear, nose, mouth and throat diagnoses, age greater than 17"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90433","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82773","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105252","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16470","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0224U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106101","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3315F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0102T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0639T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0559T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92195","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.22","CodeVersion":"2017","CustomName":"LEFT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1940","CodeVersion":"2020","CustomName":"ANK FT ORTHOSIS PLASTIC\/OTH MATERIAL CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2368","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0148","CodeVersion":"2020","CustomName":"WALK HEAVY DUTY W\/O WHLS RIGID\/FOLD ANY TYPE EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3300","CodeVersion":"2020","CustomName":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4362","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4102","CodeVersion":"2020","CustomName":"OASIS WOUND MATRIX PER SQ CM"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2360","CodeVersion":"2020","CustomName":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4222","CodeVersion":"2020","CustomName":"INFUS SPL EXT RX INFUS PUMP CASSETTE\/BAG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0506","CodeVersion":"2020","CustomName":"BATTERY LITHIUM-ION ELEC\/PNEUMATIC VAD REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2630","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELVIC CONTROL BAND & BELT UNI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9519","CodeVersion":"2020","CustomName":"PT FINAL REFR +\/- 1.0 D REFR W\/I 90 DAYS SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2545","CodeVersion":"2020","CustomName":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0014","CodeVersion":"2020","CustomName":"OTHER MOTORIZED\/POWER WHEELCHAIR BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9869","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5981","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM\/EQUAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0088","CodeVersion":"2020","CustomName":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7865","CodeVersion":"2020","CustomName":"ARTHROPLASTY"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9102","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; M0 UNRESECT NO PROGRSSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0157","CodeVersion":"2020","CustomName":"BECAPLERMIN GEL 0.01% 0.5 GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7259","CodeVersion":"2020","CustomName":"ELECTRONIC WRIST ROTATOR ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1631","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL DECANOATE PER 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4405","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0354","CodeVersion":"2020","CustomName":"TX PLAN CARE COORD MGMT CA EST PT CHG REGIMEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2228","CodeVersion":"2020","CustomName":"MNL WC ACCESS WHEEL BRAKING SYS&LOCK COMPLETE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9227","CodeVersion":"2020","CustomName":"FUNC O\/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"48183","CodeType":"REV","Code":"0320","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - General Classification"},{"ServiceGroup":"701","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0971","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - LABORATORY"},{"ServiceGroup":"47250","CodeType":"DRG","Code":"886","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W\/O O.R.PROCEDURE -NYDRG"},{"ServiceGroup":"33789","CodeType":"DRG","Code":"882","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV < 96 HRS -NYDRG"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"459","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"107734","CodeType":"DRG","Code":"768","CodeVersion":"2020","CustomName":"SEIZURE \"&\" HEADACHE AGE UNDER 18 W CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0012M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"54943","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3498F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100288","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4187F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113628","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40003","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26470","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93721","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0432T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1034F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.02","CodeVersion":"2017","CustomName":"INCISION OF OTHER VESSELS OF HEAD AND NECK"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106172","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4481","CodeVersion":"2020","CustomName":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8933","CodeVersion":"2020","CustomName":"MR ANGIO NO CONTRST FLW W\/CONTRST SP CANAL CNTN"},{"ServiceGroup":"34356","CodeType":"HCPCS","Code":"T1001","CodeVersion":"2020","CustomName":"NURSING ASSESSMENT\/EVALUATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0761","CodeVersion":"2020","CustomName":"NON-THRML PULS RADIOWAV ELECMAGNET ENRGY TX DEVC"},{"ServiceGroup":"38704","CodeType":"ICD10P","Code":"4A023N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0467","CodeVersion":"2020","CustomName":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9367","CodeVersion":"2020","CustomName":"SKIN SUBST ENDOFORM DERM TEMPLATE PER SQUARE CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5845","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN STANCE FLX FEATUR ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4373","CodeVersion":"2020","CustomName":"OST SKN BARR W\/FLNGE W\/BUILT-IN CONVXITY SZ EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9956","CodeVersion":"2020","CustomName":"PATIENT RECEIVED COMBINATION THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2204","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4150","CodeVersion":"2020","CustomName":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3160","CodeVersion":"2020","CustomName":"FOOT ADJUSTABLE SHOE-STYLED POSITIONING DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1005","CodeVersion":"2020","CustomName":"TB SCREEN NOT PERF\/RSLT NOT INTEPR RSN NOT GVN"},{"ServiceGroup":"114754","CodeType":"HCPCS","Code":"H2021","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0491","CodeVersion":"2020","CustomName":"EMERG POWER SRC FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1950","CodeVersion":"2020","CustomName":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0961","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1052","CodeVersion":"2020","CustomName":"HEMOSTATIC AGENT GASTROINTESTINAL TOPICAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2409","CodeVersion":"2020","CustomName":"REP CONGN MALFORM FETUS PROC PRFRM UTERO NOC"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7315","CodeVersion":"2020","CustomName":"MITOMYCIN OPTHALMIC 0. 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5150","CodeVersion":"2020","CustomName":"BINAURAL GLASSES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0510","CodeVersion":"2020","CustomName":"PHARM SPL FEE INIT IMS DRUG 1ST MO FLW TRANSPLNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9598","CodeVersion":"2020","CustomName":"AA 5.5 - 5.9 CM MAX DIA CL FRMT CT\/MIN DIA AX CT"},{"ServiceGroup":"80260","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"9936","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0609","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Other"},{"ServiceGroup":"82096","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0643","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - IV Start\/Care, Peripheral Line\""},{"ServiceGroup":"439","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0941","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Recreational Thereapy"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.0","CodeVersion":"2017","CustomName":"ARTIFICIAL RUPTURE OF MEMBRANES"},{"ServiceGroup":"115056","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0124T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0643T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69926","CodeType":"CPT","Code":"93624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0265T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0110U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78646","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98598","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2350","CodeVersion":"2020","CustomName":"INJECTION OCRELIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2790","CodeVersion":"2020","CustomName":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9879","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF MO 10-12 UND MDPP EM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2248","CodeVersion":"2020","CustomName":"INJECTION MICAFUNGIN SODIUM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6064","CodeVersion":"2020","CustomName":"ABUT SUPP CAST METL CROWN NOBL METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0439","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1250","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2208","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV ADJUVANT TREATMENT COURSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0414","CodeVersion":"2020","CustomName":"LAB PROC MICROB SPEC INC CULTURE & SENS STUDIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6251","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL 16 SQ\/=110 MIL AUTOL ANTI-CD19 CAR-POS VIABL TC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5223","CodeVersion":"2020","CustomName":"IMMEDIATE MAX PRTL DENTURE - CAST METAL FRAMEWRK"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4388","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE W\/EXT WEAR BARRIER ATTCH EA"},{"ServiceGroup":"89941","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0485","CodeVersion":"2020","CustomName":"INJECTION BELATACEPT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q1004","CodeVersion":"2020","CustomName":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2184","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1357","CodeVersion":"2020","CustomName":"O2 ACCESS BATTRY CHARGER PRTBLE CONC REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2294","CodeVersion":"2020","CustomName":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE"},{"ServiceGroup":"80260","CodeType":"HCPCS","Code":"H0009","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; ACUTE DTOX HOSP IP"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2690","CodeVersion":"2020","CustomName":"INJECTION PROCAINAMIDE HCL UP TO 1 GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2026","CodeVersion":"2020","CustomName":"SPECIALIZED CHILDCARE WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7285","CodeVersion":"2020","CustomName":"BIOPSY OF ORAL TISSUE HARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6380","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"9444","CodeType":"REV","Code":"0543","CodeVersion":"2020","CustomName":"Ambulance - Heart Mobile"},{"ServiceGroup":"9938","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"70050","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"74999","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"91657","CodeType":"DRG","Code":"786","CodeVersion":"2020","CustomName":"MAJOR HEAD \"&\" NECK PROCEDURES FOR MALIGNANCY-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3762F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91014","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78664","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0032A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21784","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98006","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68281","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0348T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9717","CodeVersion":"2020","CustomName":"DOC STATING PT HAD DX DEPR\/HAD DX BIPOLAR D\/O"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1731","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 20\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5929","CodeVersion":"2020","CustomName":"FACIAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4025","CodeVersion":"2020","CustomName":"DONOR SERVICES IN VITRO FERTILIZATION CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6209","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD 16 SQ\/< NO ADHES BORDR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0144","CodeVersion":"2020","CustomName":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W\/POST SEAT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7288","CodeVersion":"2020","CustomName":"BRUSH BX TRANSEPITH SAMPLE CLCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0424","CodeVersion":"2020","CustomName":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4268","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY CONDOM FEMALE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2615","CodeVersion":"2020","CustomName":"SEALANT PULMONARY LIQUID"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2060","CodeVersion":"2020","CustomName":"INJECTION LORAZEPAM 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7615","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9543","CodeVersion":"2020","CustomName":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2126","CodeVersion":"2020","CustomName":"PT 66-80 YOA AL 1 CLAIM FOR FRAILTY DUR MSR PRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8724","CodeVersion":"2020","CustomName":"PT CAT PN CAT&HISTOL GR NOT DOC PATH RPT NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8042","CodeVersion":"2020","CustomName":"MAGNETIC RESONANCE IMAGING LOW-FIELD"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"33831","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0730","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - General Classification"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"601","CodeVersion":"2020","CustomName":"Nonmalignant Breast Disorders without CC\/MCC"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"507","CodeVersion":"2020","CustomName":"Full thickness burn with skin graft or inhalation injury without CC or significant trauma"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"468","CodeVersion":"2020","CustomName":"Extensive operating room procedure unrelated to principal diagnosis"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.9","CodeVersion":"2017","CustomName":"UNSPECIFIED INSTRUMENTAL DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4192F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83180","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0477T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94164","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1460F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0329U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79757","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0285T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0250U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27343","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82223","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9424","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC\/NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2921","CodeVersion":"2020","CustomName":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE\/CUSP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2929","CodeVersion":"2020","CustomName":"PREFAB PORCELAIN\/CERAMIC CROWN - PRIMARY TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0330","CodeVersion":"2020","CustomName":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG"},{"ServiceGroup":"88809","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9151","CodeVersion":"2020","CustomName":"INJ DAUNORUBICIN CITRATE LIPOSOMAL FORM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0193","CodeVersion":"2020","CustomName":"POWERED AIR FLOTATION BED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9901","CodeVersion":"2020","CustomName":"SERVICES BY A JOURNAL-LISTED CS NURSE PER HR"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2619","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9222","CodeVersion":"2020","CustomName":"DEEP SEDATION\/GENERAL ANESTHESIA-1ST 15 MINUTES"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"79561","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"3420","CodeType":"ICD10P","Code":"0F544ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION GALLBLADDER PERCUTANEOUS ENDOSCOPIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9281","CodeVersion":"2020","CustomName":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0657","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLIANCE USE W\/PNEUMAT COMPRS CHEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8815","CodeVersion":"2020","CustomName":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9036","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4253","CodeVersion":"2020","CustomName":"ZENITH AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9853","CodeVersion":"2020","CustomName":"PATIENT ADM TO ICU IN THE LAST 30 DAYS OF LIFE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0512","CodeVersion":"2020","CustomName":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6211","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD >48 SQ NO ADHES BORDR EA"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"27726","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"4109","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0988","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CONSULTATION"},{"ServiceGroup":"30060","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"72779","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"67684","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"250","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, with CC"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99148","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3323F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4167F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111858","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115367","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90383","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5266","CodeVersion":"2020","CustomName":"BATTERY FOR USE IN HEARING DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6584","CodeVersion":"2020","CustomName":"PREP ELB DISRTC\/ABVE ELB 1 WALL PLSTC SOCKT MOLD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2007","CodeVersion":"2020","CustomName":"LIMITED 30 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5M8ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION BILATERAL LUNGS NAT ART OPENING ENDO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4040","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1704","CodeVersion":"2020","CustomName":"MODERNA COVID-19 VACCINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9426","CodeVersion":"2020","CustomName":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2999","CodeVersion":"2020","CustomName":"UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2680","CodeVersion":"2020","CustomName":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2004","CodeVersion":"2020","CustomName":"IRRIGATION SOL TX BLADDER CALCULI PER 500 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2313","CodeVersion":"2020","CustomName":"TRIFOCL+\/-7.25-+\/-12.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0480","CodeVersion":"2020","CustomName":"INJECTION BASILIXIMAB 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8937","CodeVersion":"2020","CustomName":"CMP-AID DETN INCL CMP ALG ANALYS BR MRI IMG DATA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5651","CodeVersion":"2020","CustomName":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0698","CodeVersion":"2020","CustomName":"CEFOTAXIME SODIUM PER G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6980","CodeVersion":"2020","CustomName":"FIXED PART DENTURE REPR NEC RESTORATVE MATL FAIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2013","CodeVersion":"2020","CustomName":"EXTSV 75 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8039","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7632","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0203","CodeVersion":"2020","CustomName":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7010","CodeVersion":"2020","CustomName":"CORUGATD TUBING DISPBL W\/LG VOL NEBULIZR 100 FT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9402","CodeVersion":"2020","CustomName":"PT RECEIVED F\/U W\/I 30 DAYS AFTER DISCHARGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4103","CodeVersion":"2020","CustomName":"OASIS BURN MATRIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8918","CodeVersion":"2020","CustomName":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0633","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7876","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DISCECTOMY"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9843","CodeVersion":"2020","CustomName":"RAS GENE MUTATION"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0830","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0812","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Cadaver Donor"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0916","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Family Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"308","CodeVersion":"2020","CustomName":"Minor bladder procedures with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4179F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104851","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72042","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.13","CodeVersion":"2017","CustomName":"LAPAROSCOPIC BIOPSY OF OVARY"},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0014A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3281F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4240F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0200T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0469T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90437","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"33.52","CodeVersion":"2017","CustomName":"BILATERAL LUNG TRANSPLANTATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91866","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0087U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.13","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY PULM VALVE WITHOUT REPLCMT"},{"ServiceGroup":"62331","CodeType":"ICD9P","Code":"92.33","CodeVersion":"2017","CustomName":"PARTICULATE RADIOSURGERY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5782","CodeVersion":"2020","CustomName":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5856","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KNEE-SHIN SYS SWING&STANCE PHSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5960","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS MODIFICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5082","CodeVersion":"2020","CustomName":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4285","CodeVersion":"2020","CustomName":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9100","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE 100 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4126","CodeVersion":"2020","CustomName":"MEMODERM DERMASPAN TRANZGRFT\/INTEGUPLY PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2624","CodeVersion":"2020","CustomName":"IMPL WIRELESS PULM ARTERY PRESS SENSOR DEL CATH"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3480","CodeVersion":"2020","CustomName":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2013","CodeVersion":"2020","CustomName":"INNOVAMATRIX FS PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9004","CodeVersion":"2020","CustomName":"DEPART VETERANS AFFAIR WHOLE HEALTH PARTNER SERV"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74.1","CodeVersion":"2017","CustomName":"LOW CERVICAL CESAREAN SECTION"},{"ServiceGroup":"94780","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7320","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVITIVE GENVISC 850 IA INJ 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1551","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND BIL SPACE MAINTAINER - MAX"},{"ServiceGroup":"90707","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0849","CodeVersion":"2020","CustomName":"TRACTION EQP CERV FREESTAND STAND\/FRME PNEUMATIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9079","CodeVersion":"2020","CustomName":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6007","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:TO 5 MEV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3003","CodeVersion":"2020","CustomName":"FOOT INSERT REMV MOLDED PT MODEL SILICONE GEL EA"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"12117","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0260","CodeVersion":"2020","CustomName":"IV Therapy - General Classification"},{"ServiceGroup":"68139","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"380","CodeVersion":"2020","CustomName":"Abortion without dilation and curettage"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"522","CodeVersion":"2020","CustomName":"Alcohol\/Drug abuse or dependence with rehabilitation therapy, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"549","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112110","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4043F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0228U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4069F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0123U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0618T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0700","CodeVersion":"2020","CustomName":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4396","CodeVersion":"2020","CustomName":"PERISTOMAL HERNIA SUPPORT BELT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7034","CodeVersion":"2020","CustomName":"NASL INTRFCE POS ARWAY PRSS DEVC W\/WO HEAD STRAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0067","CodeVersion":"2020","CustomName":"DENTISTRY MIPS SPECIALTY SET"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0396","CodeVersion":"2020","CustomName":"ALCOHOL &\/SUB MISUSE ST ASMT & BRF INT 15-30 MIN"},{"ServiceGroup":"411","CodeType":"ICD10P","Code":"4A020N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1009","CodeVersion":"2020","CustomName":"SPEECH VOLUME MODULATION SYS INCL ALL COMP & ACC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1945","CodeVersion":"2020","CustomName":"INJECTION LEPIRUDIN 50 MG"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0476","CodeVersion":"2020","CustomName":"SPECIAL STAINS FOR MICROORGANISMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4261","CodeVersion":"2020","CustomName":"TAG PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0074","CodeVersion":"2020","CustomName":"INJECTION CEFOTETAN DISODIUM 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0453","CodeVersion":"2020","CustomName":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8910","CodeVersion":"2020","CustomName":"PATIENT DOC HAVE EXPERIENCED FALL WITHIN ASC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0813","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD PORT SLING SEAT PT TO 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2644","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAM - 4\/MORE SURF"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0090","CodeVersion":"2020","CustomName":"PROF INI V ADM IV CT\/OTH HH COP INFS RX H EA 15M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6650","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"31504","CodeType":"HCPCS","Code":"G0339","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6221","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0472","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/BACKUP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0350","CodeVersion":"2020","CustomName":"INJECTION ANISTREPLASE PER 30 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5214","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC\/ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9079","CodeVersion":"2020","CustomName":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0637","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Self-Administrable Drugs"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"79177","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50907","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"96.71","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT < 96 CONSECUTIVE HOURS"},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3316F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.0","CodeVersion":"2017","CustomName":"LOW FORCEPS OPERATION"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44246","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90385","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23","CodeType":"ICD9P","Code":"41.0","CodeVersion":"2017","CustomName":"BONE MARROW TRANSPLANT"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84280","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4144F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86461","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2358","CodeVersion":"2020","CustomName":"INJECTION OLANZAPINE LONG-ACTING 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1600","CodeVersion":"2020","CustomName":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0277","CodeVersion":"2020","CustomName":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3105","CodeVersion":"2020","CustomName":"INJECTION TERBUTALINE SULFATE UP TO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8927","CodeVersion":"2020","CustomName":"TEE ASSESS CARD PUMP FUNCT&TX MSR IMMED TM BASIS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9330","CodeVersion":"2020","CustomName":"INJECTION TEMSIROLIMUS 1 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9306","CodeVersion":"2020","CustomName":"INJECTION PERTUZUMAB 1 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6532","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 40-50 MMHG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4246","CodeVersion":"2020","CustomName":"BETADINE OR PHISOHEX SOLUTION PER PINT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9429","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL PT CAT & STM THK ULCER & MR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"S9435","CodeVersion":"2020","CustomName":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8950","CodeVersion":"2020","CustomName":"ELEVATED HTN BP READING DOC & INDICATED F\/U DOC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9060","CodeVersion":"2020","CustomName":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0114","CodeVersion":"2020","CustomName":"FERN TEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9285","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANAT LOC LUNG\/NOT CLASS NSCLC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5255","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0940","CodeVersion":"2020","CustomName":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8693","CodeVersion":"2020","CustomName":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2624","CodeVersion":"2020","CustomName":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.90","CodeVersion":"2017","CustomName":"NON-INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"24739","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9098","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE LIPOSOME 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"R0075","CodeVersion":"2020","CustomName":"TRANS PRTBL XRAY EQP&PERS HOM\/NRS HOM-TRIP>1 PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8702","CodeVersion":"2020","CustomName":"REPAIR FIXED RETAINER INCL REATTACHMENT - MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6196","CodeVersion":"2020","CustomName":"ALGINAT\/OTH FIBER GELL DRESS STERIL PAD 16 SQ\/<"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1245","CodeVersion":"2020","CustomName":"INJECTION DIPYRIDAMOLE PER 10 MG"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"919","CodeType":"REV","Code":"0456","CodeVersion":"2020","CustomName":"Emergency Room - Urgent Care"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"104745","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"32560","CodeType":"DRG","Code":"928","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury with CC\/MCC"},{"ServiceGroup":"28015","CodeType":"DRG","Code":"470","CodeVersion":"2020","CustomName":"Ungroupable"},{"ServiceGroup":"20914","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.53","CodeVersion":"2017","CustomName":"TOTAL BREECH EXTRAC W\/FORCEPS AFTERCOMING HEAD"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0591T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3386F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98407","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0442T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78704","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0438T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91892","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.31","CodeVersion":"2017","CustomName":"AMNIOSCOPY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4034","CodeVersion":"2020","CustomName":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0808","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0445","CodeVersion":"2020","CustomName":"SA HI INTENS CNSL PREV STI IND F\/F EDU CHNG BHVR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9071","CodeVersion":"2020","CustomName":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6510","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1010","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH STANSON DEFINED MCR AUC PROG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1951","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7191","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR PROCINE PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9243","CodeVersion":"2020","CustomName":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES\/ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8734","CodeVersion":"2020","CustomName":"ELDER MALTREATMENT SCREENING DOC NEG NO F\/U REQ"},{"ServiceGroup":"61516","CodeType":"HCPCS","Code":"G0129","CodeVersion":"2020","CustomName":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0114","CodeVersion":"2020","CustomName":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP&HNDGRIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8852","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0077","CodeVersion":"2020","CustomName":"INJECTION CLINDAMYCIN PHOSPHATE 300 MG"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0065","CodeVersion":"2020","CustomName":"CHIROPRACTIC MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5105","CodeVersion":"2020","CustomName":"DAY CARE SRVC CENTER-BASED; SRVC NOT W\/PROGM FEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1769","CodeVersion":"2020","CustomName":"GUIDE WIRE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0630","CodeVersion":"2020","CustomName":"RMV SUTURES; PHYS NOT PHYS WHO ORIGLY CLOS WND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9443","CodeVersion":"2020","CustomName":"LACTATION CLASSES NON-PHYSICIAN PROVIDER-SESSION"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7515","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1115","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.94","CodeVersion":"2017","CustomName":"RESPIRATORY MEDICATION ADMINISTERED BY NEBULIZER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5929","CodeVersion":"2020","CustomName":"FACIAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8001","CodeVersion":"2020","CustomName":"BREAST PROS MASTECT BRA W\/INTEG BREAST FORM UNI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1037","CodeVersion":"2020","CustomName":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1009","CodeVersion":"2020","CustomName":"CHILD SIT-CHILD IND REC ALCOHL&\/SUBSTNC ABS SRVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4266","CodeVersion":"2020","CustomName":"DIAPHRAGM FOR CONTRACEPTIVE USE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0272","CodeVersion":"2020","CustomName":"MATTRESS FOAM RUBBER"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"66517","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"42825","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"24806","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"22410","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0561T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83351","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87524","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91891","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12197","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113689","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4188F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6260","CodeVersion":"2020","CustomName":"WOUND CLEANSERS ANY TYPE ANY SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9620","CodeVersion":"2020","CustomName":"PATIENT NOT SCR UTERINE MALIG\/NO U\/S RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9733","CodeVersion":"2020","CustomName":"NONOPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9843","CodeVersion":"2020","CustomName":"RAS GENE MUTATION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7325","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV SYNVISC\/SYNVISC-ONE IA INJ 1 MG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4001","CodeVersion":"2020","CustomName":"DIAGNOSTIC RADIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"103302","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0859","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0352","CodeVersion":"2020","CustomName":"DISPBL PACK USE W\/THE ELEC BOWEL IRRIG\/EVAC SYS"},{"ServiceGroup":"106932","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2630","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAM - 3\/MORE SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8865","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ADM\/PREV RECV PNEUMOCOCCAL VAC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0883","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG NON-ESRD USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0353","CodeVersion":"2020","CustomName":"TX PLANNING CARE COORDINATION MGMT CANCR INIT TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5923","CodeVersion":"2020","CustomName":"OCULAR PROSTHESIS, INTERIM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7921","CodeVersion":"2020","CustomName":"COLLECTION & APPLIC AUTO BLOOD CONCENTRATE PROD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1580","CodeVersion":"2020","CustomName":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9043","CodeVersion":"2020","CustomName":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5% 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0030","CodeVersion":"2020","CustomName":"INJECTION METRONIDAZOLE 500 MG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2190","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: HA RAD NECK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4000","CodeVersion":"2020","CustomName":"DERMATOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4034","CodeVersion":"2020","CustomName":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9100","CodeVersion":"2020","CustomName":"PATHOGEN TEST FOR PLATELETS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9783","CodeVersion":"2020","CustomName":"BLINDED PROC TC IMP CS RD DVCE\/PLACEBO CONTROL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9974","CodeVersion":"2020","CustomName":"DILATED MACULAR EXAM PERFORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0163","CodeVersion":"2020","CustomName":"COMMODE CHAIR MOBILE OR STATIONARY W\/FIXED ARMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5035","CodeVersion":"2020","CustomName":"HOME INFUS THERAPY ROUTINE SERVICE INFUS DEVICE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3486","CodeVersion":"2020","CustomName":"INJECTION ZIPRASIDONE MESYLATE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"94780","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0999","CodeVersion":"2020","CustomName":"UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2342","CodeVersion":"2020","CustomName":"NASAL ENDOSCOPIC POSNASAL ENDOSCOPIC POSTOP DEBR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4047","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3493","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0381","CodeVersion":"2020","CustomName":"Blood and Blood Components - Packed Red Cells"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"50904","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0382","CodeVersion":"2020","CustomName":"Blood and Blood Components - Whole Blood"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102521","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106170","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72287","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.91","CodeVersion":"2017","CustomName":"FREEING OF VESSEL"},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91007","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0130","CodeVersion":"2020","CustomName":"INJECTION ABCIXIMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2426","CodeVersion":"2020","CustomName":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0501","CodeVersion":"2020","CustomName":"SHOWER COVER ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8880","CodeVersion":"2020","CustomName":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6206","CodeVersion":"2020","CustomName":"CONTACT LAYER STERL 16 SQ IN\/LESS EA DRESSING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0517","CodeVersion":"2020","CustomName":"INJECTION BENRALIZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6191","CodeVersion":"2020","CustomName":"SEMI-PRECISION ABUTMENT - PLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1150","CodeVersion":"2020","CustomName":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2306","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER OVR 6.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2630","CodeVersion":"2020","CustomName":"ANTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"107746","CodeType":"HCPCS","Code":"J0606","CodeVersion":"2020","CustomName":"INJECTION ETELCALCETIDE 0.1 MG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2628","CodeVersion":"2020","CustomName":"CATHETER OCCLUSION"},{"ServiceGroup":"90854","CodeType":"HCPCS","Code":"H0010","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG IP"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6691","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9098","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE LIPOSOME 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8650","CodeVersion":"2020","CustomName":"NABILONE ORAL 1 MG"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2161","CodeVersion":"2020","CustomName":"AMALGAM-FOUR\/MORE SURF PRIM\/PERM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7649","CodeVersion":"2020","CustomName":"ISOETHARINE HCI NON-COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7511","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0848","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD SLING SEAT PT TO & = 300 LBS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1302","CodeVersion":"2020","CustomName":"INJECTION SUTIMLIMAB-JOME 10 MG"},{"ServiceGroup":"11089","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"11787","CodeType":"HCPCS","Code":"S9500","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q24 HRS DIEM"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9592","CodeVersion":"2020","CustomName":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7199","CodeVersion":"2020","CustomName":"HEMOPHILIA CLOTTING FACTOR NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8818","CodeVersion":"2020","CustomName":"PATIENT D\/C TO HOME NO LATER THAN POSTOP DAY #7"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2690","CodeVersion":"2020","CustomName":"INJECTION PROCAINAMIDE HCL UP TO 1 GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2995","CodeVersion":"2020","CustomName":"INJECTION STREPTOKINASE PER 250000 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0194","CodeVersion":"2020","CustomName":"DIALYSIS\/STRESS VITAMIN SUPL ORAL 100 CAPSULES"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"44107","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2095","CodeVersion":"2020","CustomName":"TRNSCATH OCCL\/EMBOLIZ TUMR DESTRUC PERQ METH USI"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"10939","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"59291","CodeType":"REV","Code":"0932","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Full Day"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0580","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - General Classification"},{"ServiceGroup":"13249","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"93980","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86480","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89869","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98565","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115585","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77444","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.3","CodeVersion":"2017","CustomName":"SUTURE OF VESSEL"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72041","CodeType":"CPT","Code":"99244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107494","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0624T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57222","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12587","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0199U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25385","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9426","CodeVersion":"2020","CustomName":"IMP MED TM ED AR-INIT ED PN MED ADMIN PRF ADM PT"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5140","CodeVersion":"2020","CustomName":"BINAURAL BEHIND THE EAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0498","CodeVersion":"2020","CustomName":"HOLSTER FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8514","CodeVersion":"2020","CustomName":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0739","CodeVersion":"2020","CustomName":"REPR\/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4242","CodeVersion":"2020","CustomName":"AMNIOCYTE PLUS PER 0.5 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9062","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4255","CodeVersion":"2020","CustomName":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9922","CodeVersion":"2020","CustomName":"SAFETY CNCRNS SCR PROV & IF POS THEN DOC MIT REC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0164","CodeVersion":"2020","CustomName":"PROCHLORPERAZINE MALEATE 5 MG ORL NOT>48 HR DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2031","CodeVersion":"2020","CustomName":"ASSISTED LIVING WAIVER; PER DIEM"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5980","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106929","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1436","CodeVersion":"2020","CustomName":"INJECTION ETIDRONATE DISODIUM PER 300 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0742","CodeVersion":"2020","CustomName":"INJ IMP 4 MG CILASTATIN 4 MG & RELEBACTAM 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0638","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS ONE POSITION ANY SZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5952","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS PEDIATRIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9045","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 5% 250 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4238","CodeVersion":"2020","CustomName":"SPL ALW ADJ CGM SPL & ACCESS 1 MO SPL=1 U SRVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9414","CodeVersion":"2020","CustomName":"PT HAD 1 DOSE MC VAC ON\/BETWN PT 11TH & 13TH BD"},{"ServiceGroup":"12886","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"22818","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"12117","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"566","CodeVersion":"2020","CustomName":"Respiratory System Diagnosis with Ventilator Support <96 Hours"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0021A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0032U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33311","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"16000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0205U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65284","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7020","CodeVersion":"2020","CustomName":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2371","CodeVersion":"2020","CustomName":"EACH ADDITIONAL INTERSPACE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5990","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7941","CodeVersion":"2020","CustomName":"OSTEOTOMY - MANDIBULAR RAMI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3911","CodeVersion":"2020","CustomName":"INTRAORIFICE BARRIER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7194","CodeVersion":"2020","CustomName":"FACTOR IX COMPLEX PER IU"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0780","CodeVersion":"2020","CustomName":"INJ PROCHLORPERAZINE TO 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2521","CodeVersion":"2020","CustomName":"CNTC LENS HYDROPHIL TORIC\/PRISM BALLST PER LENS"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8210","CodeVersion":"2020","CustomName":"MUCUS TRAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2320","CodeVersion":"2020","CustomName":"ADD LOW EXT NONMOLD LACER CSTM FAB ORTHOS ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9007","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9603","CodeVersion":"2020","CustomName":"PERQ TL COR ATHERECT; EA ADD BR MAJ CORONARY ART"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7629","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"108066","CodeType":"HCPCS","Code":"C1820","CodeVersion":"2020","CustomName":"GEN NEUROSTIM W\/RECHRG BATTERY & CHARGING SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5661","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0827","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4182","CodeVersion":"2020","CustomName":"TRANSCYTE PER SQUARE CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0159","CodeVersion":"2020","CustomName":"SERVICES PT HOME HEALTH EST\/DEL PT MP EA 15 MINS"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9803","CodeVersion":"2020","CustomName":"H O\/P CLI SPEC CLCT SARS-COV-2 COVID-19 ANY SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9120","CodeVersion":"2020","CustomName":"FIXED PARTIAL DENTURE SECTIONING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7521","CodeVersion":"2020","CustomName":"I & D ABSC XTRAORAL SOFT TISS COMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4312","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/O DRN BAG W\/CATH 2-WAY SILCON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5899","CodeVersion":"2020","CustomName":"UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9593","CodeVersion":"2020","CustomName":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4172F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9840","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0262","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Pharmacy Svcs"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0343","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic Radiopharmaceuticals"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"74926","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"62717","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"22404","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"9500","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"167","CodeVersion":"2020","CustomName":"Appendectomy without complicated principal diagnosis without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"740","CodeVersion":"2020","CustomName":"CYSTIC FIBROSIS-NYDRG"},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93721","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1183F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4058F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0141U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99067","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113731","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0621T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.3","CodeVersion":"2017","CustomName":"PERICARDIECTOMY AND EXCISION OF LESION OF HEART"},{"ServiceGroup":"46905","CodeType":"CPT","Code":"99231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1714","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY DIRECTIONAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0247","CodeVersion":"2020","CustomName":"TRANSFER BENCH TUB\/TOILET W\/WO COMMODE OPENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0089","CodeVersion":"2020","CustomName":"PROF SVC INI V ADM SUB IMT\/OTH INF RX H EA 15M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9273","CodeVersion":"2020","CustomName":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5637","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CNTC"},{"ServiceGroup":"50907","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9017","CodeVersion":"2020","CustomName":"INJECTION ARSENIC TRIOXIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5250","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC"},{"ServiceGroup":"28624","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9476","CodeVersion":"2020","CustomName":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4133","CodeVersion":"2020","CustomName":"GRAFIX PRM GRAFIXPL PRM STRAVIX & STRAVIXPL P SC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1945","CodeVersion":"2020","CustomName":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1401","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3350","CodeVersion":"2020","CustomName":"INJECTION UREA UP TO 40 G"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7207","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6208","CodeVersion":"2020","CustomName":"CONTACT LAYER STERL > 48 SQ IN EACH DRESSING"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0702","CodeVersion":"2020","CustomName":"INJ BETAMETHASONE ACETATE & PHOSPHATE 3 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9858","CodeVersion":"2020","CustomName":"PATIENT ENROLLED IN HOSPICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8521","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 500 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7307","CodeVersion":"2020","CustomName":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL & SPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9719","CodeVersion":"2020","CustomName":"PT IS NOT AMBUL BED RIDDN IM CONF TO CHR WC BND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1016","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECHANISM SPEED OF CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0240","CodeVersion":"2020","CustomName":"INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7510","CodeVersion":"2020","CustomName":"I&D ABSCESS-INTRAORAL SOFT TISS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1876","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVERED W\/DELIVERY SYSTEM"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"17077","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"89337","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0330","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - General Classification"},{"ServiceGroup":"17083","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"47260","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0637","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Self-Administrable Drugs"},{"ServiceGroup":"19961","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"327","CodeVersion":"2020","CustomName":"Kidney and urinary tract signs and symptoms, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30064","CodeType":"ICD9P","Code":"94.27","CodeVersion":"2017","CustomName":"OTHER ELECTROSHOCK THERAPY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76421","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98570","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70746","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83061","CodeType":"ICD9P","Code":"38.81","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF INTRACRANIAL VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0300","CodeVersion":"2020","CustomName":"IV CHELATION THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0412","CodeVersion":"2020","CustomName":"BLOOD GLUCOSE LEVEL TEST IN-OFFICE GLUCOSE METER"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0160","CodeVersion":"2020","CustomName":"DEXTROAMPHETAMINE SULFATE 5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2510","CodeVersion":"2020","CustomName":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4209","CodeVersion":"2020","CustomName":"SURGRAFT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0043","CodeVersion":"2020","CustomName":"PATIENTS WITH MECHANICAL PROSTHETIC HEART VALVE"},{"ServiceGroup":"103685","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2034","CodeVersion":"2020","CustomName":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J2430","CodeVersion":"2020","CustomName":"INJECTION PAMIDRONATE DISODIUM PER 30 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9991","CodeVersion":"2020","CustomName":"DENTAL CASE MGMT - ADDRESSING APPT CA BARRIERS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7368","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9023","CodeVersion":"2020","CustomName":"PLSMA MX DONR SOLVNT\/DETRGNT TREATD FRZN EA U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7037","CodeVersion":"2020","CustomName":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0517","CodeVersion":"2020","CustomName":"INJECTION BENRALIZUMAB 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8600","CodeVersion":"2020","CustomName":"MELPHALAN ORAL 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3600","CodeVersion":"2020","CustomName":"TRANSF ORTHOS 1 SHOE TO ANOTH CALIP PLATE EXIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4414","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/O BUILT-IN CONVXITY 4X4 IN\/\/ EQUAL TO 3 DAYS IN HOSPICE CARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3870","CodeVersion":"2020","CustomName":"CGD MICROARRAY TEST DD ASD &\/OR INTELL DISABILTY"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9268","CodeVersion":"2020","CustomName":"INJECTION PENTOSTATIN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0222","CodeVersion":"2020","CustomName":"INJECTION BEBTELOVIMAB 175 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H1005","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9986","CodeVersion":"2020","CustomName":"MISSED APPOINTMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6099","CodeVersion":"2020","CustomName":"IMPLANT SUPP RTNR FOR FPD - PORCELAIN FU NBL ALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0220","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0741","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG\/3MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2502","CodeVersion":"2020","CustomName":"INJECTION PASIREOTIDE LONG ACTING 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8575","CodeVersion":"2020","CustomName":"DEVELOPED POSTOP RENAL FAILURE\/REQ DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2000","CodeVersion":"2020","CustomName":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0454","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4174","CodeVersion":"2020","CustomName":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2788","CodeVersion":"2020","CustomName":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8708","CodeVersion":"2020","CustomName":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8565","CodeVersion":"2020","CustomName":"GEFITINIB ORAL 250 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9246","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN EVOMELA 1 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1032F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90318","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0263","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Drug\/Supply Delivery"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"105470","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"258","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22384","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93092","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104555","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93020","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"54.21","CodeVersion":"2017","CustomName":"LAPAROSCOPY"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10A03ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERCUTANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3202","CodeVersion":"2020","CustomName":"ORTHOPED SHOE OXFORD W\/SUPINATOR\/PRONATOR CHILD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9600","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA\/BR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9296","CodeVersion":"2020","CustomName":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0255","CodeVersion":"2020","CustomName":"BY NURSE SOCIAL WORKER OR OTHER DESIGNATED STAFF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4145","CodeVersion":"2020","CustomName":"EPIFIX INJECTABLE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C5275","CodeVersion":"2020","CustomName":"APPL SG F-S-N-H-F-G-M-D A TO 100 CM; 1ST 25 CM\/<"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9596","CodeVersion":"2020","CustomName":"PED PT HEAD CT TRAUMA ORD OTH ECP OR REAS OTH TR"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0137","CodeVersion":"2020","CustomName":"DIDANOSINE 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7364","CodeVersion":"2020","CustomName":"TWELVE VOLT BATTERY EACH"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8940","CodeVersion":"2020","CustomName":"EQUESTRIAN\/HIPPOTHERAPY PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9994","CodeVersion":"2020","CustomName":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5750","CodeVersion":"2020","CustomName":"RELINE COMPLETE MAXILLARY DENTURE INDIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4188","CodeVersion":"2020","CustomName":"AMNIOARMOR PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2784","CodeVersion":"2020","CustomName":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9400","CodeVersion":"2020","CustomName":"INJECTION ZIV-AFLIBERCEPT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3219","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7411","CodeVersion":"2020","CustomName":"EXCISION OF BENIGN LESION > 1.25 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7404","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0274","CodeVersion":"2020","CustomName":"NP VST MEMBER HOME OUTSIDE CAPITATION ARRANGMENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9045","CodeVersion":"2020","CustomName":"INJECTION CARBOPLATIN 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4397","CodeVersion":"2020","CustomName":"STATIC\/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB"},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0511","CodeVersion":"2020","CustomName":"PHRM FEE O ANTI-CA ANTI-EMET\/IS RX; 1 PRSC 30-DA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2029","CodeVersion":"2020","CustomName":"SPECIALIZED MEDICAL EQUIPMENT NOS WAIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4426","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE; USE BARRIER W\/LOCK FLNGE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"R0070","CodeVersion":"2020","CustomName":"TRANS PRTBL X-RAY EQP&PERS HOM\/NRS HOM-TRIP 1 PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5268","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7607","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9209","CodeVersion":"2020","CustomName":"INJECTION MESNA 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9606","CodeVersion":"2020","CustomName":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9173","CodeVersion":"2020","CustomName":"INJECTION DURVALUMAB 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1152F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"70044","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0590","CodeVersion":"2020","CustomName":"Home Health (HH) Units of Service - General Classification"},{"ServiceGroup":"4116","CodeType":"REV","Code":"0540","CodeVersion":"2020","CustomName":"Ambulance - General Classification"},{"ServiceGroup":"14609","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"17766","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"44105","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"33262","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0870","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - General Classification"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"454","CodeVersion":"2020","CustomName":"Other injury, poisoning, and toxic effect diagnosis with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4149F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113973","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0159U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4058F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0556T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0610T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0008U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0178T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105031","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82223","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3999","CodeVersion":"2020","CustomName":"UPPER LIMB ORTHOSIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0506","CodeVersion":"2020","CustomName":"BATTERY LITHIUM-ION ELEC\/PNEUMATIC VAD REPL"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4206","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 1 CC OR LESS EACH"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9679","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES W\/PNE BILLD SID-BENEF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2642","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAMIC - 2 SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4206","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 1 CC OR LESS EACH"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5040","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION"},{"ServiceGroup":"90477","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9785","CodeVersion":"2020","CustomName":"PATH RPRT CUT BCC SCC\/MM RVW W\/I 7 D RECV PATH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5117","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2013","CodeVersion":"2020","CustomName":"PSYCHIATRIC HEALTH FACILITY SERVICE PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4033","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2315","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS TRIFOCAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1520","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - REMOVABLE UNI - PER QUADRANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8917","CodeVersion":"2020","CustomName":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10D07Z8","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION OTH NAT\/ART OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9419","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL HIS T\/NSCLC-NOS CLASS EXPLN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4026","CodeVersion":"2020","CustomName":"PHYSICAL THER\/OCCUPAT THERAPY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9356","CodeVersion":"2020","CustomName":"TENDON POROUS MATRIX COLLAGEN & GAG PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9308","CodeVersion":"2020","CustomName":"INJECTION RAMUCIRUMAB 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5230","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1324","CodeVersion":"2020","CustomName":"INJECTION ENFUVIRTIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9770","CodeVersion":"2020","CustomName":"VITRECTOMY MECH PP APP SR INJ PHRMACL\/BIOL AGENT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48381","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"16616","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"75502","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"14101","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"3208","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"3987","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4164F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87525","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93725","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107179","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107497","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1116F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26233","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17542","CodeType":"CPT","Code":"93620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0270U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0616T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107128","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0444T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1458","CodeVersion":"2020","CustomName":"INJECTION GALSULFASE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5695","CodeVersion":"2020","CustomName":"ADD LW EXTRM ABVE KNEE PELV CNTRL SLV NEOPRENE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1951","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4247","CodeVersion":"2020","CustomName":"BETADINE OR IODINE SWABS\/WIPES PER BOX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6930","CodeVersion":"2020","CustomName":"BELW ELB OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7650","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH-OPEN REDUCTION"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0781","CodeVersion":"2020","CustomName":"AMB INFUS PUMP 1\/MX CHANNL W\/ADMN EQP WORN BY PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5704","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2360","CodeVersion":"2020","CustomName":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9361","CodeVersion":"2020","CustomName":"MEDICAL INDICATION FOR DELIV C\/S OR INDUCT LABOR"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5010","CodeVersion":"2020","CustomName":"5% DEXTROSE AND 0.45% NORMAL SALINE 1000 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1551","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9022","CodeVersion":"2020","CustomName":"INJECTION ATEZOLIZUMAB 10 MG"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3246","CodeVersion":"2020","CustomName":"INJECTION TIROFIBAN HCI 0.25 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7505","CodeVersion":"2020","CustomName":"MUROMONAB-CD3 PARENTERAL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5622","CodeVersion":"2020","CustomName":"REPAIR CAST PARTIAL FRAMEWORK MAXILLARY"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7404","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8913","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST LOWER EXTREMITY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93599","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75489","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"68191","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0183","CodeVersion":"2020","CustomName":"Leave Of Absence - Therapeutic Leave"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0973","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - THERAPEUTIC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"255","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of upper arm and lower leg, except foot, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"099","CodeVersion":"2020","CustomName":"Respiratory signs and symptoms with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87397","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0348T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111946","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99166","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0280T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0304U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4222","CodeVersion":"2020","CustomName":"PROGENAMATRIX PER SQ CM"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2008","CodeVersion":"2020","CustomName":"MODERATE 45 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0278","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9964","CodeVersion":"2020","CustomName":"PT RECV AT LEAST 1 WCV W\/PCP DUR PRFRM PERIOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0469","CodeVersion":"2020","CustomName":"FED QUAL HEALTH CNTR VISIT MENTAL HEALTH NEW PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2299","CodeVersion":"2020","CustomName":"SPECIALTY BIFOCAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7207","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8664","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STATUS SHOULDER IMPAIR SCORE < 0"},{"ServiceGroup":"65284","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9620","CodeVersion":"2020","CustomName":"PATIENT NOT SCR UTERINE MALIG\/NO U\/S RSN NOT GVN"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7632","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2023","CodeVersion":"2020","CustomName":"SUPPORTED EMPLOYMENT PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3250","CodeVersion":"2020","CustomName":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6077","CodeVersion":"2020","CustomName":"IMPLANT SUPP RET METAL FPD - HIGH NOBLE ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2619","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6117","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND"},{"ServiceGroup":"75522","CodeType":"HCPCS","Code":"H0018","CodeVersion":"2020","CustomName":"BHVAL HEALTH; SHORT-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9779","CodeVersion":"2020","CustomName":"ESD INCLUD ENDOSCOPY\/COLONOSCOPY MUCOSAL CLOS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1180","CodeVersion":"2020","CustomName":"INJECTION DYPHYLLINE UP TO 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4006","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0117","CodeVersion":"2020","CustomName":"TRETINOIN TOPICAL 5 GRAMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0781","CodeVersion":"2020","CustomName":"AMB INFUS PUMP 1\/MX CHANNL W\/ADMN EQP WORN BY PT"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"106598","CodeType":"HCPCS","Code":"V5252","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9410","CodeVersion":"2020","CustomName":"PT ADM WI 180 DAYS POST CIED W\/INF RQR DEVC REMV"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7309","CodeVersion":"2020","CustomName":"METHYL AMINOLEVULINATE MAL TOP ADMIN 16.8% 1 G"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29930","CodeType":"REV","Code":"0833","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0963","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (MD)"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"21358","CodeType":"DRG","Code":"258","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79699","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4133F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0049U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0033A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93016","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0329","CodeVersion":"2020","CustomName":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1907","CodeVersion":"2020","CustomName":"ANKLE ORTHOSIS SUPRAMALLEOLAR WITH STRAPS CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1025","CodeVersion":"2020","CustomName":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1459","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7605","CodeVersion":"2020","CustomName":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0604","CodeVersion":"2020","CustomName":"ANTIGEN TESTING FOR PH RELATED PATHOGEN INCL COV"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3095","CodeVersion":"2020","CustomName":"INJECTION TELAVANCIN 10 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2106","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRAILTY & D MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9352","CodeVersion":"2020","CustomName":"INJECTION TRABECTEDIN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9352","CodeVersion":"2020","CustomName":"MICROPOROUS COLLAGEN IMPLANTABLE TUBE PER CM LEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3921","CodeVersion":"2020","CustomName":"DECORONATION\/SUBMG ERUPTED TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0496","CodeVersion":"2020","CustomName":"SKD SRVC LPN TRAIN&\/EDU PT\/FAM HH\/HOSPC E 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5795","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4221","CodeVersion":"2020","CustomName":"AMNIO WRAP2 PER SQ CM"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10A03ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERCUTANEOUS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1459","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1005","CodeVersion":"2020","CustomName":"TENSION BASED SCOLIOSIS ORTHOS&ACCESSORY PADS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6197","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GELL DRESS PAD >16<\/=48 SQ EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0444","CodeVersion":"2020","CustomName":"PORTABLE O2 CONTENTS LIQUID 1 MO SUPPLY =1 UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4636","CodeVersion":"2020","CustomName":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7830","CodeVersion":"2020","CustomName":"MANIPULATION UNDER ANESTHESIA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9432","CodeVersion":"2020","CustomName":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3301","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE NOS 10 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93081","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105237","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0903","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Play Therapy"},{"ServiceGroup":"80258","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"12290","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100271","CodeType":"CPT","Code":"90656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0210U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98203","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0227U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100007","CodeType":"CPT","Code":"27870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100276","CodeType":"CPT","Code":"90734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0692","CodeVersion":"2020","CustomName":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9119","CodeVersion":"2020","CustomName":"INJECTION CEMIPLIMAB-RWLC 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4090","CodeVersion":"2020","CustomName":"REPLACE METAL BANDS KAFO-AFO CALF\/DISTAL THIGH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9298","CodeVersion":"2020","CustomName":"PT EVAL VTE CV RISK FACTOR W\/I 30 DAY PRIOR PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2188","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM"},{"ServiceGroup":"13268","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0384","CodeVersion":"2020","CustomName":"Blood and Blood Components - Platelets"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"11193","CodeType":"DRG","Code":"555","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.54","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REMOVAL OF REMAINING OVARY"},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0285U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102260","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4058F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100268","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87387","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0181U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34605","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0518T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91583","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0191U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1720","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9142","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-MALY BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2129","CodeVersion":"2020","CustomName":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2203","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20 < 22 IN"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5110","CodeVersion":"2020","CustomName":"DISPENSING FEE BILATERAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7682","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0108","CodeVersion":"2020","CustomName":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2430","CodeVersion":"2020","CustomName":"INJECTION PAMIDRONATE DISODIUM PER 30 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1050","CodeVersion":"2020","CustomName":"INJECTION MEDROXYPROGESTERONE ACETATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0122","CodeVersion":"2020","CustomName":"INJECTION ERAVACYCLINE 1 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1190","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0221","CodeVersion":"2020","CustomName":"MED CONF PHYS W\/TEAM HLTH PROF PT CARE; 60 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4165","CodeVersion":"2020","CustomName":"KERAMATRIX OR KERASORB PER SQ CM"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4152","CodeVersion":"2020","CustomName":"DERMAPURE PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8806","CodeVersion":"2020","CustomName":"PERFORM TRANS-ABD\/TRANS-VAG U\/S & PREG LOC DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0250","CodeVersion":"2020","CustomName":"PHYS REV INTEPR & PT MGMT HOME INR MON; 1 A WEEK"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7508","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2315","CodeVersion":"2020","CustomName":"INJECTION NALTREXONE DEPOT FORM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7205","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3000","CodeVersion":"2020","CustomName":"INJECTION STREPTOMYCIN UP TO 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4540","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9317","CodeVersion":"2020","CustomName":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"62","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"408","CodeVersion":"2020","CustomName":"Myeloproliferative disorders or poorly differentiated neoplasms with other operating room procedures"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12197","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3495F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0546T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20012","CodeType":"ICD9P","Code":"55.69","CodeVersion":"2017","CustomName":"OTHER KIDNEY TRANSPLANTATION"},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0209U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0537T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.89","CodeVersion":"2017","CustomName":"REVISION OR REMOVAL OF PACEMAKER DEVICE"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0597T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0855","CodeVersion":"2020","CustomName":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND\/FRAME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1017","CodeVersion":"2020","CustomName":"PATIENT ADMITTED TO PALLIATIVE CARE SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2620","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1018","CodeVersion":"2020","CustomName":"PATIENTS ACTV DX\/HX CA PT HVY TOB SMKR LC SCR PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0429","CodeVersion":"2020","CustomName":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME"},{"ServiceGroup":"411","CodeType":"ICD10P","Code":"4A020N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0222","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"112105","CodeType":"HCPCS","Code":"U0002","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/2019-NCOV"},{"ServiceGroup":"30266","CodeType":"HCPCS","Code":"E0693","CodeVersion":"2020","CustomName":"UV LT TX SYS PANL W\/BULBS\/LAMPS TIMER 6 FT PANEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0410","CodeVersion":"2020","CustomName":"POUNDS OF OXYGEN PER LB CHAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4435","CodeVersion":"2020","CustomName":"OST POUCH DRAIN HI OP EXT WEAR BARR W\/WO FLTR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0512","CodeVersion":"2020","CustomName":"RHC\/FQHC ONLY PSYCHIATRIC COCM 60 M\/>C TM-CAL MO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1148","CodeVersion":"2020","CustomName":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9921","CodeVersion":"2020","CustomName":"NO SCR PRFRM PR SCR PRFRM\/POS SCR NO REC&RSN"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4149F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5115","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0160","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT: PER MILE-CASE\/SOCIAL WORKER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1305","CodeVersion":"2020","CustomName":"INJECTION EVINACUMAB-DGNB 5MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1767","CodeVersion":"2020","CustomName":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0947","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"49622","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0603","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply >4 LPM"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0839","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"23024","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"28147","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"23024","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"42785","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"75639","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"479","CodeVersion":"2020","CustomName":"Other vascular procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"207","CodeVersion":"2020","CustomName":"Disorders of the biliary tract with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78660","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13640","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98578","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0279T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101411","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46724","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"7010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4369","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER LIQUID PER OZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1439","CodeVersion":"2020","CustomName":"INJECTION FERRIC CARBOXYMALTOSE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0489","CodeVersion":"2020","CustomName":"POWER PACK BASE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8845","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4002","CodeVersion":"2020","CustomName":"CAST SUPPLIES BODY CAST ADULT W\/WO HEAD FIBRGLS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2215","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8866","CodeVersion":"2020","CustomName":"DOC PT RSN NOT ADM\/PREV RECV PNEUMOCOCCAL VAC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8120","CodeVersion":"2020","CustomName":"O2 CONTENTS GASEOUS 1 UNIT EQULS 1 CUBIC FOOT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3230","CodeVersion":"2020","CustomName":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0629","CodeVersion":"2020","CustomName":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1000","CodeVersion":"2020","CustomName":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8055","CodeVersion":"2020","CustomName":"ULTRASOUND GUID MULTIFETAL PG RDUC TECH CMPNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4158","CodeVersion":"2020","CustomName":"KERECIS OMEGA3 PER SQUARE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5512","CodeVersion":"2020","CustomName":"REPAIR BROKEN COMPLETE DENTURE BASE MAXILLARY"},{"ServiceGroup":"104228","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6222","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O NL SALINE\/HYDROGEL 16 SQ\/<"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7039","CodeVersion":"2020","CustomName":"FILTER NON DISPBL USED W\/POS ARWAY PRESS DEVICE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9704","CodeVersion":"2020","CustomName":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7511","CodeVersion":"2020","CustomName":"I & D ABSC INTRAORAL SOFT TISS COMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9217","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE 7.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2710","CodeVersion":"2020","CustomName":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9368","CodeVersion":"2020","CustomName":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1447","CodeVersion":"2020","CustomName":"INJECTION TBO-FILGRASTIM 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2622","CodeVersion":"2020","CustomName":"SKIN PROTECT WC SEAT CUSH WIDTH <22 IN ANY DEPTH"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0391","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS - ADMIN (E.G., TRANSFUS)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0984","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - MEDICAL SOCIAL SERVICES"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"459","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99158","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0325T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0145U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1205F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0524T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3455F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3759F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0024A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0314T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93027","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44106","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90815","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6586","CodeVersion":"2020","CustomName":"PREP ELB DISRTC\/ABVE ELB 1 WALL SOCKT DIR FORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0520","CodeVersion":"2020","CustomName":"INJ BETHANCHOL CHLORID MYTONCHOL\/URECHOLN UP 5MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5702","CodeVersion":"2020","CustomName":"REPLCMT SOCKT HIP DISARTIC W\/HIP JNT MOLD PT MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9304","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED PEMFEXY 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7040","CodeVersion":"2020","CustomName":"ONE WAY CHEST DRAIN VALVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0435","CodeVersion":"2020","CustomName":"FIXED WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7332","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRILURON IA INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9809","CodeVersion":"2020","CustomName":"PATIENTS USE HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9771","CodeVersion":"2020","CustomName":"NASAL\/SINUS ENDO CRYO NSL TISS &\/ NERVE UNIL\/BIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0215","CodeVersion":"2020","CustomName":"INJECTION ALEFACEPT 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4178","CodeVersion":"2020","CustomName":"PARNTRAL NUTRIT SOL; AMINO ACID > 85% - HOM MIX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0351","CodeVersion":"2020","CustomName":"3D PHOTOGRAPHIC IMAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0148","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMERS CERV\/VAG AUTO SYS W\/MNL RESCR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0161","CodeVersion":"2020","CustomName":"SERVICE SLP HH EST\/DEL SPCH-LANG PATH MP EA 15 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1171","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS W\/O FOOT\/LEGREST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2404","CodeVersion":"2020","CustomName":"REPAIR MYELOMENINGOCELE FETUS PROC PRFRM UTERO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4123","CodeVersion":"2020","CustomName":"ALLOSKIN RT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2644","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SRC CESIUM-131 CHLORID SOL PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0786","CodeVersion":"2020","CustomName":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2335","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2108","CodeVersion":"2020","CustomName":"PT 66\/OLDER INST SNP\/RES LTC >90 D DUR MSR PRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2007","CodeVersion":"2020","CustomName":"LIMITED 30 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2201","CodeVersion":"2020","CustomName":"SPHERE BIFOCAL +\/- 4.12 TO +\/- 7.00D PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2304","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 2.25-4.00D CYL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0121","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLNSCPY NOT MEET HI RISK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8300","CodeVersion":"2020","CustomName":"TRUSS SINGLE WITH STANDARD PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0730","CodeVersion":"2020","CustomName":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5200","CodeVersion":"2020","CustomName":"ABVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"10649","CodeType":"HCPCS","Code":"S5501","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT COMPLEX PER DIEM"},{"ServiceGroup":"15363","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0889","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Other Miscellaneous Dialysis"},{"ServiceGroup":"24639","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"33251","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"66482","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"62098","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"88138","CodeType":"DRG","Code":"988","CodeVersion":"2020","CustomName":"Nonextensive O.R. Procedure Unrelated to Principal Diagnosis with CC"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"981","CodeVersion":"2020","CustomName":"Extensive O.R. Procedure Unrelated to Principal Diagnosis with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"265","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement except for skin ulcer or cellulitis with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"314","CodeVersion":"2020","CustomName":"Urethral procedures, age 0-17"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1183F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4149F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82808","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22818","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9412","CodeVersion":"2020","CustomName":"PT ADM WI 180 D PST CIED W\/INF DVC RMV\/SURG REV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7100","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 40500 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7681","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5681","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM INSRT CNGN\/ATYP TRAUMAT AMP INIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8096","CodeVersion":"2020","CustomName":"PORTABLE PEAK FLOW METER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9340","CodeVersion":"2020","CustomName":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9618","CodeVersion":"2020","CustomName":"DOCUMENTATION OF SCR UTEN MALIG\/US&\/ENDOMET SAMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0046","CodeVersion":"2020","CustomName":"MENTAL HEALTH SERVICES NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4566","CodeVersion":"2020","CustomName":"SHOULDER SLING\/VEST ABDUCTION RESTRAINER PREFAB"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4133","CodeVersion":"2020","CustomName":"GRAFIX PRM GRAFIXPL PRM STRAVIX & STRAVIXPL P SC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0574","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NLX ORAL >6 MG BUT <\/=TO 10 MG BPN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9118","CodeVersion":"2020","CustomName":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9001","CodeVersion":"2020","CustomName":"ASSESSMENT BY CHAPLAIN SERVICES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2095","CodeVersion":"2020","CustomName":"DOC SYS RSN NOT PRSC ACE INHIB\/ARB\/ARNI THERAPY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4016","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4432","CodeVersion":"2020","CustomName":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4231","CodeVersion":"2020","CustomName":"ANAT CROWN EXP 1-3 TEETH\/BND TOOTH SP PER QUAD"},{"ServiceGroup":"106668","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7760","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH CLOSED REDUCTION"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0150","CodeVersion":"2020","CustomName":"COMP ORAL EVALUATION - NEW\/EST PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2625","CodeVersion":"2020","CustomName":"SKIN PROTECT & POSITIONING WC CUSH WIDTH 22 IN\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1710","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E8002","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ ANT SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2620","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1036","CodeVersion":"2020","CustomName":"MULTI-PSTN PT TRNSF SYS EXTRA WIDE PT >300 LBS"},{"ServiceGroup":"13187","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0943","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Cardiac Rehabilitation"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"107625","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"10905","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0824","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"44883","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"13052","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"44107","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"558","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH DRUG ELUTING STENT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106265","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107053","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105248","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27271","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1036F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4171F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89987","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0490","CodeVersion":"2020","CustomName":"FACE-TO-FACE HH NSG VST RHC\/FQHC AREA SHTG HHA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6882","CodeVersion":"2020","CustomName":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1260","CodeVersion":"2020","CustomName":"INJECTION DOLASETRON MESYLATE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0225","CodeVersion":"2020","CustomName":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2760","CodeVersion":"2020","CustomName":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0851","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6242","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD 16 SQ\/< NO ADHES BORDR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4225","CodeVersion":"2020","CustomName":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9207","CodeVersion":"2020","CustomName":"INJECTION IXABEPILONE 1 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9311","CodeVersion":"2020","CustomName":"NO SURGICAL SITE INFECTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0740","CodeVersion":"2020","CustomName":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5950","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8700","CodeVersion":"2020","CustomName":"TEMOZOLOMIDE ORAL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5857","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5648","CodeVersion":"2020","CustomName":"ADD LOW EXT ABOVE KNEE AIR FL GEL\/= CUSHN SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2469","CodeVersion":"2020","CustomName":"INJECTION PALONOSETRON HCL 25 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2024","CodeVersion":"2020","CustomName":"SUPPORTED EMPLOYMENT PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0706","CodeVersion":"2020","CustomName":"INJECTION CAFFEINE CITRATE 5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7259","CodeVersion":"2020","CustomName":"ELECTRONIC WRIST ROTATOR ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9813","CodeVersion":"2020","CustomName":"PT DID NOT DIE W\/I 30 DA OF PROC\/DUR INDEX HOSP"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7503","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0289","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46731","CodeType":"ICD9P","Code":"00.12","CodeVersion":"2017","CustomName":"ADMINISTRATION OF INHALED NITRIC OXIDE"},{"ServiceGroup":"89337","CodeType":"HCPCS","Code":"H0009","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; ACUTE DTOX HOSP IP"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1830","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1B 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1391","CodeVersion":"2020","CustomName":"O2 CONC 2 DEL PORT 85%\/>O2 CONC PRSC FLW RATE EA"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9027","CodeVersion":"2020","CustomName":"INJECTION CLOFARABINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2381","CodeVersion":"2020","CustomName":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8883","CodeVersion":"2020","CustomName":"BIOPSY RESULTS REVIEW COMMUNICATED TRACKED & DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0292","CodeVersion":"2020","CustomName":"HOSP BED VARIBL HT HI-LO W\/O SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"88426","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"57968","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"977","CodeType":"REV","Code":"0404","CodeVersion":"2020","CustomName":"Other Imaging Services - Positron Emission Tomography"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0649","CodeVersion":"2020","CustomName":"Home IV Therapy Services - Other IV Therapy Services"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"66360","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"16020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26775","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107082","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3215F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0089U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84999","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0703T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86458","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"16036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0082A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0618T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7902","CodeVersion":"2020","CustomName":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q1004","CodeVersion":"2020","CustomName":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0439","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8485","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8536","CodeVersion":"2020","CustomName":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0640","CodeVersion":"2020","CustomName":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS\/ACCESS"},{"ServiceGroup":"78046","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"84185","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2186","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM VABORBACTAM 10 MG\/10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6980","CodeVersion":"2020","CustomName":"FIXED PART DENTURE REPR NEC RESTORATVE MATL FAIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4606","CodeVersion":"2020","CustomName":"OXYGEN PROBE USE W\/OXIMETER DEVICE REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0139","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8429","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE EXTERIOR WRAP"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9355","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6235","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS >16 BUT <\/=48 SQ W\/O ADHES EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0133","CodeVersion":"2020","CustomName":"INJECTION ACYCLOVIR 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0467","CodeVersion":"2020","CustomName":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4313","CodeVersion":"2020","CustomName":"INSRT TRAY W\/O DRN BAG W\/CATH 3-WAY CONT IRRIG"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0543","CodeVersion":"2020","CustomName":"Ambulance - Heart Mobile"},{"ServiceGroup":"40147","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"867","CodeVersion":"2020","CustomName":"LOCAL INCSN \"&\" REM OF INT FIX DEVICES EXC HIP \"&\" FEMUR W\/O CC-NYDRG"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"320","CodeVersion":"2020","CustomName":"Kidney and urinary tract infections, age greater than 17, with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0227T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61039","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0314U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101180","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0311T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38367","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9699","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL THERAPEUTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9063","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0936","CodeVersion":"2020","CustomName":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4411","CodeVersion":"2020","CustomName":"OST SKN BARRIER SOLID 4X4\/EQ W\/BUILT-IN CONVXITY"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1240","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; DTACHBLE ARMS DTACHBLE LEGREST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9607","CodeVersion":"2020","CustomName":"LUTETIUM LU 177 VIPIVOTIDE TETRAXETAN THER 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7195","CodeVersion":"2020","CustomName":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3230","CodeVersion":"2020","CustomName":"PULPAL THERAPY - ANT PRIMARY TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0703","CodeVersion":"2020","CustomName":"2-D O\/F PHOTO IMG OBTD INTRAORL\/EO-IMG CAP ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0630","CodeVersion":"2020","CustomName":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8210","CodeVersion":"2020","CustomName":"REMOVABLE APPLIANCE THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4407","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/BUILT-IN CONVXITY 4X4 IN\/< EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2001","CodeVersion":"2020","CustomName":"INJECTION LIDOCAINE HCL INTRAVENOUS INFUS 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7170","CodeVersion":"2020","CustomName":"INJECTION EMICIZUMAB-KXWH 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2670","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9413","CodeVersion":"2020","CustomName":"PT NOT ADM WI 180 DAYS POST CIED W\/INF DEVC REMV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8460","CodeVersion":"2020","CustomName":"CAMISOLE POST-MASTECTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1250","CodeVersion":"2020","CustomName":"INJECTION DOBUTAMINE HCI PER 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6940","CodeVersion":"2020","CustomName":"STRESS BREAKER"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6621","CodeVersion":"2020","CustomName":"UP EXTREM PROS ADD FLEXION\/EXTENSION WRIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0462","CodeVersion":"2020","CustomName":"ROCKING BED WITH OR WITHOUT SIDE RAILS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9090","CodeVersion":"2020","CustomName":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0160","CodeVersion":"2020","CustomName":"DTL&EXT ORAL EVAL - PROB FOCUS RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9152","CodeVersion":"2020","CustomName":"SINGLE VIT\/MINERAL\/TRACE ELEMENT ORAL-DOSE NOS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1724","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85570","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21805","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"50362","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"34342","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"27249","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"141","CodeVersion":"2020","CustomName":"Syncope and collapse with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27402","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87524","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.70","CodeVersion":"2017","CustomName":"INITIAL INSERTION OF LEAD NOS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3272F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70068","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103771","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107117","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1116F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92544","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101300","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7311","CodeVersion":"2020","CustomName":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH\/SPACES QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5036","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY REPAIR OF INFUSION DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1015","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECH RELIANT MEDICAL GRP"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0113","CodeVersion":"2020","CustomName":"PINWORM EXAMINATION"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0701","CodeVersion":"2020","CustomName":"PANORAMIC RADIOGRAPHIC IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3150","CodeVersion":"2020","CustomName":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1036","CodeVersion":"2020","CustomName":"TRANSMITTER; EXT USE W\/ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"87963","CodeType":"ICD10P","Code":"0DB67Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH VIA NAT ARTIF OPENING VERTICAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5961","CodeVersion":"2020","CustomName":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2351","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9644","CodeVersion":"2020","CustomName":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG\/PROC"},{"ServiceGroup":"82448","CodeType":"HCPCS","Code":"A0427","CodeVersion":"2020","CustomName":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7624","CodeVersion":"2020","CustomName":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5951","CodeVersion":"2020","CustomName":"FEEDING AID"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5671","CodeVersion":"2020","CustomName":"ADD LW EXTRM BELW\/ABVE KNEE SUSP LOCK MECH"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6259","CodeVersion":"2020","CustomName":"TRANSPARENT FILM STERL > 48 SQ IN EA DRESSING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9115","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9840","CodeVersion":"2020","CustomName":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9131","CodeVersion":"2020","CustomName":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2004","CodeVersion":"2020","CustomName":"NON-EMERG TRNSPRT; COMMERCIAL CARRIER MULTI-PASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4322","CodeVersion":"2020","CustomName":"SPLINT - INTRA-COR; NATURAL TEETH\/PROSTH CROWNS"},{"ServiceGroup":"73141","CodeType":"HCPCS","Code":"G0161","CodeVersion":"2020","CustomName":"SERVICE SLP HH EST\/DEL SPCH-LANG PATH MP EA 15 M"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75487","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"12031","CodeType":"REV","Code":"0294","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Supplies\/Drugs for DME"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0516","CodeVersion":"2020","CustomName":"Clinic - Urgent Care Clinic"},{"ServiceGroup":"40222","CodeType":"REV","Code":"870","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0380","CodeVersion":"2020","CustomName":"Blood and Blood Components - General Classification"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"10632","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"38607","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"742","CodeVersion":"2020","CustomName":"Uterine and Adnexa Procedures for Nonmalignancy with CC\/MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79298","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41325","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83624","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4221F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35683","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"88.56","CodeVersion":"2017","CustomName":"CORONARY ARTERIOGRAPHY USING TWO CATHETERS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0560T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0661T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107099","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17324","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23206","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0017","CodeVersion":"2020","CustomName":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4280","CodeVersion":"2020","CustomName":"ADHES SKN SUPPORT ATTCH USE W\/EXT BRST PROSTH EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0011","CodeVersion":"2020","CustomName":"STD-WT FRME MOTRIZD\/PWR WHLCHAIR W\/PROG CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0108","CodeVersion":"2020","CustomName":"MERCAPTOPURINE ORAL 50 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"103948","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4226","CodeVersion":"2020","CustomName":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4452","CodeVersion":"2020","CustomName":"TAPE WATERPROOF PER 18 SQUARE INCHES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7599","CodeVersion":"2020","CustomName":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7311","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL RETISERT 0.01 MG"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8563","CodeVersion":"2020","CustomName":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2631","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONT WITHOUT SLING GRAFT"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9216","CodeVersion":"2020","CustomName":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7329","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRIVISC FOR IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0252","CodeVersion":"2020","CustomName":"PET IMAG INIT DX BREST CA&\/SURG PLAN NOT COV MCR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1722","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR SINGLE CHAMBER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9422","CodeVersion":"2020","CustomName":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5920","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS AK\/HIP DISARTIC ALIGNABLE SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8033","CodeVersion":"2020","CustomName":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0490","CodeVersion":"2020","CustomName":"TLSO SAGIT-CORONAL W\/OVRLAP REINFORCED ANT PRFAB"},{"ServiceGroup":"37984","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0070","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4202","CodeVersion":"2020","CustomName":"KEROXX (2.5G\/CC) 1CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0009","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; ACUTE DTOX HOSP IP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2360","CodeVersion":"2020","CustomName":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0202","CodeVersion":"2020","CustomName":"INJECTION ALEMTUZUMAB 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1890","CodeVersion":"2020","CustomName":"INJECTION CEPHALOTHIN SODIUM UP TO 1 G"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2325","CodeVersion":"2020","CustomName":"PWR WC ACSS SIP&PUFF INTERFCE NONPROPRTNAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9293","CodeVersion":"2020","CustomName":"INJECTION MITOXANTRONE HCL PER 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1887","CodeVersion":"2020","CustomName":"CATHETER GUIDING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5751","CodeVersion":"2020","CustomName":"RELINE COMPLETE MANDIBULAR DENTURE INDIRECT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30654","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76501","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"177","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"68185","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"27726","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"458","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"28015","CodeType":"DRG","Code":"467","CodeVersion":"2020","CustomName":"Other factors influencing health status"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"845","CodeVersion":"2020","CustomName":"Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses without CC\/MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72042","CodeType":"CPT","Code":"99241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0310T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84932","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91028","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0521T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0051A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0148U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105490","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30031","CodeType":"ICD9P","Code":"37.21","CodeVersion":"2017","CustomName":"RIGHT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2390","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2370","CodeVersion":"2020","CustomName":"INTRADISCAL ELECTHRML TX; 1 INTRSP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2430","CodeVersion":"2020","CustomName":"GOLD FOIL - THREE SURFACES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1212","CodeVersion":"2020","CustomName":"INJECTION DMSO DIMETHYL SULFOXIDE 50% 50 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1240","CodeVersion":"2020","CustomName":"INJECTION DIMENHYDRINATE UP TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0587","CodeVersion":"2020","CustomName":"INJECTION RIMABOTULINUMTOXINB 100 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4004","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9273","CodeVersion":"2020","CustomName":"BP HAS SYSTOLIC VALUE < 140 DIASTOLIC VALUE < 90"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7517","CodeVersion":"2020","CustomName":"MYCOPHENOLATE MOFETIL ORAL 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0271","CodeVersion":"2020","CustomName":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8908","CodeVersion":"2020","CustomName":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2605","CodeVersion":"2020","CustomName":"PSTN WHEELCHAIR SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3230","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0567","CodeVersion":"2020","CustomName":"INJECTION CERLIPONASE ALFA 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J8499","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3095","CodeVersion":"2020","CustomName":"INJECTION TELAVANCIN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4378","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0370","CodeVersion":"2020","CustomName":"AIR PRESSURE ELEVATOR FOR HEEL"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7327","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE MONOVISC IA INJ PER DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0117","CodeVersion":"2020","CustomName":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5935","CodeVersion":"2020","CustomName":"MANDIB RES PROSTH W\/O GUIDE FLANGE"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7368","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7699","CodeVersion":"2020","CustomName":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"73604","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"44107","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"15480","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"51323","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"25535","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"725","CodeVersion":"2020","CustomName":"Benign Prostatic Hypertrophy with MCC"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"455","CodeVersion":"2020","CustomName":"Other injury, poisoning, and toxic effect diagnosis without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0312T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.3","CodeVersion":"2017","CustomName":"OPERATIONS STRUCTURES ADJACENT TO HEART VALVES"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107039","CodeType":"CPT","Code":"21445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0277U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93019","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113856","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0535T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0420T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0149U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50062","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5160","CodeVersion":"2020","CustomName":"EMERGENCY RESPONSE SYSTEM; INSTALLATION&TESTING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4525","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR\/PULLON SM EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8694","CodeVersion":"2020","CustomName":"LVEF < 40% OR DOCUMENTATION OF MOD\/SEV LVSD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0770","CodeVersion":"2020","CustomName":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0365","CodeVersion":"2020","CustomName":"CONE BEAM CT CAP&INT FD VW 1 FULL DENT ARCH-MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1162","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0137","CodeVersion":"2020","CustomName":"DIDANOSINE 25 MG"},{"ServiceGroup":"53487","CodeType":"HCPCS","Code":"A5500","CodeVersion":"2020","CustomName":"DIAB ONLY FIT CSTM PREP&SPL SHOE MX DNSITY INSRT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3217","CodeVersion":"2020","CustomName":"ORTHOPED FTWEAR LADIES SHOE HITOP DEPTH INLAY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1146","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2850","CodeVersion":"2020","CustomName":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1460","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0462","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"27830","CodeType":"HCPCS","Code":"G0129","CodeVersion":"2020","CustomName":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0941","CodeVersion":"2020","CustomName":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9406","CodeVersion":"2020","CustomName":"CLIN DOC RSN PT NOT CMPL 7 DAY F\/U AC INPT D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0290","CodeVersion":"2020","CustomName":"HOSPITAL BED FIX HT WITHOUT SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2074","CodeVersion":"2020","CustomName":"MEDICATION ASSIST WEEKLY BUNDLE NOT INCL DRUG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0999","CodeVersion":"2020","CustomName":"ADDITION TO SPINAL ORTHOSIS NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5612","CodeVersion":"2020","CustomName":"REPAIR RESIN PARTIAL DENTURE BASE MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7550","CodeVersion":"2020","CustomName":"PART OSTEC\/SEQECT REMV NON-VITAL BN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0890","CodeVersion":"2020","CustomName":"INJECTION PEGINESATIDE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8320","CodeVersion":"2020","CustomName":"TRUSS ADDITION TO STANDARD PAD WATER PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0784","CodeVersion":"2020","CustomName":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9016","CodeVersion":"2020","CustomName":"SMOK CESSATN CNSL IND ABSNCE\/ADD OTH E&M-SESS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9210","CodeVersion":"2020","CustomName":"INJECTION EMAPALUMAB-LZSG 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9430","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5175","CodeVersion":"2020","CustomName":"LAUNDRY SERVICE EXTERNAL PROFESSIONAL; PER ORDER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0954","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2425","CodeVersion":"2020","CustomName":"ADD KNEE JNT DISC\/DIAL LOCK ADJ KNEE FLX EA JNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9987","CodeVersion":"2020","CustomName":"BPCI ADV MOD HOME VISIT PT ASMT PERF CLIN STAFF"},{"ServiceGroup":"113940","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6632","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9315","CodeVersion":"2020","CustomName":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9118","CodeVersion":"2020","CustomName":"INJECTION CALASPARGASE PEGOL-MKNL 10 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0452","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8477","CodeVersion":"2020","CustomName":"MOST RECENT BP SYST>=140 MM HG &\/ DIAS>=90 MM HG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0036","CodeVersion":"2020","CustomName":"CMTY PSYC SUPPORTIVE TX FCE-TO-FCE PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0740","CodeVersion":"2020","CustomName":"REPR\/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0455","CodeVersion":"2020","CustomName":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9296","CodeVersion":"2020","CustomName":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5181","CodeVersion":"2020","CustomName":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE"},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J1455","CodeVersion":"2020","CustomName":"INJECTION FOSCARNET SODIUM PER 1000 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15788","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"41368","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"48212","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"259","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy with CC"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"332","CodeVersion":"2020","CustomName":"Other kidney and urinary tract diagnoses, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1137F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.85","CodeVersion":"2017","CustomName":"VOCATIONAL REHABILITATION"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44250","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3472F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"16030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97460","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0040U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.19","CodeVersion":"2017","CustomName":"SCAN OF OTHER SITE"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4191F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0068U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6508","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0071","CodeVersion":"2020","CustomName":"PMT CMNCT TECH-BASED SERVICES; RHC OR FQHC ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1904","CodeVersion":"2020","CustomName":"ANKLE ORTH ANKLE GAUNTLET\/SIMILAR CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5911","CodeVersion":"2020","CustomName":"FACIAL MOULAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1970","CodeVersion":"2020","CustomName":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9415","CodeVersion":"2020","CustomName":"PT NOT 1 DOSE MENC VAC ON\/BETW PT 11TH&13TH BDAY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1290","CodeVersion":"2020","CustomName":"INJECTION ECALLANTIDE 1 MG"},{"ServiceGroup":"88424","CodeType":"HCPCS","Code":"G0432","CodeVersion":"2020","CustomName":"INF ANTIBODY ELISA TECH ANTIBODY HIV-1\/HIV-2 SCR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7991","CodeVersion":"2020","CustomName":"CORONOIDECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9090","CodeVersion":"2020","CustomName":"VERTEBRAL AXIAL DECOMPRESSION PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2070","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPLANT INSRT; WEEKLY BUNDLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9950","CodeVersion":"2020","CustomName":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9111","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA; M1 METASTATC LOC RECUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0467","CodeVersion":"2020","CustomName":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2798","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0480","CodeVersion":"2020","CustomName":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7640","CodeVersion":"2020","CustomName":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9272","CodeVersion":"2020","CustomName":"WND SUCT DISPBL DSG ALL ACC & CMPNT ANY TYP EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4386","CodeVersion":"2020","CustomName":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7682","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL NON-COMP UNIT DOSE PER 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5410","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPL RIGD DRESS W\/EA ADD CAST CHG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0266","CodeVersion":"2020","CustomName":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1001","CodeVersion":"2020","CustomName":"CERV THOR LUMB SACRAL IMMOBLIZR INFANT SZ PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1686","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT&ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2318","CodeVersion":"2020","CustomName":"ANISEIKONIC LENS TRIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1575","CodeVersion":"2020","CustomName":"DISTAL SHOE SPACE MNTNER - FIXED UNI - PER QUAD"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91020","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108081","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"18006","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"50906","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"44107","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"58455","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"560","CodeVersion":"2020","CustomName":"Bacterial and Tuberculosis Infections of Nervous System"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104856","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93962","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0090U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112910","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0162U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4165F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"16025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1358","CodeVersion":"2020","CustomName":"O2 ACCESS DC POWER ADAPTER PRTBLE CONC REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9008","CodeVersion":"2020","CustomName":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7920","CodeVersion":"2020","CustomName":"SKIN GRAFT"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2617","CodeVersion":"2020","CustomName":"STENT NON-COR TEMPORARY WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8419","CodeVersion":"2020","CustomName":"BMI DOC OUT NML PARAM NO F\/U PLN DOC NO RSN GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6251","CodeVersion":"2020","CustomName":"PONTIC RESIN W\/PREDOM BASE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0048","CodeVersion":"2020","CustomName":"ALC &\/OTH RX TST: CLCT&HNDLING ONLY OTH THAN BLD"},{"ServiceGroup":"103604","CodeType":"HCPCS","Code":"S4005","CodeVersion":"2020","CustomName":"INTERIM LABOR FACILITY GLOBAL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7211","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII KOVALTRY 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9823","CodeVersion":"2020","CustomName":"ENDOMETRIAL SAMPLE\/HYSTEROSCOPY BX & RSLT DC 12M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0031","CodeVersion":"2020","CustomName":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9197","CodeVersion":"2020","CustomName":"DOC ORD 1ST\/2ND CEPHALOSPORIN ANTIMICROBL PROPH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0305","CodeVersion":"2020","CustomName":"POST-D\/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1351","CodeVersion":"2020","CustomName":"SEALANT - PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2080","CodeVersion":"2020","CustomName":"LASER-ASSISTED UVULOPALATOPLASTY"},{"ServiceGroup":"66264","CodeType":"HCPCS","Code":"G0157","CodeVersion":"2020","CustomName":"SERVICES PT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2140","CodeVersion":"2020","CustomName":"CORD BLOOD HARVESTING TRANSPLANTATION ALLOGENEIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8030","CodeVersion":"2020","CustomName":"BREAST PROSTH SILICONE\/EQUAL W\/O INTEGRAL ADHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8421","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE&GLOVE READY MADE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9977","CodeVersion":"2020","CustomName":"MEALS PER DIEM NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1990","CodeVersion":"2020","CustomName":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0034","CodeVersion":"2020","CustomName":"INJECTION OFLOXACIN 400 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9555","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN RECOMMENDING F\/U IMAGING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4406","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4528","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2321","CodeVersion":"2020","CustomName":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3280","CodeVersion":"2020","CustomName":"INJECTION THIETHYLPERAZINE MALEATE UP TO 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2725","CodeVersion":"2020","CustomName":"INJECTION PROTIRELIN PER 250 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7871","CodeVersion":"2020","CustomName":"NON-ARTHROSCOPIC LYSIS AND LAVAGE"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7007","CodeVersion":"2020","CustomName":"LG VOL NEBULIZR DISPBL UNFIL USED W\/AROSL COMPRS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6642","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4020","CodeVersion":"2020","CustomName":"IVF PROC CANCELLED BEFORE ASPIRATION CASE RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0270","CodeVersion":"2020","CustomName":"INJECTION ALPROSTADIL 1.25 MCG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30216","CodeType":"ICD9P","Code":"39.65","CodeVersion":"2017","CustomName":"EXTRACORPOREAL MEMBRANE OXYGENATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107852","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"70044","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"3212","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0974","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - NUCLEAR"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0691","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - VISIT CHARGE"},{"ServiceGroup":"48004","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"260","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy without CC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3452F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4169F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28570","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0175U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83880","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3316F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3092F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1116F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0050U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112026","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0647T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100947","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1111","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5150","CodeVersion":"2020","CustomName":"BINAURAL GLASSES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3450","CodeVersion":"2020","CustomName":"ROOT AMPUTATION - PER ROOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4386","CodeVersion":"2020","CustomName":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3921","CodeVersion":"2020","CustomName":"HFO INCL 1\/MORE NONTORSION JOINTS CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2013","CodeVersion":"2020","CustomName":"INNOVAMATRIX FS PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2628","CodeVersion":"2020","CustomName":"ADD LW EXT PELV METL FRME RECIP HIP JNT&CABLES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9025","CodeVersion":"2020","CustomName":"INJECTION AZACITIDINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0709","CodeVersion":"2020","CustomName":"INTRAORAL - CMPL SERIES OF RAD IMG-IMG CAP ONLY"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2369","CodeVersion":"2020","CustomName":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6011","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING; TO 5 MEV"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2530","CodeVersion":"2020","CustomName":"INLAY - METALLIC - 3\/MORE SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7780","CodeVersion":"2020","CustomName":"FACIAL BONES-COMP RDUC FIX & MX SURG APPROACHES"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"46234","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1733","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP NOT COOL-TIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0478","CodeVersion":"2020","CustomName":"POWER ADAPTER ELECTRIC\/PNEUMAT VAD VEHICLE TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3370","CodeVersion":"2020","CustomName":"SOLE WEDGE BETWEEN SOLE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1930","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9497","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q3 HRS DIEM"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9311","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE"},{"ServiceGroup":"74403","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"69961","CodeType":"REV","Code":"0546","CodeVersion":"2020","CustomName":"Ambulance - Neonatal Ambulance Services"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"62538","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"53149","CodeType":"DRG","Code":"064","CodeVersion":"2020","CustomName":"Ear, nose, mouth and throat malignancy"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"887","CodeVersion":"2020","CustomName":"Other Mental Disorder Diagnoses"},{"ServiceGroup":"99068","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"470","CodeVersion":"2020","CustomName":"Ungroupable"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"561","CodeVersion":"2020","CustomName":"Non-Bacterial Infections of Nervous System Except Viral"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4053F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.45","CodeVersion":"2017","CustomName":"THOMAS SPLINT TRACTION"},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.91","CodeVersion":"2017","CustomName":"EXTERNAL VERSION TO ASSIST DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1071F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0574T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0123U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107050","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106713","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9052","CodeVersion":"2020","CustomName":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES\/PHERE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0565","CodeVersion":"2020","CustomName":"COMPRS AIR PWR EQP NOT SLF-CONTAIND\/CYL DRIVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9202","CodeVersion":"2020","CustomName":"GOSERELIN ACETATE IMPLANT PER 3.6 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2192","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH HIP JNT THI FLNGE&PELV BELT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9152","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0491","CodeVersion":"2020","CustomName":"INJECTION ANIFROLUMAB-FNIA 1 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"C9067","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7499","CodeVersion":"2020","CustomName":"UPPER EXTREMITY PROSTHESIS NOS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5331","CodeVersion":"2020","CustomName":"JOINT SINGLE AXIS KNEE SACH FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7615","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0088","CodeVersion":"2020","CustomName":"PROF SRVC INIT VST ADM ANTI-INF PM IND H EA 15 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6641","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3302","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"15527","CodeType":"HCPCS","Code":"S9558","CodeVersion":"2020","CustomName":"HIT GROWTH HORMONE W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9969","CodeVersion":"2020","CustomName":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4385","CodeVersion":"2020","CustomName":"OST SKN BARRIER SOLID 4X4 EXT W\/O CONVXITY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9606","CodeVersion":"2020","CustomName":"IORT CYSTOSCOPY PERF TO EVAL FOR LWR TRACT INJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7325","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV SYNVISC\/SYNVISC-ONE IA INJ 1 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7294","CodeVersion":"2020","CustomName":"PLACEMENT TEMP ANC DEVC W\/O FLAP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4131F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113979","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2643","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9250","CodeVersion":"2020","CustomName":"HUMAN PLASMA FIBRIN SEALANT VAPOR-HEATED SD 2ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3040","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0618","CodeVersion":"2020","CustomName":"APNEA MONITOR WITHOUT RECORDING FEATURE"},{"ServiceGroup":"79099","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"12290","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"70047","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"1171","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0844","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"68193","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"24090","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"272","CodeVersion":"2020","CustomName":"Major skin disorders with CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"514","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3570F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106557","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"51.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY"},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.6","CodeVersion":"2017","CustomName":"OTHER EXCISION OF VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0532T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0471T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0303U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104123","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0300U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.94","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT AUTO CARDIOVERT\/ DEFIB TOTAL SYSTEM"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0016M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0013M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92011","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107011","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107139","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91859","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4007","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER"},{"ServiceGroup":"89822","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0428","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3214","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR JUNIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1027","CodeVersion":"2020","CustomName":"IMAGING OF THE HEAD WAS OBTAINED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8000","CodeVersion":"2020","CustomName":"BREAST PROS MASTECTOMY BRA W\/O INTEG PROS FORM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H1011","CodeVersion":"2020","CustomName":"FAM ASSESS LIC BHVAL HLTH PROF STATE DEFINED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0743","CodeVersion":"2020","CustomName":"SUCTION PUMP HOME MODEL PORTABLE FOR USE WOUNDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9868","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMT ASYNC IMAGES <10 MINS"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2181","CodeVersion":"2020","CustomName":"BMI NOT DOC D\/T MED RSN\/PT REFUS HGT\/WGT MSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2613","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POST WIDTH < 22 IN ANY HEIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3032","CodeVersion":"2020","CustomName":"INJECTION EPTINEZUMAB-JJMR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2631","CodeVersion":"2020","CustomName":"WC ACCESS ADD MOBILE ARM SUPPORT ELEV PROX ARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7120","CodeVersion":"2020","CustomName":"RINGERS LACTATE INFUSION UP TO 1000 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6020","CodeVersion":"2020","CustomName":"PARTIAL HAND NO FINGER REMAINING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9862","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F\/U INTVL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8452","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY NOT PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5982","CodeVersion":"2020","CustomName":"SURGICAL STENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0468","CodeVersion":"2020","CustomName":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0492","CodeVersion":"2020","CustomName":"DIALYSIS 1 EVAL PHYSICIAN AC KID INJ W\/O ESRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9155","CodeVersion":"2020","CustomName":"ARTFICIAL SALIVA 30 ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4182","CodeVersion":"2020","CustomName":"TRANSCYTE PER SQUARE CM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0405","CodeVersion":"2020","CustomName":"ECG RTN ECG W\/12 LEADS INTERPR & REPORT ONLY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2770","CodeVersion":"2020","CustomName":"INJECTION QUINUPRISTIN\/DALFOPRISTIN 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1124","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSS PT D\/C EARLY D\/T MED EVENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9407","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV F\/U ON\/WI 7 DAYS AFTER D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8913","CodeVersion":"2020","CustomName":"PT DOC NO WRONG SITE SIDE PT PROC\/IMPLANT EVENT"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5670","CodeVersion":"2020","CustomName":"REPL ALL TEETH&ACRYLC FRMEWRK MAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2294","CodeVersion":"2020","CustomName":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE"},{"ServiceGroup":"10537","CodeType":"HCPCS","Code":"T1031","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME BY LPN PER DIEM"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0849","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Other Outpatient CAPD"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"103264","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"14230","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"31101","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"59426","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"215","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"28167","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107070","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1245","CodeType":"ICD9P","Code":"81.08","CodeVersion":"2017","CustomName":"LUMBAR&LUMBOSACRAL FUSION POSTERIOR TECHNIQUE"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107095","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0101A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91890","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44144","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38705","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11223","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0246T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0109U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0972","CodeVersion":"2020","CustomName":"LSO CORSET FRONT"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0175","CodeVersion":"2020","CustomName":"FLUTAMIDE ORAL 125 MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5130","CodeVersion":"2020","CustomName":"BINAURAL IN THE EAR"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9225","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT VANTAS 50 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1442","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2325","CodeVersion":"2020","CustomName":"INJECTION NESIRITIDE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0033","CodeVersion":"2020","CustomName":"ORAL MEDICATION ADMIN DIRECT OBSERVATION"},{"ServiceGroup":"33486","CodeType":"ICD10P","Code":"GZB3ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVETHERAPY BILAT-MULTIPLE SEIZURE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5672","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE REMV MED BRIM SUSP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2110","CodeVersion":"2020","CustomName":"1 VISN +\/- 4.25-7.00D SPHERE OVER 6.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0280","CodeVersion":"2020","CustomName":"BED CRADLE ANY TYPE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"C1713","CodeVersion":"2020","CustomName":"ANCHOR\/SCREW OPPOSING BN-TO-BN\/SOFT TISSUE-TO-BN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9481","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 10 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0171","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6713","CodeVersion":"2020","CustomName":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0081","CodeVersion":"2020","CustomName":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3432","CodeVersion":"2020","CustomName":"GUIDED TISS REGEN RESORB BARR PERIRADICULAR SURG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5150","CodeVersion":"2020","CustomName":"UNSKILLED RESPITE CARE NOT HOSPICE; PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0895","CodeVersion":"2020","CustomName":"INJECTION DEFEROXAMINE MESYLATE 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5050","CodeVersion":"2020","CustomName":"ANKLE SYMES MOLDED SOCKET SACH FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"90338","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2650","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-1 SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7367","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0510","CodeVersion":"2020","CustomName":"PHARM SPL FEE INIT IMS DRUG 1ST MO FLW TRANSPLNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0501","CodeVersion":"2020","CustomName":"SHOWER COVER ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9057","CodeVersion":"2020","CustomName":"INJECTION COPANLISIB 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80784","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105220","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0329","CodeVersion":"2020","CustomName":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE"},{"ServiceGroup":"16615","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6055","CodeVersion":"2020","CustomName":"DENTAL IMPLANT SUPP CONNECTING BAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0082","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME VISIT FOR EXIST PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9608","CodeVersion":"2020","CustomName":"IORT CYSTOSCOPY NOT PERF EVAL LWR TRACT INJURY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0620","CodeVersion":"2020","CustomName":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0371","CodeVersion":"2020","CustomName":"SIALOENDOSCOPY CAPTURE AND INTERPRETATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2209","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3429","CodeVersion":"2020","CustomName":"BONE GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH"},{"ServiceGroup":"60816","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"14046","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"62539","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"11659","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0922","CodeVersion":"2020","CustomName":"OTHER DIAGNOSTIC SERVICES - ELECTROMYOGRAM"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"21104","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"481","CodeVersion":"2020","CustomName":"Bone marrow transplant"},{"ServiceGroup":"43986","CodeType":"DRG","Code":"258","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103606","CodeType":"CPT","Code":"99460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107868","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28098","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69923","CodeType":"CPT","Code":"92933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4169F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1504F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0737T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74.2","CodeVersion":"2017","CustomName":"EXTRAPERITONEAL CESAREAN SECTION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.98","CodeVersion":"2017","CustomName":"OTHER CONTROL ATMOSPHERIC PRESSURE&COMPOSITION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0007","CodeVersion":"2020","CustomName":"EXTRA HEAVY-DUTY WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9374","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7520","CodeVersion":"2020","CustomName":"SIROLIMUS ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7192","CodeVersion":"2020","CustomName":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0015","CodeVersion":"2020","CustomName":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9047","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 25% 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9695","CodeVersion":"2020","CustomName":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9198","CodeVersion":"2020","CustomName":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8882","CodeVersion":"2020","CustomName":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5341","CodeVersion":"2020","CustomName":"SINGLE AXIS KNEE SACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9933","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV CMPL DENTUR MANDIBULR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0250","CodeVersion":"2020","CustomName":"IV TCZ HP 2 & > COVID-19 INC INF & PA MON 2ND D"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0477","CodeVersion":"2020","CustomName":"PWR MODULE PT CABLE ELEC\/PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8210","CodeVersion":"2020","CustomName":"REMOVABLE APPLIANCE THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9211","CodeVersion":"2020","CustomName":"INJECTION IDARUBICIN HCL 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0842","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO &=300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4215","CodeVersion":"2020","CustomName":"NEEDLE STERILE ANY SIZE EACH"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6097","CodeVersion":"2020","CustomName":"ABUTMENT SUPP CROWN - PORCELAIN FU TI & TI ALLOY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"96.7","CodeVersion":"2017","CustomName":"OTHER CONTINUOUS INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89943","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2440","CodeVersion":"2020","CustomName":"INJECTION PAPAVERINE HCL UP TO 60 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3410","CodeVersion":"2020","CustomName":"INJECTION HYDROXYZINE HCL UP TO 25 MG"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"91658","CodeType":"ICD10P","Code":"10D07Z4","CodeVersion":"2020","CustomName":"EXTRACTION POC MID FORCEPS NATURAL\/ARTIF OPENING"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9263","CodeVersion":"2020","CustomName":"INJECTION OXALIPLATIN 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6615","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7188","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H1001","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT"},{"ServiceGroup":"30031","CodeType":"ICD10P","Code":"4A020N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT OPEN"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"26001","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"105357","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"33237","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0873","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Storage and Processing After Receipt of Cells from Manufacturer"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2012","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH DAY TREATMENT PER HOUR"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9771","CodeVersion":"2020","CustomName":"NASAL\/SINUS ENDO CRYO NSL TISS &\/ NERVE UNIL\/BIL"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0070","CodeVersion":"2020","CustomName":"PROF SRVC ADM CHEMO ADM CAL DA IND HOME EA 15 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4234","CodeVersion":"2020","CustomName":"XCELLERATE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0499","CodeVersion":"2020","CustomName":"BELT\/VEST\/BAG CARRY ANY TYPE VAD REPLACE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8755","CodeVersion":"2020","CustomName":"MOST RECENT DIASTOLIC BLOOD PRESSURE >= 90MM HG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7311","CodeVersion":"2020","CustomName":"ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH\/SPACES QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0580","CodeVersion":"2020","CustomName":"NEBULIZR DURABLE GLASS\/AUTOCLAVABLE PLSTC BOTTLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9430","CodeVersion":"2020","CustomName":"OV OBS - NO OTH SERVICES PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7512","CodeVersion":"2020","CustomName":"PREDNISONE IMMEDIATE RLSE\/DELAYED RLSE ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4031","CodeVersion":"2020","CustomName":"RADIATION ONCOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5711","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7329","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRIVISC FOR IA INJ 1 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9460","CodeVersion":"2020","CustomName":"INJECTION CANGRELOR 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0420","CodeVersion":"2020","CustomName":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0394","CodeVersion":"2020","CustomName":"DIGTL SUBTRACTION 2\/> IMAGES\/IMAG VOL SAME MODAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4149","CodeVersion":"2020","CustomName":"ENTRAL F MANF BLNDRIZD NAT FOODS W\/NUTRIENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9420","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN LOC LUNG\/NOT CLASS PRIM NSCLC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2760","CodeVersion":"2020","CustomName":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2644","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SRC CESIUM-131 CHLORID SOL PER MCI"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0890","CodeVersion":"2020","CustomName":"INJECTION PEGINESATIDE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6370","CodeVersion":"2020","CustomName":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0900","CodeVersion":"2020","CustomName":"CUSTOMIZED DME OTHER THAN WHEELCHAIR"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0401","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0002","CodeVersion":"2020","CustomName":"STANDARD HEMI WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1814","CodeVersion":"2020","CustomName":"RETINAL TAMPONADE DEVICE SILICONE OIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9131","CodeVersion":"2020","CustomName":"ONC;DZ STS;F BRST CA;ADENOCA;DZ STAG NOT LISTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9725","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPCE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9952","CodeVersion":"2020","CustomName":"OCCLUSAL ADJUSTMENT - COMPLETE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9291","CodeVersion":"2020","CustomName":"PRESCR DIG COGNITIVE &\/BT FDA-CLRD PER CRS TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9150","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0706","CodeVersion":"2020","CustomName":"INJECTION CAFFEINE CITRATE 5 MG"},{"ServiceGroup":"100279","CodeType":"HCPCS","Code":"J7620","CodeVersion":"2020","CustomName":"ALBUTEROL TO 2.5 MG & IPRATROPIUM BROM TO 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7647","CodeVersion":"2020","CustomName":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1571","CodeVersion":"2020","CustomName":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1037","CodeVersion":"2020","CustomName":"RECEIVER; EXTERNAL USE W\/ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2355","CodeVersion":"2020","CustomName":"INJECTION OPRELVEKIN 5 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0558","CodeVersion":"2020","CustomName":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0444","CodeVersion":"2020","CustomName":"PORTABLE O2 CONTENTS LIQUID 1 MO SUPPLY =1 UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2213","CodeVersion":"2020","CustomName":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6445","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0020","CodeVersion":"2020","CustomName":"INJECTION BUPIVICAINE HYDROCHLORIDE 30 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2021","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0004","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH CNSL&THERAPY PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9298","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB & RELATLIMAB-RMBW 3 MG\/1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1831","CodeVersion":"2020","CustomName":"PERSONALIZED ANTERIOR&LAT INTERBODY CAGE IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0554","CodeVersion":"2020","CustomName":"RECEIVER DEDICATED FOR USE W\/THERAPEUTIC GCM SYS"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"188","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"33625","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"37266","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0331","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Admin - Chemotherapy Admin - Injected"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"24807","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"15788","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"9541","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0960","CodeVersion":"2020","CustomName":"Professional Fees - General Classification"},{"ServiceGroup":"87684","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"50942","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"140","CodeVersion":"2020","CustomName":"Angina pectoris"},{"ServiceGroup":"89937","CodeType":"DRG","Code":"274","CodeVersion":"2020","CustomName":"Malignant breast disorders with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9226","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"16274","CodeType":"REV","Code":"0811","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Living Donor"},{"ServiceGroup":"48183","CodeType":"REV","Code":"0322","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Arthrography"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"10708","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"33312","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4176F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3378F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4242F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0667T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29334","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0079U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5215","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC\/BTE"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0038","CodeVersion":"2020","CustomName":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2311","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER&TWO\/MORE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0585","CodeVersion":"2020","CustomName":"BOTULINUM TOXIN TYPE A PER UNIT"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4027","CodeVersion":"2020","CustomName":"PLASTIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9129","CodeVersion":"2020","CustomName":"ONC; LTD TO MX MYELOMA SYS DZ ST II\/HIGHER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3995","CodeVersion":"2020","CustomName":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE\/EQUAL EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7202","CodeVersion":"2020","CustomName":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0340","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5171","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1034","CodeVersion":"2020","CustomName":"PROV COVID-19 TST NP SA & SELF-COLL 1 TST CNT"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0487","CodeVersion":"2020","CustomName":"LEADS FOR ANY TYPE ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1722","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR SINGLE CHAMBER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9999","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5215","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC\/BTE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8903","CodeVersion":"2020","CustomName":"MR IMAGING WITH CONTRAST BREAST; UNILATERAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7641","CodeVersion":"2020","CustomName":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0294","CodeVersion":"2020","CustomName":"NONCOVR PROC NO ANES\/LOC ANES-MCR QUAL TRIAL-DAY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0339","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Other Radiology - Therapeutic"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"14566","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"147","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0690","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106669","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"16000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0065U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44106","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91026","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3760F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74039","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0308T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0708T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0282U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0345U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1123F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40682","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0625T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0627T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"70.13","CodeVersion":"2017","CustomName":"LYSIS OF INTRALUMINAL ADHESIONS OF VAGINA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4169F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105248","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0071A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0506T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19613","CodeType":"DRG","Code":"913","CodeVersion":"2020","CustomName":"Traumatic Injury with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"970","CodeVersion":"2020","CustomName":"HIV with Extensive O.R. Procedure without MCC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4133F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91587","CodeType":"CPT","Code":"37244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26778","CodeType":"CPT","Code":"90816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.39","CodeVersion":"2017","CustomName":"OTHER PHYSICAL THERAPY"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0257U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0108U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107876","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0688T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94883","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3452F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0564T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98589","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102722","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0733T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9703","CodeVersion":"2020","CustomName":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4321","CodeVersion":"2020","CustomName":"THERAPEUTIC AGENT URINARY CATHETER IRRIGATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0982","CodeVersion":"2020","CustomName":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4261","CodeVersion":"2020","CustomName":"OSSEOUS SURG 1-3 CONTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9472","CodeVersion":"2020","CustomName":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4558","CodeVersion":"2020","CustomName":"CONDUCTIVE GEL\/PASTE FOR USE W\/ELECTRICAL DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0063","CodeVersion":"2020","CustomName":"CARDIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8914","CodeVersion":"2020","CustomName":"MR ANGIO W\/O CONTRST FLWED W\/CONTRST LOW EXTRM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7413","CodeVersion":"2020","CustomName":"EXCISION MALIG LESION UP 1.25 CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9700","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1007","CodeVersion":"2020","CustomName":"BIL HKAFO DEVC PWR INCL PELV COMP UP KNEE JOINTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9396","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC >9 NOT ASSESSED RM AT 12 MO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1888","CodeVersion":"2020","CustomName":"CATHETER ABLATION NON-CARDIAC ENDOVASCULAR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4255F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0628","CodeVersion":"2020","CustomName":"LUMBAR-SCARAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2768","CodeVersion":"2020","CustomName":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9137","CodeVersion":"2020","CustomName":"ONC; DZ STS; NHL; RELAPSED\/REFRACTORY"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2310","CodeVersion":"2020","CustomName":"INJECTION NALOXONE HCL PER 1 MG"},{"ServiceGroup":"17766","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56242","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0258T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0739","CodeVersion":"2020","CustomName":"REPR\/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS"},{"ServiceGroup":"59839","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4521","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER SM EA"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9153","CodeVersion":"2020","CustomName":"INJECTION LIPOSOMAL 1 MG DNR & 2.27 MG CA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8421","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE&GLOVE READY MADE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1786","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1960","CodeVersion":"2020","CustomName":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5680","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2107","CodeVersion":"2020","CustomName":"ADOPTIVE IMMUNOTHERAPY PER COURSE OF TREATMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9609","CodeVersion":"2020","CustomName":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0351","CodeVersion":"2020","CustomName":"3D PHOTOGRAPHIC IMAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3927","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS PIP\/DIP W\/O JOINT PREFABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1971","CodeVersion":"2020","CustomName":"ANK FT ORTHOS PLSTC\/OTH MATL W\/ANK JNT PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9778","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE A DIAGNOSIS OF PREG DUR MSMNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9779","CodeVersion":"2020","CustomName":"ESD INCLUD ENDOSCOPY\/COLONOSCOPY MUCOSAL CLOS"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4214","CodeVersion":"2020","CustomName":"CELLESTA CORD PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9212","CodeVersion":"2020","CustomName":"DSM-IVTM CRITERIA MDD DOC INITIAL EVALUATION"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0745","CodeVersion":"2020","CustomName":"INJECTION CODEINE PHOSPHATE PER 30 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5714","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0120","CodeVersion":"2020","CustomName":"INJECTION TETRACYCLINE UP TO 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6082","CodeVersion":"2020","CustomName":"IMPLANT SUPP CRWN - PORCELAIN FU PREDOM BASE ALY"},{"ServiceGroup":"21818","CodeType":"ICD10P","Code":"4A020N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0282","CodeVersion":"2020","CustomName":"E-STIM 1\/MORE AREAS WND CARE OTH THAN DESC G0281"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9403","CodeVersion":"2020","CustomName":"CLIN DOC RSN PT NOT CMPL 30 DA F\/U AC INPT D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3285","CodeVersion":"2020","CustomName":"INJECTION TREPROSTINIL 1 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9482","CodeVersion":"2020","CustomName":"FAMILY STABILIZATION SERVICES PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8808","CodeVersion":"2020","CustomName":"TRANS-ABD\/TRANS-VAG U\/S NOT PRFRM RSN NOT GIVEN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"43534","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9969","CodeVersion":"2020","CustomName":"PROV REF PT ANR PROV RECV REPORT FRM PROV PT REF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6010","CodeVersion":"2020","CustomName":"SURG PLCMT IMPL BODY: ENDOSTEAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2265","CodeVersion":"2020","CustomName":"INDUCED ABORTION 25 TO 28 WEEKS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9648","CodeVersion":"2020","CustomName":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7298","CodeVersion":"2020","CustomName":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4081","CodeVersion":"2020","CustomName":"NASOGASTRIC TUBING WITH STYLET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0004","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH CNSL&THERAPY PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0530","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6443","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5840","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN 4-BAR LINK\/MX-AXIAL PNEUMAT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2503","CodeVersion":"2020","CustomName":"INJECTION PEGAPTANIB SODIUM 0.3 MG"},{"ServiceGroup":"48645","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5264","CodeVersion":"2020","CustomName":"EAR MOLD\/INSERT NOT DISPOSABLE ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1013","CodeVersion":"2020","CustomName":"SIGN LANGUAGE\/ORAL INTEPR SERVICES PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4553","CodeVersion":"2020","CustomName":"NON-DISPOSABLE UNDERPADS ALL SIZES"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6645","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0183","CodeVersion":"2020","CustomName":"PWR PRESS RDUC UNDERLAY\/PAD ALTERNATING W\/PUMP"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2315","CodeVersion":"2020","CustomName":"INJECTION NALTREXONE DEPOT FORM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8808","CodeVersion":"2020","CustomName":"TRANS-ABD\/TRANS-VAG U\/S NOT PRFRM RSN NOT GIVEN"},{"ServiceGroup":"10944","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"188","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0335","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - IV"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"32978","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"22092","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"33263","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"32978","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"107749","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0648","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training, Disabled Patient, Peripheral Line\""},{"ServiceGroup":"30461","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"616","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W SIG OR PROC, W\/O MUL MAJ PROB-NYDRG"},{"ServiceGroup":"32560","CodeType":"DRG","Code":"933","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"499","CodeVersion":"2020","CustomName":"Back and neck procedures except spinal fusion with CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"486","CodeVersion":"2020","CustomName":"Other operating room procedures for multiple significant trauma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85570","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115365","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29434","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98561","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0071A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3321F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3572F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1121","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3388F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82738","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0697T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3751F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0434T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0531T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4144F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100258","CodeType":"CPT","Code":"12016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0439T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105201","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81566","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41.02","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT WITH PURGING"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0982","CodeVersion":"2020","CustomName":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C5277","CodeVersion":"2020","CustomName":"APP SG F\/N\/HF\/G A >\/=100 CM;1ST 100 CM\/1% A CHLD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7322","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE HYMOVIS IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0235","CodeVersion":"2020","CustomName":"PET IMAGING ANY SITE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10D00Z2","CodeVersion":"2020","CustomName":"EXTRACTION POC EXTRAPERITONEAL OPEN"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0370","CodeVersion":"2020","CustomName":"MAXILLOFACIAL ULTRASOUND CAPTURE&INTERPRETATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2038","CodeVersion":"2020","CustomName":"COMMUNITY TRANSITION WAIVER; PER SERVICE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4240","CodeVersion":"2020","CustomName":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5062","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L9900","CodeVersion":"2020","CustomName":"ORTHO&PROS SPL ACSS&\/SRVC CMPNT OTH HCPCS L CODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3971","CodeVersion":"2020","CustomName":"SEWHO SHOULDER CAP DESIGN CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4539","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DIAPER\/BRF REUSABLE SIZE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7342","CodeVersion":"2020","CustomName":"INSTALLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9603","CodeVersion":"2020","CustomName":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORAT ACTL MILE"},{"ServiceGroup":"106300","CodeType":"HCPCS","Code":"A0429","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"11796","CodeType":"HCPCS","Code":"S9470","CodeVersion":"2020","CustomName":"NUTRITIONAL COUNSELING DIETITIAN VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1015","CodeVersion":"2020","CustomName":"FOOT ADDUCTUS POSITIONING DEVICE ADJUSTABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7465","CodeVersion":"2020","CustomName":"DESTRUC LES PHYS\/CHEM METH BY RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4156","CodeVersion":"2020","CustomName":"NEOX 100 OR CLARIX 100 PER SQUARE CM"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1766","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH GUID INTRACARD EP NOT PEEL-AWAY"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4143","CodeVersion":"2020","CustomName":"REPRIZA PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6232","CodeVersion":"2020","CustomName":"GAUZE IMPREG HYDROGEL DIR WND CNTC >16 <\/= 48 SQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4000","CodeVersion":"2020","CustomName":"DERMATOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0080","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT-MILE-VEH VOLUN W\/NO VESTED INT"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8858","CodeVersion":"2020","CustomName":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9024","CodeVersion":"2020","CustomName":"PARANASAL SINUS ULTRASOUND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3355","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - INITIAL VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9117","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; EXTENT UNKN UNDER EVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1459","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0900","CodeVersion":"2020","CustomName":"TRACTION STAND FREESTANDING PELVIC TRACTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0482","CodeVersion":"2020","CustomName":"DIRECT IMMUNOFLUORESCENCE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0007","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; CRISIS INTERVENTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4989","CodeVersion":"2020","CustomName":"CONTRACEPTIVE IUD INCLUDING IMPLANTS&SUPPLIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1520","CodeVersion":"2020","CustomName":"HEPARIN INFUSION PUMP FOR HEMODIALYSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A8001","CodeVersion":"2020","CustomName":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2037","CodeVersion":"2020","CustomName":"DVLPMENTL DLAY PREV ACTV DPND CHLD CLIENT 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9914","CodeVersion":"2020","CustomName":"PATIENT RECEIVING AN ANTI-TNFAGENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7008","CodeVersion":"2020","CustomName":"ELECTRIC HAND SWITCH\/MYOELECTRIC CNTRL PEDIATRIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6000","CodeVersion":"2020","CustomName":"PARTIAL HAND THUMB REMAINING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2075","CodeVersion":"2020","CustomName":"MEDICATION ASST TX MEDICATION NOS; WEEKLY BUNDLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2291","CodeVersion":"2020","CustomName":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0764","CodeVersion":"2020","CustomName":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3095","CodeVersion":"2020","CustomName":"INJECTION TELAVANCIN 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4211","CodeVersion":"2020","CustomName":"GINGIVECT\/PLSTY 1-3 CNTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0600","CodeVersion":"2020","CustomName":"RESP SUCTION PUMP HOME MODEL PRTBLE\/STATION ELEC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6455","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH >\/= 5 IN PER YARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9117","CodeVersion":"2020","CustomName":"BACK SCHOOL PER VISIT"},{"ServiceGroup":"83677","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7660","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0294","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Supplies\/Drugs for DME"},{"ServiceGroup":"58454","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"13127","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"35967","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0972","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - DIAGNOSTIC"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"44106","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"188","CodeType":"REV","Code":"0637","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Self-Administrable Drugs"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"59423","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"107634","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"9537","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"58460","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0971","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - LABORATORY"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"39870","CodeType":"DRG","Code":"621","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W OTHER PROB-NYDRG"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"026","CodeVersion":"2020","CustomName":"Seizure and headache, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3420","CodeType":"ICD9P","Code":"51.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY"},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0475T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41337","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0629T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0066U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113711","CodeType":"CPT","Code":"20525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59357","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107750","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64377","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21784","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0103A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3284F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0015U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13592","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93059","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9493","CodeType":"CPT","Code":"90804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69925","CodeType":"CPT","Code":"93653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8483","CodeVersion":"2020","CustomName":"INFLUENZA IMMUNIZATION NOT ADMIN RSN DOC CLIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0509","CodeVersion":"2020","CustomName":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT & PROV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8912","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST LOWER EXTREMITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7415","CodeVersion":"2020","CustomName":"EXCISION MALIG LESION COMPLICATED"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5999","CodeVersion":"2020","CustomName":"LOWER EXTREMITY PROSTHESIS NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8186","CodeVersion":"2020","CustomName":"SWIVEL ADAPTOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2227","CodeVersion":"2020","CustomName":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1025","CodeVersion":"2020","CustomName":"INTEN MXDISCPLIN SRVC CHILD W\/CMPLX IMPAIR DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6104","CodeVersion":"2020","CustomName":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9068","CodeVersion":"2020","CustomName":"ONC; STATUS; SC& COMB SM\/NONSM; LTD NO PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1355","CodeVersion":"2020","CustomName":"STAND\/RACK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0370","CodeVersion":"2020","CustomName":"AIR PRESSURE ELEVATOR FOR HEEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1842","CodeVersion":"2020","CustomName":"RETINAL PROS ALL INT&EXT CMPNT; ADD-ON TO C1841"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7008","CodeVersion":"2020","CustomName":"ELECTRIC HAND SWITCH\/MYOELECTRIC CNTRL PEDIATRIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1212","CodeVersion":"2020","CustomName":"INJECTION DMSO DIMETHYL SULFOXIDE 50% 50 ML"},{"ServiceGroup":"102420","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1557","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"113619","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3299","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0558","CodeVersion":"2020","CustomName":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4196","CodeVersion":"2020","CustomName":"PURAPLY AM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0175","CodeVersion":"2020","CustomName":"PERPHENZAINE 4 MG ORAL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B5100","CodeVersion":"2020","CustomName":"PARENTERAL NUT SOL AMINO ACID AND CARBOHYDRATES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4255","CodeVersion":"2020","CustomName":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX"},{"ServiceGroup":"103948","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3650","CodeVersion":"2020","CustomName":"SALIVA TEST HORMONE LEVEL; DURING MENOPAUSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9941","CodeVersion":"2020","CustomName":"FABRICATION OF ATHLETIC MOUTHGUARD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0008","CodeVersion":"2020","CustomName":"CUSTOM MANUAL WHEELCHAIR\/BASE"},{"ServiceGroup":"29092","CodeType":"HCPCS","Code":"A0429","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3520","CodeVersion":"2020","CustomName":"EDETATE DISODIUM PER 150 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8842","CodeVersion":"2020","CustomName":"AHI\/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2205","CodeVersion":"2020","CustomName":"PATIENTS WITH PREGNANCY DURING ADJUVANT TX CRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3370","CodeVersion":"2020","CustomName":"INJECTION VANCOMYCIN HCL 500 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7684","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"107611","CodeType":"CPT","Code":"65785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9266","CodeVersion":"2020","CustomName":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0595","CodeVersion":"2020","CustomName":"INJECTION BUTORPHANOL TARTRATE 1 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9024","CodeVersion":"2020","CustomName":"PARANASAL SINUS ULTRASOUND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2011","CodeVersion":"2020","CustomName":"ALCOHOL &\/SUBST MISUSE ST ASMT & BRF INT 5-14 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2213","CodeVersion":"2020","CustomName":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2001","CodeVersion":"2020","CustomName":"INJECTION LIDOCAINE HCL INTRAVENOUS INFUS 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2725","CodeVersion":"2020","CustomName":"INJECTION PROTIRELIN PER 250 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6220","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG >16 <\/= 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0483","CodeVersion":"2020","CustomName":"MONITOR\/DISPLAY MODULE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0063","CodeVersion":"2020","CustomName":"CARDIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0131","CodeVersion":"2020","CustomName":"INJECTION ACETAMINOPHEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9430","CodeVersion":"2020","CustomName":"PHARMACY COMPOUNDING AND DISPENSING SERVICES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2750","CodeVersion":"2020","CustomName":"ANTIREFLECTIVE COATING PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4719","CodeVersion":"2020","CustomName":"Y SET TUBING FOR PERITONEAL DIALYSIS"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0241","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - Basic"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"26179","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"33267","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"3418","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"68193","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"68287","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"45784","CodeType":"REV","Code":"0580","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - General Classification"},{"ServiceGroup":"47260","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0372","CodeVersion":"2020","CustomName":"Anesthesia - Anesthesia Incident to Other DX Services"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"001","CodeVersion":"2020","CustomName":"Craniotomy, age greater than 17 with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93012","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107163","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106179","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0491T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3762F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105256","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87842","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3072F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0479T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113976","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0358T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1960","CodeVersion":"2020","CustomName":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG"},{"ServiceGroup":"25282","CodeType":"HCPCS","Code":"A0429","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5962","CodeVersion":"2020","CustomName":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7504","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6010","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:20 MEV\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1037","CodeVersion":"2020","CustomName":"PATIENTS WITH DX LSP REG CANCER AT THE TIME PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2430","CodeVersion":"2020","CustomName":"INJECTION PAMIDRONATE DISODIUM PER 30 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0500","CodeVersion":"2020","CustomName":"IPPB MACH W\/BUILT-IN NEBULIZATION; VALVS; PWR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9070","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5249","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9020","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE 10000 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3480","CodeVersion":"2020","CustomName":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8577","CodeVersion":"2020","CustomName":"REOP MEDIAST BLEED GFT OCCL VALV DYSFUNC\/OTH RSN"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E06316","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C CENTRAL ARTERY PERQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4001","CodeVersion":"2020","CustomName":"CASTING SPL BODY CAST ADULT W\/WO HEAD PLASTR"},{"ServiceGroup":"46248","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"93099","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4525","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR\/PULLON SM EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4728","CodeVersion":"2020","CustomName":"DIALYSATE SOLUTION NON-DXTROS CONTAINING 500 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4082","CodeVersion":"2020","CustomName":"NASOGASTRIC TUBING WITHOUT STYLET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9475","CodeVersion":"2020","CustomName":"SERVICES PERF OTH COUNSELOR HOSPICE SET EA15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1032","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY DOULA BIRTH WORKER PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7033","CodeVersion":"2020","CustomName":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0198","CodeVersion":"2020","CustomName":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0176","CodeVersion":"2020","CustomName":"HYDROXYUREA ORAL 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2530","CodeVersion":"2020","CustomName":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9741","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2440","CodeVersion":"2020","CustomName":"INJECTION PAPAVERINE HCL UP TO 60 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4168","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; AMINO ACID 3.5% -HOM MIX"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8855","CodeVersion":"2020","CustomName":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9590","CodeVersion":"2020","CustomName":"HOM TX IRRIG TX; W\/ADMN PHRM SRVC CARE-PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6507","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2014","CodeVersion":"2020","CustomName":"SKILLS TRAINING AND DEVELOPMENT PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0806","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 STD PT WT CAP TO & INCL 300 LBS"},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1003","CodeVersion":"2020","CustomName":"TB SCR & RSLT INTRP WI 12 MO PRI TO INIT BIO DZ"},{"ServiceGroup":"91658","CodeType":"ICD10P","Code":"10D07Z3","CodeVersion":"2020","CustomName":"EXTRACTION POC LOW FORCEPS NATURAL\/ARTIF OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6612","CodeVersion":"2020","CustomName":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0190","CodeVersion":"2020","CustomName":"MIFEPRISTONE ORAL 200 MG"},{"ServiceGroup":"61516","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3470","CodeVersion":"2020","CustomName":"HEEL THOMAS EXTENDED TO BALL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4216","CodeVersion":"2020","CustomName":"STERIL WATER SALINE & OR DXT DILUENT\/FLUSH 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3450","CodeVersion":"2020","CustomName":"HEEL SACH CUSHION TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5580","CodeVersion":"2020","CustomName":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC\/=MOLD MDL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0629","CodeVersion":"2020","CustomName":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0486","CodeVersion":"2020","CustomName":"MON CNTRL CABLE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9006","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE HOME MONITORING"},{"ServiceGroup":"24290","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0084","CodeVersion":"2020","CustomName":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1003","CodeVersion":"2020","CustomName":"TB SCR & RSLT INTRP WI 12 MO PRI TO INIT BIO DZ"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1758","CodeVersion":"2020","CustomName":"CATHETER URETERAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0162","CodeVersion":"2020","CustomName":"SKILLED SERVICE RN M&E PLAN OF CARE; EA 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2169","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN"},{"ServiceGroup":"45184","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"8","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"36413","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"977","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"3934","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"12299","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"70440","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"42827","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"370","CodeVersion":"2020","CustomName":"Cesarean section with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"193","CodeVersion":"2020","CustomName":"Biliary tract procedures except only cholecystectomy, with or without common duct exploration, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"353","CodeVersion":"2020","CustomName":"Pelvic evisceration, radical hysterectomy, and radical vulvectomy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"146","CodeVersion":"2020","CustomName":"Rectal resection with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"947","CodeVersion":"2020","CustomName":"Signs and Symptoms with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3776F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90739","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3475F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4148F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0584T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.33","CodeVersion":"2017","CustomName":"FETAL BLOOD SAMPLING AND BIOPSY"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113761","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0037U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106240","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0046U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3386F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82745","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0701T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97099","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98363","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0305U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0010M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9525","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83839","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.4","CodeVersion":"2017","CustomName":"MEDICAL INDUCTION OF LABOR"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61198","CodeType":"HCPCS","Code":"J3485","CodeVersion":"2020","CustomName":"INJECTION ZIDOVUDINE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0855","CodeVersion":"2020","CustomName":"CERVICAL TRACTION EQUIP NOT RQR ADD STAND\/FRAME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5931","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS SURGICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9822","CodeVersion":"2020","CustomName":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7304","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9356","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6211","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD >48 SQ NO ADHES BORDR EA"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7674","CodeVersion":"2020","CustomName":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9155","CodeVersion":"2020","CustomName":"INJECTION DEGARELIX 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4179","CodeVersion":"2020","CustomName":"FLOWERDERM PER SQUARE CM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4102","CodeVersion":"2020","CustomName":"OASIS WOUND MATRIX PER SQ CM"},{"ServiceGroup":"45469","CodeType":"ICD10P","Code":"8E0YXBZ","CodeVersion":"2020","CustomName":"COMPUTER ASSISTED PROCEDURE OF LOWER EXTREMITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7185","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5658","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6224","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O NL SALINE\/HYDROGEL > 48 SQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1846","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3090","CodeVersion":"2020","CustomName":"FOOT ARCH SUPP NONREMV ATTCH SHOE LNGTUDNL\/MT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1846","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1705","CodeVersion":"2020","CustomName":"ASTRAZENECA COVID-19 VACC"},{"ServiceGroup":"105282","CodeType":"HCPCS","Code":"C1762","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE HUMAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0480","CodeVersion":"2020","CustomName":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0899","CodeVersion":"2020","CustomName":"PWR MOBILTY DVC NOT CODED DME PDAC\/NOT MEET CRIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4381","CodeVersion":"2020","CustomName":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9992","CodeVersion":"2020","CustomName":"DENTAL CASE MANAGEMENT - CARE COORDINATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4381","CodeVersion":"2020","CustomName":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1636","CodeVersion":"2020","CustomName":"SORBENT CARTRIDGES FOR HEMODIALYSIS PER 10"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9591","CodeVersion":"2020","CustomName":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0275","CodeVersion":"2020","CustomName":"ALPROSTADIL URETHRAL SUPPOSITORY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0093","CodeVersion":"2020","CustomName":"INJECTION MORPHINE SULFATE 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0626","CodeVersion":"2020","CustomName":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3924","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS WITHOUT JOINTS PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6672","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD HARNESS CHST\/SHLUPPER EXTREM AD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9332","CodeVersion":"2020","CustomName":"INJ EFGARTIGIMOD ALFA-FCAB 2MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9317","CodeVersion":"2020","CustomName":"DOC PT RISK ASSESS RISK CALC W\/PT\/FAM NOT COMPL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3319F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5220","CodeVersion":"2020","CustomName":"ABVE KNEE SHRT PROSTH W\/ARTIC ANK\/FOOT DYN"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9984","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 15 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3766","CodeVersion":"2020","CustomName":"EWHFO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7031","CodeVersion":"2020","CustomName":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA"},{"ServiceGroup":"26160","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4420","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOS; USE BARRIER W\/LOCK FLNGE EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3486","CodeVersion":"2020","CustomName":"INJECTION ZIPRASIDONE MESYLATE 10 MG"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4110","CodeVersion":"2020","CustomName":"PRIMATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6687","CodeVersion":"2020","CustomName":"UP EXTRM ADD FRME TYPE SCKT BELW ELB\/WRST DISRTC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0400","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4204","CodeVersion":"2020","CustomName":"XWRAP PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9276","CodeVersion":"2020","CustomName":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"31009","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"13292","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0531","CodeVersion":"2020","CustomName":"Osteopathic Services - Osteopathic Therapy"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"68188","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"196","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"555","CodeType":"REV","Code":"0945","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Alcohol Rehabilitation"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"13854","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"196","CodeVersion":"2020","CustomName":"Cholecystectomy with common duct exploration without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"011","CodeVersion":"2020","CustomName":"Nervous system neoplasms without CC"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3318F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0646T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3646","CodeType":"ICD9P","Code":"37.26","CodeVersion":"2017","CustomName":"CARD EP STIMULATION&RECORDING STUDIES"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4169F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29334","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0286T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0094U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108694","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3141F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0645T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26278","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.9","CodeVersion":"2017","CustomName":"PUNCTURE OF VESSEL"},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0495T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.97","CodeVersion":"2017","CustomName":"REPLACEMENT AUTO CARDIOVERT\/DEFIB LEADS ONLY"},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88858","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35559","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0041A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34871","CodeType":"ICD9P","Code":"11.62","CodeVersion":"2017","CustomName":"OTHER LAMELLAR KERATOPLASTY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2179","CodeVersion":"2020","CustomName":"CLIN DOC PT MED RSN NOT PRFM LW EXT NEURO EXAM"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9600","CodeVersion":"2020","CustomName":"STRONTIUM SR-89 CHLORID THERAPEUTIC PER MCI"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9078","CodeVersion":"2020","CustomName":"ONC; PROS CA; T2\/T3A GLEASON 8-10\/PSA>20 NO METS"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0256","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9302","CodeVersion":"2020","CustomName":"INJECTION OFATUMUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2332","CodeVersion":"2020","CustomName":"RESIN COMPOS - 3 SURFACES ANTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6076","CodeVersion":"2020","CustomName":"IMPLANT SUPP RET FPD - PORCELN FUSED HI NBL ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0601","CodeVersion":"2020","CustomName":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8507","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1670","CodeVersion":"2020","CustomName":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0897","CodeVersion":"2020","CustomName":"INJECTION DENOSUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0004","CodeVersion":"2020","CustomName":"HIGH STRENGTH LIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9056","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT ADHERES TO GUIDELINES"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89822","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0760","CodeVersion":"2020","CustomName":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6001","CodeVersion":"2020","CustomName":"ULTRASONIC GUID PLACEMENT RADIATION TX FIELDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9246","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN EVOMELA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9340","CodeVersion":"2020","CustomName":"HOME THERAPY; ENTERAL NUTRITION; PER DIEM"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9211","CodeVersion":"2020","CustomName":"INJECTION IDARUBICIN HCL 5 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9015","CodeVersion":"2020","CustomName":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4165","CodeVersion":"2020","CustomName":"KERAMATRIX OR KERASORB PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4381","CodeVersion":"2020","CustomName":"LOC DEL ANTIMICROBL AGT DZ CREVICULAR TISS-TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9285","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANAT LOC LUNG\/NOT CLASS NSCLC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2389","CodeVersion":"2020","CustomName":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9358","CodeVersion":"2020","CustomName":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0699","CodeVersion":"2020","CustomName":"INJECTION CEFIDEROCOL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9040","CodeVersion":"2020","CustomName":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3320","CodeVersion":"2020","CustomName":"INJ SPECTINOMYCIN DIHYDROCHLORIDE UP TO 2 GM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4714","CodeVersion":"2020","CustomName":"TREATED WATER FOR PERITONEAL DIALYSIS PER GALLON"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0697","CodeVersion":"2020","CustomName":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9977","CodeVersion":"2020","CustomName":"DILATED MACULAR EXAM WAS NOT PRFRM REASON NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5681","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM INSRT CNGN\/ATYP TRAUMAT AMP INIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7633","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7720","CodeVersion":"2020","CustomName":"MAXILLA CLOSED REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4640","CodeVersion":"2020","CustomName":"REPLCMT PAD W\/MED NECES ALTRNAT PRSS PAD OWND PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C5272","CodeVersion":"2020","CustomName":"APPL SG TRNK ARMS LEGS AREA 100 CM; EA ADD 25 CM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0247","CodeVersion":"2020","CustomName":"INJECTION, SOTROVIMAB, 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1351","CodeVersion":"2020","CustomName":"SEALANT - PER TOOTH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90378","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8536","CodeVersion":"2020","CustomName":"NO DOC ELDER MALTREATMNT SCREEN REASON NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7610","CodeVersion":"2020","CustomName":"MAXILLA-OPEN REDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1460","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8000","CodeVersion":"2020","CustomName":"BREAST PROS MASTECTOMY BRA W\/O INTEG PROS FORM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5818","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FRICT SWING&STANCE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2325","CodeVersion":"2020","CustomName":"INJECTION NESIRITIDE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5270","CodeVersion":"2020","CustomName":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8020","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY FORM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0801","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 HEAVY DUTY PT 301 TO 450 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9810","CodeVersion":"2020","CustomName":"PATIENT ACHIEVED PDC AL 75% FOR ASTHMA CONTR MED"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1835","CodeVersion":"2020","CustomName":"INJECTION ITRACONAZOLE 50 MG"},{"ServiceGroup":"111992","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2980","CodeVersion":"2020","CustomName":"CROWN REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8476","CodeVersion":"2020","CustomName":"MOST RECENT BP SYST <140 MM HG & DIAS <90 MM HG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0300","CodeVersion":"2020","CustomName":"INJECTION AMOBARBITAL UP TO 125 MG"},{"ServiceGroup":"10518","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4123","CodeVersion":"2020","CustomName":"ALLOSKIN RT PER SQ CM"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5616","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT"},{"ServiceGroup":"17574","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"14188","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"22405","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"989","CodeVersion":"2020","CustomName":"Nonextensive O.R. Procedure Unrelated to Principal Diagnosis without CC\/MCC"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"293","CodeVersion":"2020","CustomName":"Other endocrine, nutritional, and metabolic operating room procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"556","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH NON-DRUG ELUTING STENT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"355","CodeVersion":"2020","CustomName":"Uterine and adnexa procedures for non-ovarian\/adnexal malignancy without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.8","CodeVersion":"2017","CustomName":"OPERATIONS ON FETUS TO FACILITATE DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92010","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"16035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3496F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16429","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0185","CodeVersion":"2020","CustomName":"Leave Of Absence - Nursing Home (for Hospitalization)"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105701","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3331F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113481","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"16020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0308U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10","CodeType":"ICD9P","Code":"36.04","CodeVersion":"2017","CustomName":"INTRACORONARY ARTERY THROMBOLYTIC INFUSION"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0278U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98406","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.07","CodeVersion":"2017","CustomName":"ENDOVASCULAR REPLACEMENT OF PULMONARY VALVE"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2921","CodeVersion":"2020","CustomName":"REATTACHMENT TOOTH FRAGMENT INCISAL EDGE\/CUSP"},{"ServiceGroup":"11069","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0191","CodeVersion":"2020","CustomName":"MISOPROSTOL ORAL 200 MCG"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3421","CodeVersion":"2020","CustomName":"APICOECTOMY - PREMOLAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7318","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE DUROLANE FOR IA INJ 1 MG"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0417","CodeVersion":"2020","CustomName":"CLCT & PREP SALIVA SAMPLE FOR LAB DX TESTING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7312","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE INTRAVITREAL IMPL 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6895","CodeVersion":"2020","CustomName":"ADD UP EXT PROSTH GLOV TERM DEVC MATL CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9145","CodeVersion":"2020","CustomName":"INSULIN PUMP INITIATION INSTRUCTION USE OF PUMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9372","CodeVersion":"2020","CustomName":"HOME THERAPY; INTERMITTENT ANTICOAGULANT INJ TX;"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8670","CodeVersion":"2020","CustomName":"ROLAPITANT ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7955","CodeVersion":"2020","CustomName":"REPR MAXLOFACL SOFT&\/HARD TISS DFCT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8410","CodeVersion":"2020","CustomName":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9776","CodeVersion":"2020","CustomName":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9213","CodeVersion":"2020","CustomName":"DSM-IV-TR CRITERIA MDD NOT DOC INIT EVAL RSN NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2070","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2034","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG ABS HALFWAY HOUSE SRVC PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4046","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1354","CodeVersion":"2020","CustomName":"APPLICATION CARIES ARREST MEDICAMENT - PER TOOTH"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1237","CodeVersion":"2020","CustomName":"WHLCHAIR PED SZ RIGD ADJUSTBL W\/O SEATING SYSTEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3315F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7198","CodeVersion":"2020","CustomName":"ANTI-INHIBITOR PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4463","CodeVersion":"2020","CustomName":"SURGICAL DRESSING HOLDER REUSABLE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1239","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR PEDIATRIC SIZE NOS"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2363","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"68384","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6603","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST HIGH NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"98000","CodeType":"HCPCS","Code":"G0378","CodeVersion":"2020","CustomName":"HOSPITAL OBSERVATION SERVICE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1000","CodeVersion":"2020","CustomName":"PRIV DUTY\/INDEPEND NRS SERVICE LIC UP 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5508","CodeVersion":"2020","CustomName":"DIAB ONLY DELUXE FEATURE SHOE\/CSTM MOLD SHOE"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"43429","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"13052","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"68820","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"14997","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0969","CodeVersion":"2020","CustomName":"Professional Fees - Other Professional Fee"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91006","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0017M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62260","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0316U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.52","CodeVersion":"2017","CustomName":"IMPLNT TOTAL INT BIVENTRICULAR HEART REPLCMT SYS"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77582","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44243","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108694","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104735","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2628","CodeVersion":"2020","CustomName":"CATHETER OCCLUSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1208","CodeVersion":"2020","CustomName":"TOPICAL APPLICATION OF FLUORIDE"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9311","CodeVersion":"2020","CustomName":"CONSULTATION W\/MEDICAL HEALTH CARE PROFESSIONAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9339","CodeVersion":"2020","CustomName":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4226","CodeVersion":"2020","CustomName":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0044","CodeVersion":"2020","CustomName":"SUPPORTED HOUSING PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0051","CodeVersion":"2020","CustomName":"CAM RLS ASSEM FOOTREST\/LEGREST REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4030","CodeVersion":"2020","CustomName":"SPERM PROCUREMENT&CRYOPRES SERVICES; INIT VISIT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"44709","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0480","CodeVersion":"2020","CustomName":"INJECTION BASILIXIMAB 20 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2612","CodeVersion":"2020","CustomName":"GEN WC BACK CUSHN WDTH 22 IN\/GT HT MOUNT HARDWRE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2146","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 1 YR PO>=3.0 DEM CHANG 5 PNT\/>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8540","CodeVersion":"2020","CustomName":"DEXAMETHASONE ORAL 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3105","CodeVersion":"2020","CustomName":"INJECTION TERBUTALINE SULFATE UP TO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0249","CodeVersion":"2020","CustomName":"IV TCZ HP PT 2 & > COVID-19 INC INF & PA MON FD"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9488","CodeVersion":"2020","CustomName":"INJECTION CONIVAPTAN HYDROCHLORIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0652","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS SEG HOM MDL W\/CALBRTD GRADNT PRSS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0591","CodeVersion":"2020","CustomName":"INJECTION DEOXYCHOLIC ACID 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0552","CodeVersion":"2020","CustomName":"SPL EXT NON-INS RX INFUS PMP SYR T CART STERL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6676","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6687","CodeVersion":"2020","CustomName":"UP EXTRM ADD FRME TYPE SCKT BELW ELB\/WRST DISRTC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0180","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4455","CodeVersion":"2020","CustomName":"ADHESIVE REMOVER OR SOLVENT PER OUNCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4216","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION; ADDITIVES - HOME MIX PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2627","CodeVersion":"2020","CustomName":"SCLERAL COVER SHELL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5140","CodeVersion":"2020","CustomName":"IMMEDIATE DENTURE - MANDIBULAR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0288","CodeVersion":"2020","CustomName":"INJ AMPHOTERICIN B CHOLESTRYL SULFAT CMPLX 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7520","CodeVersion":"2020","CustomName":"SIROLIMUS ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9281","CodeVersion":"2020","CustomName":"SCREEN PERFORM DOC VACC NOT INDICATED\/PT REFUSAL"},{"ServiceGroup":"58764","CodeType":"REV","Code":"0511","CodeVersion":"2020","CustomName":"Clinic - Chronic Pain Center"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0972","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - DIAGNOSTIC"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0994","CodeVersion":"2020","CustomName":"Patient Convenience Items - TV\/Radio"},{"ServiceGroup":"33793","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"651","CodeVersion":"2020","CustomName":"HIGH RISK CESAREAN SECTION W\/O CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1034F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103835","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90798","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105489","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108","CodeType":"ICD9P","Code":"39.65","CodeVersion":"2017","CustomName":"EXTRACORPOREAL MEMBRANE OXYGENATION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98573","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84183","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.24","CodeVersion":"2017","CustomName":"IVASC IMAG COR VES OPTICAL COHERENCE TOMOGRPH"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110059","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0092T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3310","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY ANTERIOR TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0315","CodeVersion":"2020","CustomName":"DISEASE MANAGEMENT PROGM; INIT ASSESS&INIT PROGM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5100","CodeVersion":"2020","CustomName":"HEARING AID BILATERAL BODY WORN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0278","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5498","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT SIMPLE PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4605","CodeVersion":"2020","CustomName":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.2","CodeVersion":"2017","CustomName":"DIAGNOSTIC PROCEDURES ON HEART AND PERICARDIUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93723","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0308T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.0","CodeVersion":"2017","CustomName":"SYSTEMIC TO PULMONARY ARTERY SHUNT"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4010","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9280","CodeVersion":"2020","CustomName":"INJECTION MITOMYCIN 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4490","CodeVersion":"2020","CustomName":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H1003","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SERVICE; EDUCATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2770","CodeVersion":"2020","CustomName":"OCCLUDER LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4187","CodeVersion":"2020","CustomName":"OMEGAVEN 10 G LIPIDS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2024","CodeVersion":"2020","CustomName":"SP CLCT SARS-COV2 COVID19 FRM SNF\/LAB ANY SPEC"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4726","CodeVersion":"2020","CustomName":"DIALYSATE DEXTROSE FLUID >5999 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P2031","CodeVersion":"2020","CustomName":"HAIR ANALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0248","CodeVersion":"2020","CustomName":"DEMO HOME INR MON PT W\/MECH HT VALVE CAF\/VTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2200","CodeVersion":"2020","CustomName":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0114","CodeVersion":"2020","CustomName":"FERN TEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8922","CodeVersion":"2020","CustomName":"TTE W\/CONTRAST OR W\/O FLW W\/CONTRAST; F\/U OR LTD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1220","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2390","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0045","CodeVersion":"2020","CustomName":"RESPITE CARE SERVICES NOT IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0830","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1810","CodeVersion":"2020","CustomName":"INJ DROPERIDOL&FENTANYL CITRATE UP TO 2 ML AMP"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8908","CodeVersion":"2020","CustomName":"MR IMAG W\/O CONTRST FLWED W\/CONTRST BRST; BIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7962","CodeVersion":"2020","CustomName":"LINGUAL FRENECTOMY FRENULECTOMY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5955","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTHESIS DEFINITIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4634","CodeVersion":"2020","CustomName":"REPLCMT BULB THERAPEUTIC LIGHT BOX TABOP MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5975","CodeVersion":"2020","CustomName":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK&FLXBL KEEL FT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9050","CodeVersion":"2020","CustomName":"INJECTION CARMUSTINE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9521","CodeVersion":"2020","CustomName":"TOTAL NUMBER ED VISITS & IP HOSP < 2 PAST 12 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6607","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2056","CodeVersion":"2020","CustomName":"CILTA CEL TO 100 M AUTO BCMA DIR CAR-POS TC DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0575","CodeVersion":"2020","CustomName":"NEBULIZER ULTRASONIC LARGE VOLUME"},{"ServiceGroup":"43894","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0519","CodeVersion":"2020","CustomName":"Clinic - Other Clinic"},{"ServiceGroup":"63381","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0850","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"73488","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0699","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - OTHER PRE-HOSPICE\/PALLIATIVE CARE SERVICES"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"572","CodeVersion":"2020","CustomName":"Major Gastrointestinal Disorders and Peritoneal Infections"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"060","CodeVersion":"2020","CustomName":"Tonsillectomy and\/or adenoidectomy only, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3725F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0437T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96979","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3751F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110765","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4201F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0533T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91592","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0557T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106169","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0255T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57222","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104735","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8404","CodeVersion":"2020","CustomName":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED&DOC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7197","CodeVersion":"2020","CustomName":"ANTITHROMBIN III PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6237","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL 16 SQ\/< ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9970","CodeVersion":"2020","CustomName":"PROV REF PT ANR PROV NOT RECV RPRT PROV PT REF"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5685","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS BELW KNEE SUSP\/SEAL SLEEVE EA"},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0190U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0072T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8501","CodeVersion":"2020","CustomName":"APREPITANT ORAL 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1049","CodeVersion":"2020","CustomName":"FUNC STATUS NOT MEASURED ODI AT 3 MONTHS POSTOP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0603","CodeVersion":"2020","CustomName":"BREAST PUMP ELECTRIC ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1004","CodeVersion":"2020","CustomName":"LW FRQ U\/S DIA TX DVC HM USE INCL CMPNT & ACCESS"},{"ServiceGroup":"103949","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9213","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U"},{"ServiceGroup":"91657","CodeType":"ICD10P","Code":"10D00Z0","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION HIGH OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1005","CodeVersion":"2020","CustomName":"TENSION BASED SCOLIOSIS ORTHOS&ACCESSORY PADS"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7200","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX RIXUBIS PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5226","CodeVersion":"2020","CustomName":"MANDIBULAR PARTIAL DENTURE - FLEXIBLE BASE"},{"ServiceGroup":"36068","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6670","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9763","CodeVersion":"2020","CustomName":"CMRI MORPHOL & FUNC QUAN SEG DYSFUNC;STRESS IMAG"},{"ServiceGroup":"89822","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1773","CodeVersion":"2020","CustomName":"RETRIEVAL DEVICE INSERTABLE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4483","CodeVersion":"2020","CustomName":"MOISTR EXCHGR DISPBL USE W\/INVASV MECH VENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6092","CodeVersion":"2020","CustomName":"RECEMENT IMPLANT\/ABUTMENT SUPPORTED CROWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7196","CodeVersion":"2020","CustomName":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7301","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4237","CodeVersion":"2020","CustomName":"CRYO-CORD PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9602","CodeVersion":"2020","CustomName":"PC TL COR ATHERECT W\/RX ELUT IC STENT; 1 MCA\/BR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70939","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"73842","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0517","CodeVersion":"2020","CustomName":"Clinic - Family Practice Clinic"},{"ServiceGroup":"33829","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0852","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"28074","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"17067","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"69521","CodeType":"REV","Code":"0300","CodeVersion":"2020","CustomName":"Laboratory - General Classifiaction"},{"ServiceGroup":"28146","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"88138","CodeType":"DRG","Code":"619","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MINOR PROB-NYDRG"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"028","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age greater than 17, with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4245F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77449","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4047F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90438","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16704","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46767","CodeType":"CPT","Code":"90806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93740","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4011","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1310","CodeVersion":"2020","CustomName":"NUTRIT CNSL CONTROL DENTAL DISEASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9188","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0516","CodeVersion":"2020","CustomName":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4\/>"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6635","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7970","CodeVersion":"2020","CustomName":"EXC HYPERPLASTIC TISSUE-PER ARCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5213","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/BTE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9628","CodeVersion":"2020","CustomName":"PT SUSTN BOWEL INJ SURG\/DISC SUBSEQ 30D PST SRG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9875","CodeVersion":"2020","CustomName":"9 TOTAL MDPP C SESS ATD MDPP BENEF UND MDPP EM"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6010","CodeVersion":"2020","CustomName":"COLLAGEN BASED WND FILLER DRY FORM STERL PER GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5100","CodeVersion":"2020","CustomName":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2172","CodeVersion":"2020","CustomName":"ALL INCL PMT FOR SRVC REL HI COORD & INT OUD TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2028","CodeVersion":"2020","CustomName":"SPECIALIZED SUPPLY NOT OTH SPECIFIED WAIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1750","CodeVersion":"2020","CustomName":"CATHETER HEMODIAL\/PERITONEAL LONG-TERM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9961","CodeVersion":"2020","CustomName":"DUPLICATE\/COPY PATIENT'S RECORDS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8840","CodeVersion":"2020","CustomName":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2274","CodeVersion":"2020","CustomName":"INJECTION MS PRES-FREE EPID\/INTRATHECL USE 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7131","CodeVersion":"2020","CustomName":"HYPERTONIC SALINE SOLUTION 1 ML"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5102","CodeVersion":"2020","CustomName":"BEDSID DRAIN BOTTLE W\/WO TUBING RIGD\/XPNDABLE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6250","CodeVersion":"2020","CustomName":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2340","CodeVersion":"2020","CustomName":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9034","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0028","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON FOR NOT SCREENING TOBACCO USE"},{"ServiceGroup":"55084","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5245","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0961","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0714","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME & AVIBACTAM 0.5 G\/0.125 G"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8918","CodeVersion":"2020","CustomName":"PT WITHOUT PREOP ORDER IV ABX SSI PROPHYLAXIS"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0811","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Living Donor"},{"ServiceGroup":"15789","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0521","CodeVersion":"2020","CustomName":"FREE-STANDING CLINIC - CLINIC VISIT BY MEMBER TO RHC\/FQHC"},{"ServiceGroup":"24639","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"15357","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"44949","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"920","CodeVersion":"2020","CustomName":"Complications of Treatment with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"941","CodeVersion":"2020","CustomName":"O.R. Procedure with Diagnoses of Other Contact with Health Services without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1071F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3037","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4927","CodeVersion":"2020","CustomName":"GLOVES NON-STERILE PER 100"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4226","CodeVersion":"2020","CustomName":"MYOWN SKIN INCL HARVEST & PREP PROC PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2321","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS TRIFOCAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2620","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0944","CodeVersion":"2020","CustomName":"PELVIC BELT\/HARNESS\/BOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9010","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5876","CodeVersion":"2020","CustomName":"ADD MET SUBSTRUC TO ACRYLIC FULL DENT (PER ARCH)"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2310","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER&ONE PWR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9215","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-N3 250,000 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0013","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2037","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLUVIRIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0483","CodeVersion":"2020","CustomName":"MONITOR\/DISPLAY MODULE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2940","CodeVersion":"2020","CustomName":"INJECTION SOMATREM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3299","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0021","CodeVersion":"2020","CustomName":"AMB SERVICE OUTSIDE STATE PER MILE TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1172","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS W\/O FOOT\/LEGRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0168","CodeVersion":"2020","CustomName":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1839","CodeVersion":"2020","CustomName":"IRIS PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0191","CodeVersion":"2020","CustomName":"ASSESSMENT OF A PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4219","CodeVersion":"2020","CustomName":"SURGIGRAFT-DUAL PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9270","CodeVersion":"2020","CustomName":"INJECTION PLICAMYCIN 2.5 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2382","CodeVersion":"2020","CustomName":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9266","CodeVersion":"2020","CustomName":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9213","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9313","CodeVersion":"2020","CustomName":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5865","CodeVersion":"2020","CustomName":"OVERDENTURE - COMPLETE MANDIBULAR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23703","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"177","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"103730","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"58457","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"008","CodeVersion":"2020","CustomName":"Peripheral and cranial nerve and other nervous system procedures without CC"},{"ServiceGroup":"58518","CodeType":"DRG","Code":"694","CodeVersion":"2020","CustomName":"Urinary Stones without ESW Lithotripsy without MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3455F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101525","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0181U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0284U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100264","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.90","CodeVersion":"2017","CustomName":"INSRT NON-DRUG-ELUTNG PERIPH NON-COR VESSL STNTS"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0532T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0069U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35670","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47225","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.05","CodeVersion":"2017","CustomName":"ENDOVASCULAR REPLACEMENT OF AORTIC VALVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5011","CodeVersion":"2020","CustomName":"FITTING\/ORIENTATION\/CHECKING OF HEARING AID"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7632","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHAL SOL COMP PROD UD 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0076","CodeVersion":"2020","CustomName":"PROLOTHERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5212","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/ITC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0041","CodeVersion":"2020","CustomName":"FOSTER CARE CHILD NON-THERAPEUTIC PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7210","CodeVersion":"2020","CustomName":"EXTRACTION ERU TOOTH RQR REMV BONE &\/SECTN TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0429","CodeVersion":"2020","CustomName":"DERM FILLER INJ TX FACIAL LIPODYSTROPHY SYNDROME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0841","CodeVersion":"2020","CustomName":"INJECTION CROTALIDAE IMMUNE F120 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5911","CodeVersion":"2020","CustomName":"FACIAL MOULAGE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0178","CodeVersion":"2020","CustomName":"INJECTION AFLIBERCEPT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2121","CodeVersion":"2020","CustomName":"DEPRESSION ANXIETY APATHY & PSYCHOSIS ASSESSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7314","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL 0.01 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0630","CodeVersion":"2020","CustomName":"RMV SUTURES; PHYS NOT PHYS WHO ORIGLY CLOS WND"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9120","CodeVersion":"2020","CustomName":"INJECTION DACTINOMYCIN 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6370","CodeVersion":"2020","CustomName":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7008","CodeVersion":"2020","CustomName":"ELECTRIC HAND SWITCH\/MYOELECTRIC CNTRL PEDIATRIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9243","CodeVersion":"2020","CustomName":"DOCUMENTATION VIRAL LOAD LESS THAN 200 COPIES\/ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5781","CodeVersion":"2020","CustomName":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"E0749","CodeVersion":"2020","CustomName":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7048","CodeVersion":"2020","CustomName":"VACUUM DRAINAGE COLLECTION UNIT & TUBING KIT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4356","CodeVersion":"2020","CustomName":"EXTERNAL URETHRAL CLAMP\/COMPRESSION DEVICE EACH"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D00Z1","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION LOW OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1784","CodeVersion":"2020","CustomName":"OCULAR DEVICE INTRAOPERATIVE DETACHED RETINA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8560","CodeVersion":"2020","CustomName":"ETOPOSIDE ORAL 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2710","CodeVersion":"2020","CustomName":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2940","CodeVersion":"2020","CustomName":"INJECTION SOMATREM 1 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38648","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"44122","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"69046","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50905","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"43432","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"25535","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"33823","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"47342","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0333","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Radiation Therapy"},{"ServiceGroup":"19973","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"638","CodeVersion":"2020","CustomName":"NEONATE, DIED W\/IN ONE DAY OF BIRTH, NOT BORN HERE-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"148","CodeVersion":"2020","CustomName":"Major small and large bowel procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3037","CodeType":"ICD9P","Code":"98.5","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104170","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0155U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"411","CodeType":"ICD9P","Code":"37.21","CodeVersion":"2017","CustomName":"RIGHT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0611T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"16000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105240","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0321U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0216T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112910","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0593T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87521","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81058","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75","CodeVersion":"2017","CustomName":"OTHER OBSTETRIC OPERATIONS"},{"ServiceGroup":"91030","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0179","CodeVersion":"2020","CustomName":"MEGESTROL ACETATE ORAL 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8942","CodeVersion":"2020","CustomName":"FNC OUTCM ASMT TOOL DOC PREV 30 DA & CARE PLN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1652","CodeVersion":"2020","CustomName":"HIP ORTHOS BIL THI CUFF ADLT SZ PRFAB ANY TYPE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9903","CodeVersion":"2020","CustomName":"PATIENT SCR TOBACCO USE & ID AS TOB NON-USER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4224","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION ADMINISTRATION KIT PER DAY"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9600","CodeVersion":"2020","CustomName":"INJECTION PORFIMER SODIUM 75 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4356","CodeVersion":"2020","CustomName":"EXTERNAL URETHRAL CLAMP\/COMPRESSION DEVICE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6199","CodeVersion":"2020","CustomName":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4921","CodeVersion":"2020","CustomName":"GINGIVAL IRRIGATION - PER QUADRANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2003","CodeVersion":"2020","CustomName":"MODERATE 45 MINS IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2104","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3470","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE UP TO 150 UNITS"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4248","CodeVersion":"2020","CustomName":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6224","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O NL SALINE\/HYDROGEL > 48 SQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6040","CodeVersion":"2020","CustomName":"SURG PLACEMENT: EPOSTEAL IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4619","CodeVersion":"2020","CustomName":"FACE TENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7240","CodeVersion":"2020","CustomName":"REMOVAL IMPACTED TOOTH - CMPL BONY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1454","CodeVersion":"2020","CustomName":"INJ FOSNETUPITANT 235 MG & PALONOSETRON 0.25 MG"},{"ServiceGroup":"71779","CodeType":"HCPCS","Code":"G0398","CodeVersion":"2020","CustomName":"HST W\/TYPE II PRTBLE MON UNATTENDED MIN 7 CH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8426","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9912","CodeVersion":"2020","CustomName":"HBV STS ASSESS & RSLT INTERP PRIOR ANTI-TNF TX"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36812","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"28074","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"12019","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"104295","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"3409","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"12280","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4242F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.94","CodeVersion":"2017","CustomName":"PUBIOTOMY TO ASSIST DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6720","CodeVersion":"2020","CustomName":"RETAINER CROWN - RESIN WITH HIGH NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2335","CodeVersion":"2020","CustomName":"RSN COMPOS-4\/> SURF\/W\/INCISAL ANG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1024","CodeVersion":"2020","CustomName":"EVAL&TX TEAM PROV CARE MX\/SEV HANDICAP CHLD PER"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4125","CodeVersion":"2020","CustomName":"ARTHROFLEX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0421","CodeVersion":"2020","CustomName":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2702","CodeVersion":"2020","CustomName":"DELUXE LENS FEATURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B9004","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION INFUSION PUMP PORTABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7009","CodeVersion":"2020","CustomName":"RESRVOR BOTTLE NON-DISPBL W\/LG VOL US NEBULIZR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7510","CodeVersion":"2020","CustomName":"PREDNISOLONE ORAL PER 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0350","CodeVersion":"2020","CustomName":"CONTROL UNIT ELEC BOWEL IRRIGATION\/EVAC SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6881","CodeVersion":"2020","CustomName":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5160","CodeVersion":"2020","CustomName":"DISPENSING FEE BINAURAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4197","CodeVersion":"2020","CustomName":"PURAPLY XT PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9510","CodeVersion":"2020","CustomName":"ADLT PT 18\/>MD NO REM 12 MO DEM 12 MO PHQ-9 <5"},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91048","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9604","CodeVersion":"2020","CustomName":"PATIENT SURVEY RESULTS NOT AVAILABLE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9942","CodeVersion":"2020","CustomName":"REPAIR &\/ RELINE OF OCCLUSAL GUARD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1165","CodeVersion":"2020","CustomName":"INJECTION PHENYTOIN SODIUM PER 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7982","CodeVersion":"2020","CustomName":"SIALODOCHOPLASTY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1759","CodeVersion":"2020","CustomName":"CATHETER INTRACARDIAC ECHOCARDIOGRAPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2323","CodeVersion":"2020","CustomName":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1335","CodeVersion":"2020","CustomName":"INJECTION ERTAPENEM SODIUM 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2055","CodeVersion":"2020","CustomName":"HARVEST DONOR MX-VISCERAL ORGAN; CADVER DONOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2540","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THI\/WEIGHT BEAR LACER MOLD PT MDL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1849","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE SYNTHETIC RESORBABLE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4346","CodeVersion":"2020","CustomName":"SCALING PRESENCE GEN MOD\/SEV GINGIVAL INFLAMM"},{"ServiceGroup":"12394","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"73806","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"555","CodeType":"REV","Code":"0944","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Drug Rehabilitation"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"215","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106181","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99150","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24952","CodeType":"CPT","Code":"91035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0225T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2213","CodeVersion":"2020","CustomName":"BIFOCL +\/-7.25-+\/-12.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0860","CodeVersion":"2020","CustomName":"TRACTION EQUIPMENT OVERDOOR CERVICAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0032","CodeVersion":"2020","CustomName":"MENTAL HEALTH SERVICE PLAN DVLP NON-PHYSICIAN"},{"ServiceGroup":"63297","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1003","CodeVersion":"2020","CustomName":"WHIRLPOOL TUB WALK IN PORTABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0190","CodeVersion":"2020","CustomName":"MIFEPRISTONE ORAL 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0512","CodeVersion":"2020","CustomName":"PHRM FEE O ANTI-CA ANTI-EMET\/IS RX; SUBSQT 30-DA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9760","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8844","CodeVersion":"2020","CustomName":"APNEA HYPOPNA IND\/RDI NOT MSR TM DX RSN NOT GVN"},{"ServiceGroup":"66005","CodeType":"HCPCS","Code":"G0162","CodeVersion":"2020","CustomName":"SKILLED SERVICE RN M&E PLAN OF CARE; EA 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1112","CodeVersion":"2020","CustomName":"DOC PT DX DEG NEURO COND ALS\/PARKINSON'S DX TM E"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0039","CodeVersion":"2020","CustomName":"INJECTION SULFAMETHOXAZOLE&TRIMETHOPRIM 10 ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0167","CodeVersion":"2020","CustomName":"DRONABINOL 2.5 MG ORAL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2102","CodeVersion":"2020","CustomName":"ADJUNCTIVE CONTINUOUS GLUCOSE MONITOR\/RECEIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0222","CodeVersion":"2020","CustomName":"INJECTION PATISIRAN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8723","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANATOMIC LOCATION PRIM TUMOR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2038","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLUZONE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0080","CodeVersion":"2020","CustomName":"INJECTION PENTAMIDINE ISETHIONATE 300 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0365","CodeVersion":"2020","CustomName":"INJECTION APROTONIN 10000 KIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6509","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9944","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - HARD APPLIANCE, FULL ARCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8432","CodeVersion":"2020","CustomName":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN"},{"ServiceGroup":"104224","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.97","CodeVersion":"2017","CustomName":"DECOMPRESSION CHAMBER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2425","CodeVersion":"2020","CustomName":"INJECTION PALIFERMIN 50 MICROGRAMS"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10D00Z1","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION LOW OPEN"},{"ServiceGroup":"113924","CodeType":"HCPCS","Code":"V2786","CodeVersion":"2020","CustomName":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4216","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION; ADDITIVES - HOME MIX PER DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9449","CodeVersion":"2020","CustomName":"WEIGHT MANAGEMENT CLASSES NON-PHYS PER SESSION"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0270","CodeVersion":"2020","CustomName":"HOSP BED INSTITUTIONAL TYPE: W\/MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7605","CodeVersion":"2020","CustomName":"ARFORMOTEROL INHAL SOL NONCOMP UNIT DOSE 15 MG"},{"ServiceGroup":"87967","CodeType":"ICD10P","Code":"0DB68Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH VIA NAT ART OPENING ENDO VERTCL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0157","CodeVersion":"2020","CustomName":"SERVICES PT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1847","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1221","CodeVersion":"2020","CustomName":"WHEELCHAIR WITH FIXED ARM FOOTRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9736","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4002","CodeVersion":"2020","CustomName":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET"},{"ServiceGroup":"62718","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"109151","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"22405","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0540","CodeVersion":"2020","CustomName":"Ambulance - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"870","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - General Classification"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4189F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106714","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2024F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.94","CodeVersion":"2017","CustomName":"RESPIRATORY MEDICATION ADMINISTERED BY NEBULIZER"},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1026","CodeVersion":"2020","CustomName":"MECH ALLERGEN PARTIC BAR\/INHL FLTR CRM NASAL TOP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2406","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN KIMYRSA 10 MG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9595","CodeVersion":"2020","CustomName":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0667","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL LEG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0014","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; AMB DETOXIFICATION"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"44284","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5673","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM MOLD\/PRFAB FOR USE W\/LOCK MECH"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0222","CodeVersion":"2020","CustomName":"INJECTION BEBTELOVIMAB 175 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7880","CodeVersion":"2020","CustomName":"OCCLUSAL ORTHOTIC APPLIANCE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9200","CodeVersion":"2020","CustomName":"INJECTION FLOXURIDINE 500 MG"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8500","CodeVersion":"2020","CustomName":"ARTIFICIAL LARYNX ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2066","CodeVersion":"2020","CustomName":"INTG DVC EVAL RMT TO 30 D;RCPT TRANS & TECH RVW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5141","CodeVersion":"2020","CustomName":"FOSTER CARE ADULT; PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8914","CodeVersion":"2020","CustomName":"PT DOC HAVE EXPERNCD HOSP TRNSF\/ADM UPON D\/C ASC"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9511","CodeVersion":"2020","CustomName":"IDX PHQ-9\/PHQ-9M SC>9 DOC DUR 12 MO DNOMN ID PRD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107086","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2501","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA TORIC\/PRISM BALLAST PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9542","CodeVersion":"2020","CustomName":"DOC RE-ASSESS APPROP OF FILTER REMOVAL W\/I 3 M"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9173","CodeVersion":"2020","CustomName":"INJECTION DURVALUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9553","CodeVersion":"2020","CustomName":"PRIOR THYROID DISEASE DIAGNOSIS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7680","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2051","CodeVersion":"2020","CustomName":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; PD"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0390","CodeVersion":"2020","CustomName":"ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND COMPONENTS-GENERAL CLASS"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0663","CodeVersion":"2020","CustomName":"Respite Care - Daily Respite Charge"},{"ServiceGroup":"33789","CodeType":"DRG","Code":"883","CodeVersion":"2020","CustomName":"LAPROSCOPIC APPENDECTOMY -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"093","CodeVersion":"2020","CustomName":"Interstitial lung disease without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3573F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90433","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100065","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4248F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0023U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0581F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87841","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0233U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0033U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111868","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0510T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9356","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2107","CodeVersion":"2020","CustomName":"PT 66 &>CLM FRLTY & 1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2208","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0170","CodeVersion":"2020","CustomName":"TRANSPORTATION ANCILLARY: PARKING FEES TOLLS OTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3331","CodeVersion":"2020","CustomName":"TX RC OBSTRUCTION; NON-SURG ACCESS"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"57649","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0430","CodeVersion":"2020","CustomName":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3849","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR NIEMANN-PICK DISEASES"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0069","CodeVersion":"2020","CustomName":"PROF SRVC ADM SUBQ IMT ADM CAL DA IND HM EA 15 M"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9181","CodeVersion":"2020","CustomName":"INJECTION ETOPOSIDE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2033","CodeVersion":"2020","CustomName":"RESIDENTIAL CARE NOS WAIVER; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7520","CodeVersion":"2020","CustomName":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4422","CodeVersion":"2020","CustomName":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA"},{"ServiceGroup":"80284","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"74924","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1750","CodeVersion":"2020","CustomName":"INJECTION IRON DEXTRAN 50 MG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8030","CodeVersion":"2020","CustomName":"LTD ORTHODONTIC TX ADOLES DENTITION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9306","CodeVersion":"2020","CustomName":"INJECTION PERTUZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0432","CodeVersion":"2020","CustomName":"INF ANTIBODY ELISA TECH ANTIBODY HIV-1\/HIV-2 SCR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3720","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/FORARM\/ARM CUFF FREE MOT CSTM FAB"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5253","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2351","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0044","CodeVersion":"2020","CustomName":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0210","CodeVersion":"2020","CustomName":"INTRAORAL-COMPLETE SERIES OF RADIOGRAPHIC IMAGES"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9476","CodeVersion":"2020","CustomName":"VESTIBULAR REHAB PROGM NON-PHYSICIAN PROV-DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4234","CodeVersion":"2020","CustomName":"XCELLERATE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5988","CodeVersion":"2020","CustomName":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3400","CodeVersion":"2020","CustomName":"INJECTION TRIFLUPROMAZINE HCL UP TO 20 MG"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"56225","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"24703","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"51785","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0306","CodeVersion":"2020","CustomName":"Laboratory - Bacteriology & MICROBIOLOGY"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"11301","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114581","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0251T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0270U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0256T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0244U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91592","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106714","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104261","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4670","CodeVersion":"2020","CustomName":"AUTOMATIC BLOOD PRESSURE MONITOR"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9999","CodeVersion":"2020","CustomName":"SALES TAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9017","CodeVersion":"2020","CustomName":"INJECTION ARSENIC TRIOXIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0142","CodeVersion":"2020","CustomName":"COLISTMTHATE SODIUM INHAL SOL CONC FORM-PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0885","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD MX PWR CAPT CHAIR TO &=300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C5275","CodeVersion":"2020","CustomName":"APPL SG F-S-N-H-F-G-M-D A TO 100 CM; 1ST 25 CM\/<"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6704","CodeVersion":"2020","CustomName":"TERMINAL DEVICE SPORT\/RECREATIONAL\/WORK ATTACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9630","CodeVersion":"2020","CustomName":"PT NOT SUSTN BOWL INJ SRG\/DISC TO 30 D POST SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1554","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN ASCENIV 500 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5552","CodeVersion":"2020","CustomName":"INSULIN INTERMEDIATE ACTING; 5 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5560","CodeVersion":"2020","CustomName":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9777","CodeVersion":"2020","CustomName":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4600","CodeVersion":"2020","CustomName":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0256","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3590","CodeVersion":"2020","CustomName":"ORTHO SHOE ADD CONVRT FIRM COUNTER SFT COUNTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6006","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 20 ME\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0476","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8035","CodeVersion":"2020","CustomName":"CSTM BREAST PROSTH POST MASTECT MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2278","CodeVersion":"2020","CustomName":"INJECTION ZICONOTIDE 1 MICROGRAM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3396","CodeVersion":"2020","CustomName":"INJECTION VERTEPORFIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5751","CodeVersion":"2020","CustomName":"RELINE COMPLETE MANDIBULAR DENTURE INDIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5725","CodeVersion":"2020","CustomName":"REBASE HYBRID PROSTHESIS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0572","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL <\/=TO 3 MG BPN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9112","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NECK CA; EXTENT OF DZ UNKNOWN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1572","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6620","CodeVersion":"2020","CustomName":"UPPER EXT ADD FLEX\/EXT WRIST UNIT W\/WO FRICTION"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9557","CodeVersion":"2020","CustomName":"FINAL RPT CT\/CTA MRI CHS\/NCK WO THYRD NOD<1.0 CM"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0917","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Bio Feedback"},{"ServiceGroup":"14609","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"897","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy without MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3757F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106712","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107167","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10906","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69923","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74.9","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82761","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0623T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3219F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114519","CodeType":"CPT","Code":"0671T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4242","CodeVersion":"2020","CustomName":"AMNIOCYTE PLUS PER 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2933","CodeVersion":"2020","CustomName":"PRFABR STNLSS STEEL CROWN RSN WNDOW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7997","CodeVersion":"2020","CustomName":"APPLIANCE REMV INCL REMV ARCHBAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5520","CodeVersion":"2020","CustomName":"REPL MISS\/BROKEN TEETH-CMPL DENTUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0120","CodeVersion":"2020","CustomName":"PERIODIC ORAL EVALUATION ESTABLISHED PATIENT"},{"ServiceGroup":"75639","CodeType":"HCPCS","Code":"H0010","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG IP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2787","CodeVersion":"2020","CustomName":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0834","CodeVersion":"2020","CustomName":"INJECTION COSYNTROPIN 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5712","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9278","CodeVersion":"2020","CustomName":"DOC PT NOT ON DAILY ASPIRIN\/ANTI-PLATELET REGIMN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0257","CodeVersion":"2020","CustomName":"CNSL&DISCUSS ADV DIRCTV\/EOL CARE PT&\/SURROGATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6203","CodeVersion":"2020","CustomName":"COMPOS DRESS STERL PAD 16 SQ\/< W\/ADHES BORDR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2650","CodeVersion":"2020","CustomName":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8410","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH ABOVE KNEE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4180","CodeVersion":"2020","CustomName":"REVITA PER SQUARE CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6629","CodeVersion":"2020","CustomName":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2788","CodeVersion":"2020","CustomName":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4391","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/EXT WEAR BARRIER ATTCH EA"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1845","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0326","CodeVersion":"2020","CustomName":"URINAL; FEMALE JUG-TYPE ANY MATERIAL"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0237","CodeVersion":"2020","CustomName":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2168","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9074","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST III; ER&PR NEG; NO PROGRESSN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0695","CodeVersion":"2020","CustomName":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6950","CodeVersion":"2020","CustomName":"PRECISION ATTACHMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9330","CodeVersion":"2020","CustomName":"INJECTION TEMSIROLIMUS 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5290","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8964","CodeVersion":"2020","CustomName":"CARD SS IMAG OTH RSN THN MON ASX PT PCI IN 2 YRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7872","CodeVersion":"2020","CustomName":"ARTHROSCOPY DIAGNOSIS W\/WO BIOPSY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6634","CodeVersion":"2020","CustomName":"RETAINER ONLAY - TITANIUM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6014","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING;20 MEV\/>"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0853","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5160","CodeVersion":"2020","CustomName":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"76321","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"42870","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"339","CodeVersion":"2020","CustomName":"Testes procedures for non-malignancy, age greater than 17"},{"ServiceGroup":"69679","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62361","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107025","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113975","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.11","CodeVersion":"2017","CustomName":"(AORTO)CORONARY BYPASS OF ONE CORONARY ARTERY"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113463","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110679","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.98","CodeVersion":"2017","CustomName":"(LAP) ADJ SIZE ADJUSTABL GASTRIC RESTRICT DEVC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0612T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.91","CodeVersion":"2017","CustomName":"INTERMITTENT POSITIVE PRESSURE BREATHING"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20305","CodeType":"ICD9P","Code":"44.69","CodeVersion":"2017","CustomName":"OTHER REPAIR OF STOMACH"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69685","CodeType":"CPT","Code":"92995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72287","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0091","CodeVersion":"2020","CustomName":"SCREEN PAP SMEAR; OBTAIN PREP &C ONVEY TO LAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2138","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG 5 PNT\/>"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4001","CodeVersion":"2020","CustomName":"CASTING SPL BODY CAST ADULT W\/WO HEAD PLASTR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4270","CodeVersion":"2020","CustomName":"DISPOSABLE ENDOSCOPE SHEATH EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0740","CodeVersion":"2020","CustomName":"INJECTION CIDOFOVIR 375 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9460","CodeVersion":"2020","CustomName":"INJECTION CANGRELOR 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5220","CodeVersion":"2020","CustomName":"ABVE KNEE SHRT PROSTH W\/ARTIC ANK\/FOOT DYN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9308","CodeVersion":"2020","CustomName":"INJECTION RAMUCIRUMAB 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4276","CodeVersion":"2020","CustomName":"COMB CNCTIVE TISSUE & PEDICLE GRAFT PER TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4433","CodeVersion":"2020","CustomName":"OST POUCH URIN; FOR BARR W\/LOCKING FLANGE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7403","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS BE\/WRIST DISART ACRYLIC MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5975","CodeVersion":"2020","CustomName":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK&FLXBL KEEL FT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0106","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR;ALT G0104 SIGMOIDSCPY BA ENEMA"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7209","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII 1 I.U."},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5618","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5112","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5677","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0181","CodeVersion":"2020","CustomName":"PHYS\/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C5277","CodeVersion":"2020","CustomName":"APP SG F\/N\/HF\/G A >\/=100 CM;1ST 100 CM\/1% A CHLD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1920","CodeVersion":"2020","CustomName":"AFO SINGLE UPRT W\/STATIC\/ADJUSTBL STOP CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9846","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1821","CodeVersion":"2020","CustomName":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8415","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH UPPER LIMB EACH"},{"ServiceGroup":"52843","CodeType":"HCPCS","Code":"G0105","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5286","CodeVersion":"2020","CustomName":"REMV UNI PART DENTUR - ONE PECE RSN - PER QUAD"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2005","CodeVersion":"2020","CustomName":"MICROLYTE MATRIX PER SQ C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0145","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG SCR AUTO&MNL RSCR PHYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7412","CodeVersion":"2020","CustomName":"EXCISION BENIGN LESION COMPLICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5240","CodeVersion":"2020","CustomName":"DISPENSING FEE CONTRALATERAL RTE SYSTEM BINAURAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4390","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE W\/EXT BARRIER W\/CONVXITY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9725","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPCE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4238","CodeVersion":"2020","CustomName":"SPL ALW ADJ CGM SPL & ACCESS 1 MO SPL=1 U SRVC"},{"ServiceGroup":"58456","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"51274","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"23259","CodeType":"DRG","Code":"794","CodeVersion":"2020","CustomName":"DIAG FOR MULTIPLE SIGNIF TRAUMA W NON-TRAUMATIC MAJOR CC-NYDRG"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105203","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3370F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105000","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79588","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0042A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0257U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87201","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.68","CodeVersion":"2017","CustomName":"OTHER EXCISION OF LOWER LIMB ARTERIES"},{"ServiceGroup":"107695","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0311T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0489T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9991","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VC ADM ON\/AFTR 60TH BD &B4 END MEAS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8510","CodeVersion":"2020","CustomName":"VOICE AMPLIFIER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0310","CodeVersion":"2020","CustomName":"SIALOGRAPHY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0311","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/OTH Q HCP VAC NA SAME DOS 16-30 MM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4221","CodeVersion":"2020","CustomName":"SUPPLIES FOR MAINT NON-INS RX INFUS CATH PER WK"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q1004","CodeVersion":"2020","CustomName":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6920","CodeVersion":"2020","CustomName":"WRST DISARTIC OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0247","CodeVersion":"2020","CustomName":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W\/LOPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6694","CodeVersion":"2020","CustomName":"ADD UP EXT PROS BELW\/ABVE ELB CSTM W\/LOCK MECH"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1200","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2311","CodeVersion":"2020","CustomName":"TRIFOCL +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9116","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; PROGRSSN&\/PLATINM RSIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1004","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN NOT SCR FOR TB\/INTPRET RESULTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2220","CodeVersion":"2020","CustomName":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0034A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0332T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.38","CodeVersion":"2017","CustomName":"RESECTION OF LOWER LIMB ARTERIES W\/ANASTOMOSIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41.00","CodeVersion":"2017","CustomName":"BONE MARROW TRANSPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0378T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0692T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0890","CodeVersion":"2020","CustomName":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO &=125 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6098","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETN - PORC FU TO PDMT BASE ALLOYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5928","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2013","CodeVersion":"2020","CustomName":"HABILITATION EDUCATIONAL WAIVER; PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9494","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL THERAPY; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0481","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0128","CodeVersion":"2020","CustomName":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5"},{"ServiceGroup":"10567","CodeType":"HCPCS","Code":"S9368","CodeVersion":"2020","CustomName":"HIT TOTAL PARENTERAL NUTRIT; > 3 LITERS-DA -DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0705","CodeVersion":"2020","CustomName":"EXTRA-ORAL POST DENTAL RAD IMG - IMG CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8046","CodeVersion":"2020","CustomName":"PARTIAL FACIAL PROSTHESIS PROVIDED NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2622","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE NON-INFLATABLE"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0129","CodeVersion":"2020","CustomName":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6645","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9189","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY PRSC\/CURRENTLY BEING TAKEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7006","CodeVersion":"2020","CustomName":"ADMIN SET W\/SMALL VOLUME FILTR PNEUMAT NEBULIZR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1220","CodeVersion":"2020","CustomName":"WHEELCHAIR; SPECIALLY SIZED OR CONSTRUCTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0431","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9312","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5008","CodeVersion":"2020","CustomName":"HEARING SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1552","CodeVersion":"2020","CustomName":"RE-CEMENT\/RE-BOND BIL SPACE MAINTAINER - MAND"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1812","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0762","CodeVersion":"2020","CustomName":"TRANSCUT ELEC JOINT STIM DEVC SYS INCL ALL ACCSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4019","CodeVersion":"2020","CustomName":"ONCOLOGY\/HEMATOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9838","CodeVersion":"2020","CustomName":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1830","CodeVersion":"2020","CustomName":"POWERED BONE MARROW BIOPSY NEEDLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0426","CodeVersion":"2020","CustomName":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0456","CodeVersion":"2020","CustomName":"INJECTION AZITHROMYCIN 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2850","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX\/EQUL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1306","CodeVersion":"2020","CustomName":"INJECTION INCLISIRAN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0045","CodeVersion":"2020","CustomName":"RESPITE CARE SERVICES NOT IN THE HOME PER DIEM"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91581","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73360","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"17083","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"535","CodeVersion":"2020","CustomName":"Cardiac Defibrillator Implant with Cardiac Catheterization with Acute Myocardial Infarction, Heart Failure, or Shock"},{"ServiceGroup":"20252","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"540","CodeVersion":"2020","CustomName":"Lymphoma and Leukemia with Major O.R. Procedure without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.61","CodeVersion":"2017","CustomName":"OSTEOPATHIC MANIPULATIVE TX GENERAL MOBILIZATION"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88","CodeType":"ICD9P","Code":"98.59","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OTHER SITES"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3219F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0402T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0393T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37593","CodeType":"ICD9P","Code":"41.02","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT WITH PURGING"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0209U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0481T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104921","CodeType":"CPT","Code":"93571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106670","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5643","CodeVersion":"2020","CustomName":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0270","CodeVersion":"2020","CustomName":"BITEWING - SINGLE RADIOGRAPHIC IMAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0018","CodeVersion":"2020","CustomName":"BHVAL HEALTH; SHORT-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9775","CodeVersion":"2020","CustomName":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0493","CodeVersion":"2020","CustomName":"SKILLED SERVICES RN OBV & ASMT PT COND EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7516","CodeVersion":"2020","CustomName":"CYCLOSPORINE PARENTERAL 250 MG"},{"ServiceGroup":"113777","CodeType":"HCPCS","Code":"G2170","CodeVersion":"2020","CustomName":"PERQ AVF DIR SITE TISS APP TR E&SEC PROC RDR BF"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2201","CodeVersion":"2020","CustomName":"DOC OF MED RSN FOR NOT PROV BRIEF COUNSELING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4237","CodeVersion":"2020","CustomName":"CRYO-CORD PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3906","CodeVersion":"2020","CustomName":"WHO W\/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0520","CodeVersion":"2020","CustomName":"INJ BETHANCHOL CHLORID MYTONCHOL\/URECHOLN UP 5MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8701","CodeVersion":"2020","CustomName":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL\/DBL UPR"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2790","CodeVersion":"2020","CustomName":"CROWN - FULL CAST HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6212","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD SZ 16 SQ\/> W\/ADHES BORDR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2953","CodeVersion":"2020","CustomName":"EACH ADDITIONAL INDIRECTLY FAB POST SAME TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6205","CodeVersion":"2020","CustomName":"COMPOS DRESS STERL PAD > 48 SQ W\/ADHES BORDR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"73139","CodeType":"HCPCS","Code":"G0159","CodeVersion":"2020","CustomName":"SERVICES PT HOME HEALTH EST\/DEL PT MP EA 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9002","CodeVersion":"2020","CustomName":"COUNSELING INDIVIDUAL BY CHAPLAIN SERVICES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1730","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19\/<"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3399","CodeVersion":"2020","CustomName":"INJ AVSX-101-XIOI P-TX TO 5X10^15 VCTR GNOMS"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0917","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Bio Feedback"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"14727","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"43","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"21826","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"939","CodeVersion":"2020","CustomName":"O.R. Procedure with Diagnoses of Other Contact with Health Services with MCC"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4382","CodeVersion":"2020","CustomName":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2104","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2513","CodeVersion":"2020","CustomName":"INJECTION PENTASTARCH 10% SOLUTION 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2217","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCSS FOAM FILL CASTR TIRE ANY SIZE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0028","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON FOR NOT SCREENING TOBACCO USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4627","CodeVersion":"2020","CustomName":"SPACR BAG\/RESRVOR W\/WO MASK W\/METRD DOSE INHAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9930","CodeVersion":"2020","CustomName":"TX COMPS - UNUSUL CIRCUMSTANCES RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5213","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/BTE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7922","CodeVersion":"2020","CustomName":"PLCMT INTRA-SOC BIOL DRSG AID HEMO\/CLOT SITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2026","CodeVersion":"2020","CustomName":"ONGOING SUPPORT TO MAINTAIN EMPLOYMENT PER DIEM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4148","CodeVersion":"2020","CustomName":"NEOX CORD 1K NEOX CORD RT\/CLARIX CORD 1K-SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9766","CodeVersion":"2020","CustomName":"REV EVAC LE AA; IV LITHOTRIPSY & ATHERECTOMY"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2639","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED IODINE-125 PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2326","CodeVersion":"2020","CustomName":"PWR WC ACSS BREATH TUBE KIT SIP&PUFF INTERFCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5518","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY ALL SPL NECES CATH REPAIR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3470","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE UP TO 150 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0269","CodeVersion":"2020","CustomName":"PLCMT OCCL DEVC VENUS\/ART POST SURG\/INTRVNL PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2122","CodeVersion":"2020","CustomName":"DEPRESS ANXIETY APATHY & PSYCHOSIS NOT ASSESSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5083","CodeVersion":"2020","CustomName":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5012","CodeVersion":"2020","CustomName":"5% DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2356","CodeVersion":"2020","CustomName":"INJECTION TEZEPELUMAB-EKKO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2621","CodeVersion":"2020","CustomName":"PROSTHETIC,EYE,PLASTIC,STOCK"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2340","CodeVersion":"2020","CustomName":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3201","CodeVersion":"2020","CustomName":"ORTHOPED SHOE OXFORD W\/SUPINATOR\/PRONATOR INFNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7624","CodeVersion":"2020","CustomName":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2172","CodeVersion":"2020","CustomName":"ALL INCL PMT FOR SRVC REL HI COORD & INT OUD TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1180","CodeVersion":"2020","CustomName":"INJECTION DYPHYLLINE UP TO 500 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"113720","CodeType":"REV","Code":"0580","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - General Classification"},{"ServiceGroup":"24807","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"64636","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0234","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - CCU"},{"ServiceGroup":"43285","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"58462","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"147","CodeType":"REV","Code":"0601","CodeVersion":"2020","CustomName":"HOME HEALTH (HH) - OXYGEN - OXYGEN - STAT EQUIP\/SUPPLY\/CONTENT"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"70048","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"675","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"88138","CodeType":"DRG","Code":"621","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W OTHER PROB-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD9P","Code":"74.0","CodeVersion":"2017","CustomName":"CLASSICAL CESAREAN SECTION"},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83901","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0012M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84974","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34875","CodeType":"ICD9P","Code":"20.97","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT COCHLEAR PROSTH DEVICE 1 CHANNEL"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"99174","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98404","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23","CodeType":"ICD9P","Code":"41","CodeVersion":"2017","CustomName":"OPERATIONS ON BONE MARROW AND SPLEEN"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101527","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93807","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27918","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90429","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0177U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0246","CodeVersion":"2020","CustomName":"TRANSFER TUB RAIL ATTACHMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2215","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS BIFOCAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4726","CodeVersion":"2020","CustomName":"DIALYSATE DEXTROSE FLUID >5999 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6070","CodeVersion":"2020","CustomName":"ABUT RETN PORCLN METL FPD BASE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2027","CodeVersion":"2020","CustomName":"PSYCHOEDUCATIONAL SERVICE PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0605","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7947","CodeVersion":"2020","CustomName":"LEFORT I MAXILLA SEGMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4530","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD BRF\/DIAPER LG SZ EA"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0273","CodeVersion":"2020","CustomName":"PHYS VST MEMBER HOME OUTSIDE CAPITATION ARRNGMNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"111136","CodeType":"HCPCS","Code":"J1097","CodeVersion":"2020","CustomName":"PHEN 10.16 & KET 2.88 MG\/ML OPHT IRR SOL 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9267","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1120","CodeVersion":"2020","CustomName":"PROPHYLAXIS - CHILD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1592","CodeVersion":"2020","CustomName":"AUTO INTERMITTENT PERITONEAL DIALYSIS SYSTEM"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1835","CodeVersion":"2020","CustomName":"INJECTION ITRACONAZOLE 50 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1783","CodeVersion":"2020","CustomName":"OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST DEVICE"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9352","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8515","CodeVersion":"2020","CustomName":"CABERGOLINE ORAL 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1180","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"75419","CodeType":"HCPCS","Code":"H0035","CodeVersion":"2020","CustomName":"MENTAL HEALTH PARTIAL HOSP TX < 24 HOURS"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107046","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0296U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91009","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14080","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0257T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0102T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0717T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0655T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82757","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6012","CodeVersion":"2020","CustomName":"SURG PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5364","CodeVersion":"2020","CustomName":"DYSPHAGIA SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1051","CodeVersion":"2020","CustomName":"PT CA AC FX\/INF REL LS\/PT HD IDIO\/CONG SCOLIOSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8882","CodeVersion":"2020","CustomName":"SENTINEL LYMPH NODE BX NOT PERF REASON NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6116","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1560","CodeVersion":"2020","CustomName":"BLOOD LEAK DETECTOR HEMODIALYSIS EA REPLACEMENT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2315","CodeVersion":"2020","CustomName":"INJECTION NALTREXONE DEPOT FORM 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5673","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM MOLD\/PRFAB FOR USE W\/LOCK MECH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6063","CodeVersion":"2020","CustomName":"ABUT SUPP CAST METL CROWN BASE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9810","CodeVersion":"2020","CustomName":"HOME THERAPY; NOT OTHERWISE CLASSIFIED PER HOUR"},{"ServiceGroup":"61198","CodeType":"HCPCS","Code":"S0104","CodeVersion":"2020","CustomName":"ZIDOVUDINE ORAL 100 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7332","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRILURON IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5053","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4336","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0282","CodeVersion":"2020","CustomName":"E-STIM 1\/MORE AREAS WND CARE OTH THAN DESC G0281"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2202","CodeVersion":"2020","CustomName":"PT DID NOT RECV BRF CNSL ID UH ALC USR NO RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8655","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE =0 \/ >0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0509","CodeVersion":"2020","CustomName":"TH CNSLT CC SUBSQT PHYS 50 MIN CMNCT PT & PROV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7669","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0642","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0420","CodeVersion":"2020","CustomName":"DEMURRAGE ON OXY TANK"},{"ServiceGroup":"22822","CodeType":"REV","Code":"0412","CodeVersion":"2020","CustomName":"Respiratory Services - Inhalation Services"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62361","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0464T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97464","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105551","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46888","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92550","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9993","CodeVersion":"2020","CustomName":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5666","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2118","CodeVersion":"2020","CustomName":"PT 81 YOA &>AL 1 CLM\/ENC FRAILTY DUR MSR PERIOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0012","CodeVersion":"2020","CustomName":"BUTORPHANOL TARTRATE NASAL SPRAY 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5653","CodeVersion":"2020","CustomName":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6445","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1788","CodeVersion":"2020","CustomName":"PORT INDWELLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0641","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2710","CodeVersion":"2020","CustomName":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG"},{"ServiceGroup":"106596","CodeType":"HCPCS","Code":"V5246","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7175","CodeVersion":"2020","CustomName":"INJECTION FACTOR X 1 I.U."},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4246","CodeVersion":"2020","CustomName":"CORETEXT OR PROTEXT PER CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8752","CodeVersion":"2020","CustomName":"MOST RECENT SYSTOLIC BLOOD PRESSURE < 140MM HG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8866","CodeVersion":"2020","CustomName":"DOC PT RSN NOT ADM\/PREV RECV PNEUMOCOCCAL VAC"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1788","CodeVersion":"2020","CustomName":"PORT INDWELLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1091","CodeVersion":"2020","CustomName":"STENT NONCORONARY TEMPORARY WITH DELIVERY SYSTEM"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9308","CodeVersion":"2020","CustomName":"INJECTION RAMUCIRUMAB 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2314","CodeVersion":"2020","CustomName":"TRIFOCL SPHER OVER +\/-12.00D PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0130","CodeVersion":"2020","CustomName":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0486","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 PIECE W\/INTERFCE LINER CSTM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7331","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE SYNOJOYNT IA INJ 1 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0220","CodeVersion":"2020","CustomName":"THORACIC RIB BELT CUSTOM FABRICATED"},{"ServiceGroup":"76531","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0601","CodeVersion":"2020","CustomName":"SCREENING PROCTOSCOPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7634","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8610","CodeVersion":"2020","CustomName":"METHOTREXATE ORAL 2.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1920","CodeVersion":"2020","CustomName":"AFO SINGLE UPRT W\/STATIC\/ADJUSTBL STOP CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2224","CodeVersion":"2020","CustomName":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA"},{"ServiceGroup":"33751","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5269","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"C9067","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5565","CodeVersion":"2020","CustomName":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 150 U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4613","CodeVersion":"2020","CustomName":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9347","CodeVersion":"2020","CustomName":"F\/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4025","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6650","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33087","CodeType":"ICD9P","Code":"17.49","CodeVersion":"2017","CustomName":"OTHER AND UNSPECIFIED ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6610","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9038","CodeVersion":"2020","CustomName":"RED BLOOD CELLS IRRADIATED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0153","CodeVersion":"2020","CustomName":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0077","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME VISIT NEW PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2382","CodeVersion":"2020","CustomName":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1990","CodeVersion":"2020","CustomName":"AFO DBL UPRT PLANTR DORSIFLX SOLID STIRUP CSTM"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0179","CodeVersion":"2020","CustomName":"MEGESTROL ACETATE ORAL 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1115","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE PT SELF DISCHARG EARLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3265","CodeVersion":"2020","CustomName":"PLASTAZOTE SANDAL EACH"},{"ServiceGroup":"58462","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"38422","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"10944","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"30275","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"33824","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"109812","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0390","CodeVersion":"2020","CustomName":"ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND COMPONENTS-GENERAL CLASS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105258","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1460F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61557","CodeType":"CPT","Code":"25390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0325U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3755F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9039","CodeVersion":"2020","CustomName":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7750","CodeVersion":"2020","CustomName":"MALAR AND\/OR ZYGOMATIC ARCH-OPEN REDUCTION"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9675","CodeVersion":"2020","CustomName":"PT WHO HAVE HAD F\/DIR LAB RSLT LDL-C=190 MG\/DL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2331","CodeVersion":"2020","CustomName":"PWR WC ACSS ATTENDANT CONTROL PROPROTIONAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9674","CodeVersion":"2020","CustomName":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7613","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2038","CodeVersion":"2020","CustomName":"SKILLS TRAINING AND DEVELOPMENT PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9342","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8040","CodeVersion":"2020","CustomName":"TOPOGRAPHIC BRAIN MAPPING"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"33165","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"26596","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"33793","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"421","CodeVersion":"2020","CustomName":"Viral illness, age greater than 17"},{"ServiceGroup":"30546","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115365","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16551","CodeType":"ICD9P","Code":"89.18","CodeVersion":"2017","CustomName":"OTHER SLEEP DISORDER FUNCTION TESTS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0526T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82111","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103771","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"0313T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9348","CodeVersion":"2020","CustomName":"HIT SYMPATHOMIMETIC\/INOTROPIC AGENT PER DIEM"},{"ServiceGroup":"89149","CodeType":"HCPCS","Code":"H0015","CodeVersion":"2020","CustomName":"ALCOHL&\/RX SRVC;INTENSV OP;CRISIS INTRVN&ACTV TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9418","CodeVersion":"2020","CustomName":"PRIM NSCLC BX&CY SPEC DOC CLASS NSCLC-NOS EXPLAN"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1714","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY DIRECTIONAL"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2083","CodeVersion":"2020","CustomName":"ADJ GASTRIC BAND DIAM SUBQ PORT INJ\/ASPIR SALINE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6350","CodeVersion":"2020","CustomName":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7490","CodeVersion":"2020","CustomName":"RADICAL RESECTION MAXLA OR MANDIBLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8427","CodeVersion":"2020","CustomName":"ELIG CLIN ATTSTS DOC M REC OBTD UPD\/REV PT MEDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2780","CodeVersion":"2020","CustomName":"INJECTION RANITIDINE HYDROCHLORIDE 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0280","CodeVersion":"2020","CustomName":"INJECTION AMINOPHYLLIN UP TO 250 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9033","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL TREANDA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2215","CodeVersion":"2020","CustomName":"TAKE HM SPLY NSL NLX 2PK LST SEP ADD CD PRIM PCR"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0039","CodeVersion":"2020","CustomName":"LEG STRAP H STYLE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5510","CodeVersion":"2020","CustomName":"PREP BELW KNEE PTB SOCKT NON-ALIGN MOLD MDL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3310","CodeVersion":"2020","CustomName":"INJECTION PERPHENAZINE UP TO 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8826","CodeVersion":"2020","CustomName":"PT D\/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2615","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POSTLAT WIDTH < 22 IN ANY HT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9326","CodeVersion":"2020","CustomName":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0126","CodeVersion":"2020","CustomName":"INJECTION FOLLITROPIN ALFA 75 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1007","CodeVersion":"2020","CustomName":">=50% OF TOT NUMBER OF A PT O\/P RA ENC ASSESSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2102","CodeVersion":"2020","CustomName":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7175","CodeVersion":"2020","CustomName":"INJECTION FACTOR X 1 I.U."},{"ServiceGroup":"50842","CodeType":"REV","Code":"861","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - MEG"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"34551","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"104621","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0622","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - Supplies Incident to Other DX Services"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"45184","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"797","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/OUT CC-NYDRG"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91023","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90998","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0113U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105202","CodeType":"CPT","Code":"15736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3761F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0193T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0266U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4612","CodeVersion":"2020","CustomName":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0382","CodeVersion":"2020","CustomName":"LEVEL 3 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"33237","CodeType":"ICD10P","Code":"0FT44ZZ","CodeVersion":"2020","CustomName":"RESECTION GALLBLADDER PERQ ENDOSCOPIC APPROACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4000","CodeVersion":"2020","CustomName":"DERMATOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0023","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH OUTREACH SERVICE"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6689","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1356","CodeVersion":"2020","CustomName":"O2 ACCESS BTTRY PACK\/CRTRDGE PRTBLE CONC REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0029","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG PREVENTION ALTERNATIVES SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8668","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC ST ELBOW WRIST HAND IMPAIR SC < 0"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1771","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONTINENCE W\/SLING GRAFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9971","CodeVersion":"2020","CustomName":"ODONTOPLASTY - PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5250","CodeVersion":"2020","CustomName":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7042","CodeVersion":"2020","CustomName":"5% DEXTROSE\/NORMAL SALINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3428","CodeVersion":"2020","CustomName":"BONE GRAFT W\/PERIRADICULAR SURG PER TOOTH 1 SITE"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10A07ZX","CodeVersion":"2020","CustomName":"ABORTION POC ABORTIFACIENT VIA NAT\/ART OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5523","CodeVersion":"2020","CustomName":"HIT INSERT MIDLINE CVC NRS SRVC ONLY"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108695","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0690","CodeVersion":"2020","CustomName":"INJECTION CEFAZOLIN SODIUM 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5624","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1019","CodeVersion":"2020","CustomName":"REPLACEMNT SUP & ACC EXT UL TREMOR STIM PN WRIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1950","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0470","CodeVersion":"2020","CustomName":"INJECTION DIMERCAPROL PER 100 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0190","CodeVersion":"2020","CustomName":"INJECTION BIPERIDEN LACTATE PER 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7670","CodeVersion":"2020","CustomName":"ALVEOLUS-CLOSED REDUCTION W\/STABILIZATION TEETH"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2370","CodeVersion":"2020","CustomName":"PWR WC COMP INT DR WHL MTR&GR BOX COMB REPL ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2562","CodeVersion":"2020","CustomName":"INJECTION PLERIXAFOR 1 MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9500","CodeVersion":"2020","CustomName":"RAD EXP INDICES\/EXP TM & NUMB FLUORO IMAGES DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0128","CodeVersion":"2020","CustomName":"INJECTION FOLLITROPIN BETA 75 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9355","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3000","CodeVersion":"2020","CustomName":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL"},{"ServiceGroup":"56603","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0390","CodeVersion":"2020","CustomName":"ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND COMPONENTS-GENERAL CLASS"},{"ServiceGroup":"528","CodeType":"REV","Code":"0732","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - Telemetry"},{"ServiceGroup":"40403","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"28783","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"3081","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"254","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of upper arm and lower leg, except foot, age greater than 17, without CC"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"31782","CodeType":"DRG","Code":"262","CodeVersion":"2020","CustomName":"Breast biopsy and local excision for non-malignancy"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"471","CodeVersion":"2020","CustomName":"Bilateral or multiple major joint procedures of lower extremity"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81562","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79237","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77445","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0012A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2998","CodeVersion":"2020","CustomName":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6101","CodeVersion":"2020","CustomName":"DEBR PERIIMPL DFCT CLN EXPSD IMPL FLP ENTRY CLO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B9998","CodeVersion":"2020","CustomName":"NOC FOR ENTERAL SUPPLIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1755","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9754","CodeVersion":"2020","CustomName":"A FINDING OF AN INCIDENTAL PULMONARY NODULE"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2618","CodeVersion":"2020","CustomName":"PROBE\/NEEDLE CRYOABLATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0514","CodeVersion":"2020","CustomName":"PHRM DISPENSING FEE INHALATION RX; PER 90 DAYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1610","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3971","CodeVersion":"2020","CustomName":"SEWHO SHOULDER CAP DESIGN CSTM FAB"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9861","CodeVersion":"2020","CustomName":"PATIENT SPENT >\/ EQUAL TO 3 DAYS IN HOSPICE CARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4651","CodeVersion":"2020","CustomName":"CALIBRATED MICROCAPILLARY TUBE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2047","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0296","CodeVersion":"2020","CustomName":"CNSL VISIT DISCUSS LDCT USING LOW DOSE CT SCAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0062","CodeVersion":"2020","CustomName":"AUDIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2916","CodeVersion":"2020","CustomName":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6123","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN METAL FPD - TIT & TIT ALY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7610","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9304","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED PEMFEXY 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0287","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1850","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 75 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0983","CodeVersion":"2020","CustomName":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5331","CodeVersion":"2020","CustomName":"JOINT SINGLE AXIS KNEE SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9157","CodeVersion":"2020","CustomName":"TRANSESOPHAGEAL DOPPLER FOR CARDIAC MONITORING"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0314","CodeVersion":"2020","CustomName":"IM CNSL PHYS\/OTH Q HCP COVID-19 AGE <21 16-30 M"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6616","CodeVersion":"2020","CustomName":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0843","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"66482","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"29986","CodeType":"REV","Code":"0931","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Half Day"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"12124","CodeType":"REV","Code":"0819","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Other Donor"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"536","CodeVersion":"2020","CustomName":"Cardiac Defibrillator Implant with Cardiac Catheterization without Acute Myocardial Infarction, Heart Failure, or Shock"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"386","CodeVersion":"2020","CustomName":"Extreme immaturity or respiratory distress syndrome of neonate"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"480","CodeVersion":"2020","CustomName":"Liver Transplant and\/or Intestinal Transplant"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0211T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0339U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3386F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0580F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0521F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78659","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64297","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0052U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4602","CodeVersion":"2020","CustomName":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6016","CodeVersion":"2020","CustomName":"COMP-BASED BEAM MOD TX DEL I PLND TX 3 > HR SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2050","CodeVersion":"2020","CustomName":"FINANCIAL MANAGEMENT SELF-DIRECTED WAIVER; PD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7685","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2300","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL PLANO OR +\/-4.00D PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4358","CodeVersion":"2020","CustomName":"URINARY LEG BAG; VINYL W\/WO TUBE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9242","CodeVersion":"2020","CustomName":"DOC VIRAL LOAD =\/> 200 COPIES\/ML\/VL NOT PRFRM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5761","CodeVersion":"2020","CustomName":"RELINE MANDIBULAR PARTIAL DENTURE INDIRECT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7308","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMN 20% 1 U DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0480","CodeVersion":"2020","CustomName":"ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP\/REPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5628","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2643","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAMIC - 3 SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9293","CodeVersion":"2020","CustomName":"PATH RPT NOT INCL PT CAT THICKNESS ULCER PT1 MR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0197","CodeVersion":"2020","CustomName":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"78180","CodeType":"HCPCS","Code":"H0019","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5000","CodeVersion":"2020","CustomName":"PART FT SHOE INSERT W\/LONGTUDNL ARCH TOE FILLER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9054","CodeVersion":"2020","CustomName":"WB\/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0127","CodeVersion":"2020","CustomName":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4014","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2010","CodeVersion":"2020","CustomName":"APIS PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2323","CodeVersion":"2020","CustomName":"INJECTION NATALIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3841","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR RETINOBLASTOMA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1023","CodeVersion":"2020","CustomName":"CLINICAL DECN SUP MECH PERSIVIA CLIN DECN SUP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0427","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 70 MIN\/> PT TELEHELTH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0295","CodeVersion":"2020","CustomName":"INJECTION AMPCLLN SODIUM\/SULBACTAM SODIUM-1.5 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1038","CodeVersion":"2020","CustomName":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO&INCL 300 LBS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4227","CodeVersion":"2020","CustomName":"AMNIOCORETM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4369","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER LIQUID PER OZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2670","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9468","CodeVersion":"2020","CustomName":"PT NOT REC CS >\/= TO 10 MG\/D PRD EQ 60\/GT CONS D"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2795","CodeVersion":"2020","CustomName":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5660","CodeVersion":"2020","CustomName":"ADD CLASP TO EXISTING PARTIAL DENTURE-PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1725","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0993","CodeVersion":"2020","CustomName":"Patient Convenience Items - Telephone\/Telecom"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"3448","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"299","CodeVersion":"2020","CustomName":"Inborn errors of metabolism"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97896","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0130U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4131F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102521","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96349","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105251","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0029U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0317U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113863","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107120","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0119U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4580","CodeVersion":"2020","CustomName":"CAST SUPPLIES"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0587","CodeVersion":"2020","CustomName":"INJECTION RIMABOTULINUMTOXINB 100 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9457","CodeVersion":"2020","CustomName":"PT NO ABD IMAG & NOT DOC RSN NO ABD IMAG SBMS P"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1036","CodeVersion":"2020","CustomName":"TRANSMITTER; EXT USE W\/ARTIF PANCREAS DEVC SYS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7178","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9949","CodeVersion":"2020","CustomName":"REPAIR OF CUSTOM SLEEP APNEA APPLIANCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0207","CodeVersion":"2020","CustomName":"PARAMEDIC INTERCEPT NON-HOS-BASED ALS SRVC NON-T"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1558","CodeVersion":"2020","CustomName":"REMOVAL FIXED BILATERAL SPACE MAINTAINER - MAND"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1652","CodeVersion":"2020","CustomName":"INJECTION FONDAPARINUX SODIUM 0.5 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1012","CodeVersion":"2020","CustomName":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9708","CodeVersion":"2020","CustomName":"WOMEN WHO HAD BIL MASTECTOMY\/HX BIL MASTECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5914","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9047","CodeVersion":"2020","CustomName":"INJECTION CAPLACIZUMAB-YHDP 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9050","CodeVersion":"2020","CustomName":"GRANULOCYTES PHERESIS EACH UNIT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1800","CodeVersion":"2020","CustomName":"INJECTION PROPRANOLOL HCL UP TO 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0504","CodeVersion":"2020","CustomName":"SINGLE VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5988","CodeVersion":"2020","CustomName":"SURGICAL SPLINT"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"73501","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"50842","CodeType":"REV","Code":"699","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - OTHER PRE-HOSPICE\/PALLIATIVE CARE SERVICES"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"22985","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"101501","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0240","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - General Classification"},{"ServiceGroup":"70439","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103970","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0146U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0590T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26235","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0307T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.61","CodeVersion":"2017","CustomName":"REPR CURRENT OBSTETRIC LACERATION BLADD&URETHRA"},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0201","CodeVersion":"2020","CustomName":"PARTIAL HOSITALIZATION SERVICES < 24 HR PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0791","CodeVersion":"2020","CustomName":"PARNTRAL INFUS PUMP STATIONRY SINGLE\/MULTICHANEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0161","CodeVersion":"2020","CustomName":"SERVICE SLP HH EST\/DEL SPCH-LANG PATH MP EA 15 M"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1394","CodeVersion":"2020","CustomName":"OXYGEN CONCENTRATOR, EQUIVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2520","CodeVersion":"2020","CustomName":"INLAY - METALLIC - TWO SURFACES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8566","CodeVersion":"2020","CustomName":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2730","CodeVersion":"2020","CustomName":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4263","CodeVersion":"2020","CustomName":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0175","CodeVersion":"2020","CustomName":"PERPHENZAINE 4 MG ORAL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0584","CodeVersion":"2020","CustomName":"INJECTION BUROSUMAB-TWZA 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5974","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK\/FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1748","CodeVersion":"2020","CustomName":"ENDOSCOPE SINGLE-USE UPPER GI IMAG\/ILLUM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1900","CodeVersion":"2020","CustomName":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5782","CodeVersion":"2020","CustomName":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY"},{"ServiceGroup":"105282","CodeType":"HCPCS","Code":"C1781","CodeVersion":"2020","CustomName":"MESH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"96.72","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT 96 CONSECUTIVE HRS\/MORE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8934","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST UPPER EXTREMITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9214","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5866","CodeVersion":"2020","CustomName":"OVERDENTURE - PARTIAL MANDIBULAR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5986","CodeVersion":"2020","CustomName":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9713","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0825","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HEVY DUTY CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"80245","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"17071","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0342","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"114010","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"68191","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"12116","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"476","CodeVersion":"2020","CustomName":"Prostatic operating room procedure unrelated to principal diagnosis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.39","CodeVersion":"2017","CustomName":"OTHER HIGH FORCEPS OPERATION"},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.2","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION AND EXTRACTION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"47.01","CodeVersion":"2017","CustomName":"LAPAROSCOPIC APPENDECTOMY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87523","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.94","CodeVersion":"2017","CustomName":"RESPIRATORY MEDICATION ADMINISTERED BY NEBULIZER"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24951","CodeType":"CPT","Code":"91010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93641","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101520","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99150","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0023U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23206","CodeType":"CPT","Code":"92995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1810","CodeVersion":"2020","CustomName":"INJ DROPERIDOL&FENTANYL CITRATE UP TO 2 ML AMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4336","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9484","CodeVersion":"2020","CustomName":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2622","CodeVersion":"2020","CustomName":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4663","CodeVersion":"2020","CustomName":"BLOOD PRESSURE CUFF ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9206","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4209","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 5 CC OR GREATER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6783","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 PORCELAIN\/CERAMIC"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5700","CodeVersion":"2020","CustomName":"REPLACEMENT SOCKET BELOW KNEE MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1008","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT TILT&RECLINE W\/PWR SHEAR RDUC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8851","CodeVersion":"2020","CustomName":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0988","CodeVersion":"2020","CustomName":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6060","CodeVersion":"2020","CustomName":"ABUT PORCLN TO METL CROWN BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0838","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY 1 PWR CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3982","CodeVersion":"2020","CustomName":"UP EXTRM FX ORTHOS RADUS\/ULNAR PREFAB W\/FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9660","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON COLONOSCOPY PERF PT>\/=86 YOA"},{"ServiceGroup":"106715","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"108064","CodeType":"HCPCS","Code":"C1897","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR TEST KIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4035","CodeVersion":"2020","CustomName":"THORACIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0083","CodeVersion":"2020","CustomName":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5054","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; USE BARRIER W\/FLANGE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9043","CodeVersion":"2020","CustomName":"INJECTION CABAZITAXEL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4631","CodeVersion":"2020","CustomName":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7272","CodeVersion":"2020","CustomName":"TOOTH TRANSPLANTATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0012","CodeVersion":"2020","CustomName":"BUTORPHANOL TARTRATE NASAL SPRAY 25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0620","CodeVersion":"2020","CustomName":"INJ CALCM GLYCEROPHOSPHATE&CALCM LACTAT-10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0191","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5012","CodeVersion":"2020","CustomName":"5% DEXTROSE WITH POTASSIUM CHLORIDE 1000 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2039","CodeVersion":"2020","CustomName":"VEHICLE MODIFICATIONS WAIVER; PER SERVICE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0401","CodeVersion":"2020","CustomName":"Other Imaging Services - Diagnostic Mammography"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"107750","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"11212","CodeType":"DRG","Code":"556","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH NON-DRUG ELUTING STENT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71220","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23259","CodeType":"DRG","Code":"795","CodeVersion":"2020","CustomName":"LUNG TRANSPLANT-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90356","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3219F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100006","CodeType":"CPT","Code":"24346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.92","CodeVersion":"2017","CustomName":"REPLACEMENT OF PROLAPSED UMBILICAL CORD"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0706T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4510","CodeVersion":"2020","CustomName":"SURGICAL STOCKING FULL-LENGTH EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8473","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB THERAPY PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9462","CodeVersion":"2020","CustomName":"MEDCR_RVU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9497","CodeVersion":"2020","CustomName":"RECEIVED INSTR ANES\/PROXY ABSTAIN SMOKING DAY SX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9229","CodeVersion":"2020","CustomName":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5011","CodeVersion":"2020","CustomName":"FITTING\/ORIENTATION\/CHECKING OF HEARING AID"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8935","CodeVersion":"2020","CustomName":"CLIN PRSC ACE INHIB\/ANGIOTENSIN REC BLOCK ARB TX"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0330","CodeVersion":"2020","CustomName":"PET IMAGING INITIAL DIAGNOSIS CERVICAL"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3480","CodeVersion":"2020","CustomName":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9019","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE ERWINAZE 1000 IU"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0500","CodeVersion":"2020","CustomName":"INJECTION DICYCLOMINE HCL UP TO 20 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7340","CodeVersion":"2020","CustomName":"CARBIDOPA 5 MG\/LEVODOPA 20 MG ENTERAL SUSPENSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7683","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1763","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE NON-HUMAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9508","CodeVersion":"2020","CustomName":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1846","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF CUSTOM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7192","CodeVersion":"2020","CustomName":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4989","CodeVersion":"2020","CustomName":"CONTRACEPTIVE IUD INCLUDING IMPLANTS&SUPPLIES"},{"ServiceGroup":"96779","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0473","CodeVersion":"2020","CustomName":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1824","CodeVersion":"2020","CustomName":"GENERATOR CARDIAC CONTRACTILITY MODULATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1025","CodeVersion":"2020","CustomName":"INTEN MXDISCPLIN SRVC CHILD W\/CMPLX IMPAIR DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5275","CodeVersion":"2020","CustomName":"EAR IMPRESSION EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0855","CodeVersion":"2020","CustomName":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8647","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE=\/>0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9359","CodeVersion":"2020","CustomName":"POROUS PURIFIED COLL MATRIX B VOID FILLR-0.5CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9590","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2118","CodeVersion":"2020","CustomName":"METL-ON-METL TOT HIP RESRFC ACETAB&FEM CMPNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"U0002","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/2019-NCOV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0224","CodeVersion":"2020","CustomName":"INJECTION LUMASIRAN 0.5 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"166","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"56483","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"42785","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0314","CodeVersion":"2020","CustomName":"Laboratory Pathology - Biopsy"},{"ServiceGroup":"13248","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0523","CodeVersion":"2020","CustomName":"Free-Standing Clinic - Family Practice Clinic"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"557","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH DRUG ELUTING STENT WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"11227","CodeType":"DRG","Code":"557","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH DRUG ELUTING STENT WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3352F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99169","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107166","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0680T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0627T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13592","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92367","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0420T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9031","CodeVersion":"2020","CustomName":"PLATELETS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2341","CodeVersion":"2020","CustomName":"CHEMODENERVATION ADDUCTOR MUSCLE VOCAL CORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9045","CodeVersion":"2020","CustomName":"INJECTION CARBOPLATIN 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9999","CodeVersion":"2020","CustomName":"UNSPECIFIED ADJUNCTIVE PROCEDURE BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3650","CodeVersion":"2020","CustomName":"SALIVA TEST HORMONE LEVEL; DURING MENOPAUSE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0712","CodeVersion":"2020","CustomName":"INJECTION CEFTAROLINE FOSAMIL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7660","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3981","CodeVersion":"2020","CustomName":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9062","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2230","CodeVersion":"2020","CustomName":"IMPL MAGNET CMPNT SEMI-IMPL HEARING DEVC MID EAR"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5070","CodeVersion":"2020","CustomName":"GLASSES AIR CONDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0250","CodeVersion":"2020","CustomName":"EXTRA-ORAL - 2D PROJECTION X-RAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6219","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL 16 SQ\/LESS W\/ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2204","CodeVersion":"2020","CustomName":"PT BTWN 50 & 85 YOA RCVD SCR COLO DUR PFRF PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4191","CodeVersion":"2020","CustomName":"RESTORIGIN PER SQ CM"},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.52","CodeVersion":"2017","CustomName":"OTHER PARTIAL BREECH EXTRACTION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104337","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"405","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"17081","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"61818","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"33625","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"3448","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"33268","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"340","CodeVersion":"2020","CustomName":"Testes procedures for non-malignancy, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4186F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6102F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113734","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94164","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92408","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0303T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.0","CodeVersion":"2017","CustomName":"INTRA-AMNIOTIC INJECTION FOR ABORTION"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0331U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.12","CodeVersion":"2017","CustomName":"ENDARTERECTOMY OF OTHER VESSELS OF HEAD AND NECK"},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35559","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17808","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0136U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91026","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5960","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9005","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED MAINTENANCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6611","CodeVersion":"2020","CustomName":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2369","CodeVersion":"2020","CustomName":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1457","CodeVersion":"2020","CustomName":"INJECTION GALLIUM NITRATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1028","CodeVersion":"2020","CustomName":"ASSESSMENT HOME PHYSICAL & FAMILY ENVIRONMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2792","CodeVersion":"2020","CustomName":"CROWN - FULL CAST NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0367","CodeVersion":"2020","CustomName":"CONE BEAM CT CAPTURE & INTERP FD VIEW BOTH JAWS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2182","CodeVersion":"2020","CustomName":"INJECTION MEPOLIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2091","CodeVersion":"2020","CustomName":"PT 66&>CLM FRLTY & 1 AC IP ADV ILL MP\/YR PR MP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7660","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5275","CodeVersion":"2020","CustomName":"EAR IMPRESSION EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1630","CodeVersion":"2020","CustomName":"RECIPROCATING PERITONEAL DIALYSIS SYSTEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5622","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1280","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; DTACHBLE ARMS ELEV LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1016","CodeVersion":"2020","CustomName":"NON-PVC IV ADMN SET W\/RX THAT ARE NOT STABL PVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4008","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"103949","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B5100","CodeVersion":"2020","CustomName":"PARENTERAL NUT SOL AMINO ACID AND CARBOHYDRATES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0382","CodeVersion":"2020","CustomName":"BLS ROUTINE DISPOSABLE SUPPLIES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24740","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5953","CodeVersion":"2020","CustomName":"SPEECH AID PROSTHESIS ADULT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2013","CodeVersion":"2020","CustomName":"HABILITATION EDUCATIONAL WAIVER; PER HOUR"},{"ServiceGroup":"65720","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8515","CodeVersion":"2020","CustomName":"CABERGOLINE ORAL 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0785","CodeVersion":"2020","CustomName":"IMPLANTABLE INTRASPINL CATHETER USED W\/PUMP-REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0512","CodeVersion":"2020","CustomName":"DAILY WEAR SPECIALTY CONTACT LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0120","CodeVersion":"2020","CustomName":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73004","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0340","CodeVersion":"2020","CustomName":"Nuclear Medicine - General Classification"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"258","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy without CC"},{"ServiceGroup":"109976","CodeType":"DRG","Code":"272","CodeVersion":"2020","CustomName":"Major skin disorders with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"570","CodeVersion":"2020","CustomName":"Major Small and Large Bowel Procedures with CC without Major Gastrointestinal Diagnosis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107662","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0021U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71.1","CodeVersion":"2017","CustomName":"DIAGNOSTIC PROCEDURES ON VULVA"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3646","CodeType":"ICD9P","Code":"37.29","CodeVersion":"2017","CustomName":"OTHER DIAGNOSTIC PROCEDURES HEART&PERICARDIUM"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0103U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0521F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4189F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.0","CodeVersion":"2017","CustomName":"CLOS HRT VALVOT\/TRNSCATH REPLACEMENT HEART VALVE"},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84123","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0712T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107494","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79867","CodeType":"CPT","Code":"37193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0176U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1027","CodeVersion":"2020","CustomName":"FAMILY TRAIN & COUNSEL CHILD DEVELOPMENT 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3460","CodeVersion":"2020","CustomName":"ENDODONTIC ENDOSSEOUS IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0078","CodeVersion":"2020","CustomName":"MODERATE CARE MANAGEMENT HOME VISIT FOR NEW PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0765","CodeVersion":"2020","CustomName":"FDA APPRVD NRV STIM W\/REPL BATTRY TX NAUSA&VOMIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5040","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6214","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD SZ > 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E08016","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C HEART OPEN APPR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0123","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG SCR CYTOTECH UND PHYS SUPV"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1235","CodeVersion":"2020","CustomName":"WHLCHAIR PED SIZE RIGD ADJUSTBL W\/SEATING SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4027","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9289","CodeVersion":"2020","CustomName":"NSCLC BX CYTOLOGY RPT DOC H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"93098","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9758","CodeVersion":"2020","CustomName":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9596","CodeVersion":"2020","CustomName":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9223","CodeVersion":"2020","CustomName":"PCP P PRSC 3 MO CD4+BLW 500 CE\/MM3\/CD4 % BLW 15%"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5253","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL BTE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T5001","CodeVersion":"2020","CustomName":"POSITIONING SEAT PERSON SPECIAL\/ORTHOPEDIC NEED"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4241","CodeVersion":"2020","CustomName":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0013","CodeVersion":"2020","CustomName":"ESKETAMINE NASAL SPRAY 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9285","CodeVersion":"2020","CustomName":"LIDOCAINE 70 MG\/TETRACAINE 70 MG PER PATCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2260","CodeVersion":"2020","CustomName":"INDUCED ABORTION 17 TO 24 WEEKS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9691","CodeVersion":"2020","CustomName":"PT HAD HOSPICE SERVICES ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5512","CodeVersion":"2020","CustomName":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA"},{"ServiceGroup":"90854","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"16619","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"10419","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"157","CodeVersion":"2020","CustomName":"Anal and stomal procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"521","CodeVersion":"2020","CustomName":"Alcohol\/Drug abuse or dependence with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.52","CodeVersion":"2017","CustomName":"REPAIR CURRENT OBSTETRIC LACERATION CORPUS UTERI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92019","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9014","CodeVersion":"2020","CustomName":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS&REL SRVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9950","CodeVersion":"2020","CustomName":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9255","CodeVersion":"2020","CustomName":"DOC PT D\/C HOME NO LTR THAN PST OP DAY 2 FLW CAS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6067","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - HIGH NOBLE ALLOYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8130","CodeVersion":"2020","CustomName":"INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1900","CodeVersion":"2020","CustomName":"LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9247","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN FLUFENAMIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5979","CodeVersion":"2020","CustomName":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0330","CodeVersion":"2020","CustomName":"PANORAMIC RADIOGRAPHIC IMAGE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7199","CodeVersion":"2020","CustomName":"HEMOPHILIA CLOTTING FACTOR NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8753","CodeVersion":"2020","CustomName":"MOST RECENT SYSTOLIC BLOOD PRESSURE >= 140MM HG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9452","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8863","CodeVersion":"2020","CustomName":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"113693","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4750","CodeVersion":"2020","CustomName":"BLOOD TUBING ARTERIAL\/VENOUS HEMODIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9279","CodeVersion":"2020","CustomName":"MONITOR FEATURE\/DEVC STAND-ALONE\/INTEGRATED NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2430","CodeVersion":"2020","CustomName":"GOLD FOIL - THREE SURFACES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1595","CodeVersion":"2020","CustomName":"INJECTION GLATIRAMER ACETATE 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3360","CodeVersion":"2020","CustomName":"INJECTION DIAZEPAM UP TO 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9544","CodeVersion":"2020","CustomName":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8633","CodeVersion":"2020","CustomName":"PHARMACOLOGIC THERAP FOR OSTEOPOROSIS PRESCRIBED"},{"ServiceGroup":"63536","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1640","CodeVersion":"2020","CustomName":"INJECTION HEMIN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9006","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE HOME MONITORING"},{"ServiceGroup":"80919","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6447","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6672","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD HARNESS CHST\/SHLUPPER EXTREM AD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4225","CodeVersion":"2020","CustomName":"AMNIOBIND PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7881","CodeVersion":"2020","CustomName":"OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"86.89","CodeVersion":"2017","CustomName":"OTH REPAIR&RECONSTRUCT SKIN&SUBCUTANEOUS TISSUE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4192F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"2020","CodeType":"REV","Code":"0984","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - MEDICAL SOCIAL SERVICES"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"9838","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"80258","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"12772","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"7010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0297U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4171F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0704T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3372F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0472T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0624T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.82","CodeVersion":"2017","CustomName":"INIT INSRTION 1-CHAMB DEVICE RATE RESPONSIVE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11201","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0372","CodeVersion":"2020","CustomName":"Anesthesia - Anesthesia Incident to Other DX Services"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"90605","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"16000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49544","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0054U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90423","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0679T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0154A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99148","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97059","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.14","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY TRICUSPID VALV W\/O REPLCMT"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0030T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0619","CodeVersion":"2020","CustomName":"APNEA MONITOR WITH RECORDING FEATURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1830","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1B 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3530","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SOLE HALF"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9070","CodeVersion":"2020","CustomName":"PLASMA POOLED MX DONOR PATHOGEN RDUC FROZEN EA U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4331","CodeVersion":"2020","CustomName":"EXT DRN TUBING W\/CNCTOR\/ADAPTR FOR LEG BAG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8426","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7168","CodeVersion":"2020","CustomName":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2034","CodeVersion":"2020","CustomName":"FLU VIRUS VAC SPLIT VIRUS INTRAMUSCULAR AGRIFLU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2301","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1812","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ELASTIC WITH JOINTS PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3535","CodeVersion":"2020","CustomName":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6266","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O SALINE\/ZINC PASTE LINR YD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7610","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9480","CodeVersion":"2020","CustomName":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7499","CodeVersion":"2020","CustomName":"UPPER EXTREMITY PROSTHESIS NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4003","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8930","CodeVersion":"2020","CustomName":"E-STIM AUR ACUPUNCT PNTS; EA 15 MIN 1-1 CNTC PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9769","CodeVersion":"2020","CustomName":"PATIENT HAD BMDT P 2 YR\/RECV OPO MED\/TX P 12 MO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2544","CodeVersion":"2020","CustomName":"ONLAY METALLIC FOUR OR MORE SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1802","CodeVersion":"2020","CustomName":"DYN ADJUSTBL FORARM PRON\/SUPIN DEVC INTRFCE MATL"},{"ServiceGroup":"98721","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104113","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0646T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"111926","CodeType":"HCPCS","Code":"U0001","CodeVersion":"2020","CustomName":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6123","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN METAL FPD - TIT & TIT ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6623","CodeVersion":"2020","CustomName":"UP EXT ADD SPRNG ASST ROTATL WRST U W\/LATCH RLSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4913","CodeVersion":"2020","CustomName":"MISCELLANEOUS DIALYSIS SUPPLIES NOS"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"73463","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"16116","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"147","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0644","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Non-Routine Nursing, Peripheral Line\""},{"ServiceGroup":"88398","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"70048","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"14187","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"086","CodeVersion":"2020","CustomName":"Pleural effusion without CC"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"286","CodeVersion":"2020","CustomName":"Adrenal and pituitary procedures"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3092F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101282","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3471F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4086F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68056","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0023A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"68.51","CodeVersion":"2017","CustomName":"LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0254U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0052A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1045","CodeVersion":"2020","CustomName":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP >\/= 37"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9420","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN LOC LUNG\/NOT CLASS PRIM NSCLC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9128","CodeVersion":"2020","CustomName":"ONC; LTD TO MX MYELOMA SYS DZ; SMOLDERING ST I"},{"ServiceGroup":"37404","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0039","CodeVersion":"2020","CustomName":"LEG STRAP H STYLE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0561","CodeVersion":"2020","CustomName":"HUMDIFIR NON-HEATED USED W\/POS AIRWAY PRESS DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8843","CodeVersion":"2020","CustomName":"DOC REASON NOT MEASURING AHI\/RDI TIME INIT DX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4602","CodeVersion":"2020","CustomName":"REPL BA EXT INFUS PUMP OWND PATIENT LI 1.5 V EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0787","CodeVersion":"2020","CustomName":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0879","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6122","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAINER FOR METAL FPD - NOBLE AL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8565","CodeVersion":"2020","CustomName":"VERIFICATION & DOC SUDDEN\/RAPIDLY PROG HEAR LOSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5988","CodeVersion":"2020","CustomName":"SURGICAL SPLINT"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7178","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9000","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL 10 MG"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8694","CodeVersion":"2020","CustomName":"AUD OSSEOINTEG DEVC TRANSDUCER\/ACTR REPL ONLY EA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3775F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0424","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0381","CodeVersion":"2020","CustomName":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0606","CodeVersion":"2020","CustomName":"INJECTION ETELCALCETIDE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1716","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED GOLD-198 PER SOURCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9116","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; PROGRSSN&\/PLATINM RSIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7620","CodeVersion":"2020","CustomName":"ALBUTEROL TO 2.5 MG & IPRATROPIUM BROM TO 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0141","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMER CERV\/VAG MNL RSCR INTEPR PHYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4740","CodeVersion":"2020","CustomName":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0126","CodeVersion":"2020","CustomName":"INJECTION FOLLITROPIN ALFA 75 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9991","CodeVersion":"2020","CustomName":"SERVICES PROVIDED AS PART PHASE III CLIN TRIAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0630","CodeVersion":"2020","CustomName":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS"},{"ServiceGroup":"62260","CodeType":"HCPCS","Code":"G0283","CodeVersion":"2020","CustomName":"E-STIM 1\/> AREAS OTH THAN WND CARE PART TX PLAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0120","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; ALT G0105 COLNSCPY BA ENEMA"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"17861","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"70046","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"57222","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"16065","CodeType":"REV","Code":"0390","CodeVersion":"2020","CustomName":"ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND COMPONENTS-GENERAL CLASS"},{"ServiceGroup":"35560","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"167","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"304","CodeVersion":"2020","CustomName":"Kidney, ureter, and major bladder procedures for non-neoplasms with CC"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"933","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft"},{"ServiceGroup":"29817","CodeType":"DRG","Code":"796","CodeVersion":"2020","CustomName":"LOWER EXTREMITY REVASCULARIZATION W\/ CC-NYDRG"},{"ServiceGroup":"23477","CodeType":"DRG","Code":"286","CodeVersion":"2020","CustomName":"Adrenal and pituitary procedures"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29557","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58776","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.26","CodeVersion":"2017","CustomName":"OTHER INTRA-ABDOMINAL VASCULAR SHUNT OR BYPASS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1004","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN NOT SCR FOR TB\/INTPRET RESULTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9306","CodeVersion":"2020","CustomName":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9308","CodeVersion":"2020","CustomName":"INJECTION RAMUCIRUMAB 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3380","CodeVersion":"2020","CustomName":"INJECTION VEDOLIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0272","CodeVersion":"2020","CustomName":"PHYS MGT PT HOME CARE EPISODIC CARE MO CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0190","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-RECIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9674","CodeVersion":"2020","CustomName":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1600","CodeVersion":"2020","CustomName":"DELIV &OR INSTL CHARGES HEMODIAL EQUIPMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4044","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4229","CodeVersion":"2020","CustomName":"COGENEX AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2210","CodeVersion":"2020","CustomName":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7504","CodeVersion":"2020","CustomName":"FLTR USE TRACHEOSTOMA HEAT&MOISTR EXCHG SYS EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1575","CodeVersion":"2020","CustomName":"TRANSDUCER PROTECTORS\/FL BARRIERS HEMODIAL SZ-10"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5610","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8478","CodeVersion":"2020","CustomName":"BLOOD PRESSURE MSR NOT PERF\/DOC REASON NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1106","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9770","CodeVersion":"2020","CustomName":"VITRECTOMY MECH PP APP SR INJ PHRMACL\/BIOL AGENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1437","CodeVersion":"2020","CustomName":"INJECTION FERRIC DERISOMALTOSE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2407","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN ORBACTIV 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2200","CodeVersion":"2020","CustomName":"SPHERE BIFOCL PLANO TO PLUS\/MINUS 4.00D PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9342","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0599","CodeVersion":"2020","CustomName":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9280","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VACC NOT ADM PRIOR D\/C RSN NOT SPEC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6600","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7293","CodeVersion":"2020","CustomName":"PLACEMENT TEMP ANCHORAGE DEVC RQR FLAP"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2055","CodeVersion":"2020","CustomName":"IDECABTAGENE VICL 460MIL AUTO BCMA CAR+T LEUKAPH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2202","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6880","CodeVersion":"2020","CustomName":"ELEC HND SWTCH\/MYOLELEC CNTRL INDEP ARTC DIG MTR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2787","CodeVersion":"2020","CustomName":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0013","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG OP"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1835","CodeVersion":"2020","CustomName":"INJECTION ITRACONAZOLE 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6545","CodeVersion":"2020","CustomName":"GRADIENT COMPRS WRAP NONELAST BK 30-50 MM HG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3299","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"33264","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"73841","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"507","CodeVersion":"2020","CustomName":"Full thickness burn with skin graft or inhalation injury without CC or significant trauma"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102959","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4481F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36005","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91045","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2029F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0135U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0286U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.23","CodeVersion":"2017","CustomName":"INTRAVASCULAR SPECTROSCOPY"},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88748","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107013","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93030","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.60","CodeVersion":"2017","CustomName":"OTHER EXCISION OF VESSELS UNSPECIFIED SITE"},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89988","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2311","CodeVersion":"2020","CustomName":"TRIFOCL +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2188","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1123","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT ND HM PRG ONLY REF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5113","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1110","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D\/C EARLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9563","CodeVersion":"2020","CustomName":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0461","CodeVersion":"2020","CustomName":"INJECTION ATROPINE SULFATE 0.01 MG"},{"ServiceGroup":"113637","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7070","CodeVersion":"2020","CustomName":"INFUSION D-5-W 1000 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9207","CodeVersion":"2020","CustomName":"INJECTION IXABEPILONE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5855","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9019","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE ERWINAZE 1000 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2315","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS TRIFOCAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1960","CodeVersion":"2020","CustomName":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2097","CodeVersion":"2020","CustomName":"EP PT HAD COMPETING DX W\/IN 3 DAYS AFTER EP DATE"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3343F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7644","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG"},{"ServiceGroup":"58659","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"62097","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2168","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"33827","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"75639","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"9840","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"68186","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"3044","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0472","CodeVersion":"2020","CustomName":"Audiology - Treatment"},{"ServiceGroup":"14320","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"24286","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16301","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26205","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103643","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26058","CodeType":"CPT","Code":"99070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0031U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0646T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0094U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0043","CodeVersion":"2020","CustomName":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9432","CodeVersion":"2020","CustomName":"ASTHMA WELL-CNTRL ACT C-ACT ACQ\/ATAQ SC RSLT DOC"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2310","CodeVersion":"2020","CustomName":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER&ONE PWR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2700","CodeVersion":"2020","CustomName":"BALANCE LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3310","CodeVersion":"2020","CustomName":"INJECTION PERPHENAZINE UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0250","CodeVersion":"2020","CustomName":"EXTRA-ORAL - 2D PROJECTION X-RAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8484","CodeVersion":"2020","CustomName":"INFLUENZA IMMUN NOT ADMINISTERED RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9512","CodeVersion":"2020","CustomName":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9042","CodeVersion":"2020","CustomName":"INJECTION BRENTUXIMAB VEDOTIN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1100","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0073","CodeVersion":"2020","CustomName":"CASTER PIN LOCK EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9484","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 45 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9149","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9767","CodeVersion":"2020","CustomName":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q1005","CodeVersion":"2020","CustomName":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0779","CodeVersion":"2020","CustomName":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS\/GT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2071","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPL REMOVAL; WEEKLY BUNDLE"},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0885","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD MX PWR CAPT CHAIR TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2702","CodeVersion":"2020","CustomName":"DELUXE LENS FEATURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0285","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0101","CodeVersion":"2020","CustomName":"CERV\/VAGINAL CANCER SCR; PELV&CLIN BREAST EXAM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2590","CodeVersion":"2020","CustomName":"INJECTION OXYTOCIN UP TO 10 UNITS"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"52742","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.0","CodeVersion":"2017","CustomName":"INTRA-AMNIOTIC INJECTION FOR ABORTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0220U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0232U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.15","CodeVersion":"2017","CustomName":"PULMONARY SCAN"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0120U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86033","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3351F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72286","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4193F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0666T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111946","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0020U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1930","CodeVersion":"2020","CustomName":"ANKLE FOOT ORTHOSIS PLASTIC\/OTH MATL PREFAB"},{"ServiceGroup":"76207","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4306","CodeVersion":"2020","CustomName":"DISPOSABL DRUG DEL SYS FLOW RATE <50 ML PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5136","CodeVersion":"2020","CustomName":"COMPANION CARE ADULT ; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1530","CodeVersion":"2020","CustomName":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1830","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1740","CodeVersion":"2020","CustomName":"INJECTION IBANDRONATE SODIUM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2321","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS TRIFOCAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9479","CodeVersion":"2020","CustomName":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9021","CodeVersion":"2020","CustomName":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8924","CodeVersion":"2020","CustomName":"SP RSLT DEMST FEV1\/FVC <70% FEV <60% P & COPD SX"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7674","CodeVersion":"2020","CustomName":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0202","CodeVersion":"2020","CustomName":"PHOTOTHERAPY LIGHT WITH PHOTOMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4633","CodeVersion":"2020","CustomName":"REPLCMT BULB\/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0195","CodeVersion":"2020","CustomName":"ELEVATING LEGREST PAIR"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0504","CodeVersion":"2020","CustomName":"SINGLE VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7198","CodeVersion":"2020","CustomName":"ANTI-INHIBITOR PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0023","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH OUTREACH SERVICE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9296","CodeVersion":"2020","CustomName":"PT DOC SHARE DECISION CONSERVATIVE TX PRIOR PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8310","CodeVersion":"2020","CustomName":"TRUSS DOUBLE WITH STANDARD PADS"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8693","CodeVersion":"2020","CustomName":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6635","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1750","CodeVersion":"2020","CustomName":"CATHETER HEMODIAL\/PERITONEAL LONG-TERM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9326","CodeVersion":"2020","CustomName":"HIT CONT PAIN MGMT INFUS; CARE COORD PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5501","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT COMPLEX PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2615","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POSTLAT WIDTH < 22 IN ANY HT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"59425","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"37015","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"43986","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3037","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1461F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76207","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0011A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0027U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0221T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0144A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41406","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0721T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46888","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4016","CodeVersion":"2020","CustomName":"NEUROSURGICAL MIPS SPECIALTY SET"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6205","CodeVersion":"2020","CustomName":"ELB DISARTC MOLD SCKT W\/XPND INTRFCE LOCK FORARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3360","CodeVersion":"2020","CustomName":"SOLE WEDGE OUTSIDE SOLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7613","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2366","CodeVersion":"2020","CustomName":"PWR WC ACSS BATTRY CHRGR 1 MODE W\/ONLY 1 BATTRY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0883","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG NON-ESRD USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2205","CodeVersion":"2020","CustomName":"MANUAL WC ACCESS HANDRIM W\/O PROJ REPL ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9390","CodeVersion":"2020","CustomName":"INJECTION VINORELBINE TARTRATE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2030","CodeVersion":"2020","CustomName":"ASSISTED LIVING WAIVER; PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9047","CodeVersion":"2020","CustomName":"INJECTION CAPLACIZUMAB-YHDP 1 MG"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9208","CodeVersion":"2020","CustomName":"INJECTION IFOSFAMIDE 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1005","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/PWR SHEAR RDUC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9959","CodeVersion":"2020","CustomName":"SYSTEMIC ANTIMICROBIALS NOT PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9263","CodeVersion":"2020","CustomName":"INJECTION OXALIPLATIN 0.5 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J0129","CodeVersion":"2020","CustomName":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0824","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1298","CodeVersion":"2020","CustomName":"SPECIAL WHLCHAIR SEAT DEPTH &OR WIDTH CONSTRUCT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3975","CodeVersion":"2020","CustomName":"SEWHFO SHOULDER CAP DESIGN W\/O JOINTS CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4074","CodeVersion":"2020","CustomName":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3761","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1038","CodeVersion":"2020","CustomName":"TRNSPRT CHAIR ADLT SZ PT WT CAP TO&INCL 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6241","CodeVersion":"2020","CustomName":"PONTIC-PORCLN FUSD PREDOM BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1354","CodeVersion":"2020","CustomName":"O2 ACCESS WHEELED CART PRTBLE CYL\/CONC REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7296","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0462","CodeVersion":"2020","CustomName":"ROCKING BED WITH OR WITHOUT SIDE RAILS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5161","CodeVersion":"2020","CustomName":"EMERGENCY RESPONSE SYSTEM; SERVICE FEE PER MONTH"},{"ServiceGroup":"12119","CodeType":"REV","Code":"0456","CodeVersion":"2020","CustomName":"Emergency Room - Urgent Care"},{"ServiceGroup":"70048","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"43871","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"51783","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"17019","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"338","CodeVersion":"2020","CustomName":"Testes procedures for malignancy"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0422T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104724","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93020","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13849","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3117F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0637T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0236U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19920","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89942","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1777","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL SINGLE COIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0834","CodeVersion":"2020","CustomName":"INJECTION COSYNTROPIN 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0629","CodeVersion":"2020","CustomName":"SEAT LIFT MECHANISM NON-ELECTRIC ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9705","CodeVersion":"2020","CustomName":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0100","CodeVersion":"2020","CustomName":"INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING"},{"ServiceGroup":"83898","CodeType":"HCPCS","Code":"G0105","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8483","CodeVersion":"2020","CustomName":"INFLUENZA IMMUNIZATION NOT ADMIN RSN DOC CLIN"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9110","CodeVersion":"2020","CustomName":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3150","CodeVersion":"2020","CustomName":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9838","CodeVersion":"2020","CustomName":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1573","CodeVersion":"2020","CustomName":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5724","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8756","CodeVersion":"2020","CustomName":"NO DOC BLOOD PRESSURE MSR REASON NOT GIVEN"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6083","CodeVersion":"2020","CustomName":"IMPLANT SUPP CROWN - PORCELAIN FU NOBLE ALLOYS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4017","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1632","CodeVersion":"2020","CustomName":"INJECTION BREXANOLONE 1 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97119","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9275","CodeVersion":"2020","CustomName":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2107","CodeVersion":"2020","CustomName":"ADOPTIVE IMMUNOTHERAPY PER COURSE OF TREATMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8420","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2004","CodeVersion":"2020","CustomName":"NON-EMERG TRNSPRT; COMMERCIAL CARRIER MULTI-PASS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7606","CodeVersion":"2020","CustomName":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1227","CodeVersion":"2020","CustomName":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4249","CodeVersion":"2020","CustomName":"CLINICAL CROWN LENGTHENING - HARD TISSUE"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"9840","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0235","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - Hospice"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0456","CodeVersion":"2020","CustomName":"Emergency Room - Urgent Care"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"956","CodeVersion":"2020","CustomName":"Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"087","CodeVersion":"2020","CustomName":"Pulmonary edema and respiratory failure"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.52","CodeVersion":"2017","CustomName":"OTHER PARTIAL BREECH EXTRACTION"},{"ServiceGroup":"61356","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0288T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81564","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0711T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0680T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110767","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0152U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7622","CodeVersion":"2020","CustomName":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2753","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN FUSED TO TIT & TIT ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4495","CodeVersion":"2020","CustomName":"SURGICAL STOCKING THIGH LENGTH EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0139","CodeVersion":"2020","CustomName":"MINOXIDIL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6190","CodeVersion":"2020","CustomName":"RADIOGRAPHIC\/SURG IMPLANT INDX RPT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9290","CodeVersion":"2020","CustomName":"INJECTION BUPIVACAINE LIPOSOME 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7700","CodeVersion":"2020","CustomName":"GASKET\/SEAL USE PROS SOCKET INSERT ANY TYPE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2015","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0822","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9281","CodeVersion":"2020","CustomName":"REACHING\/GRABBING DEVICE ANY TYPE ANY LENGTH EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1024","CodeVersion":"2020","CustomName":"CLINIC DEC SUPP MECH RADRITE DEF MC APP USE CRIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7400","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS BELOW ELB\/WD ULTRALIGHT MATL"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9910","CodeVersion":"2020","CustomName":"PTS 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DA MSR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4525","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR\/PULLON SM EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0241","CodeVersion":"2020","CustomName":"IVI\/SCI CASIRIV&IMDEVIMB& P\/ADM H\/RES SBQ RPT DS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9086","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2116","CodeVersion":"2020","CustomName":"AFO TIB FX ORTHOS RIGID PRFAB W\/FIT & ADJ"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2353","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5553","CodeVersion":"2020","CustomName":"INSULIN LONG ACTING; 5 UNITS"},{"ServiceGroup":"30031","CodeType":"ICD10P","Code":"4A023N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT PERQ"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5830","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN PNEUMAT\/SWING PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7316","CodeVersion":"2020","CustomName":"INJECTION OCRIPLASMIN 0.125 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1572","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9219","CodeVersion":"2020","CustomName":"EVAL FOR MOD\/DEEP SEDATION\/GENERAL ANESTHESIA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1952","CodeVersion":"2020","CustomName":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1032","CodeVersion":"2020","CustomName":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3473","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - MOLAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9440","CodeVersion":"2020","CustomName":"OV-AFTER REGULARLY SCHEDULED HOURS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9022","CodeVersion":"2020","CustomName":"INJECTION ATEZOLIZUMAB 10 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6104","CodeVersion":"2020","CustomName":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0175","CodeVersion":"2020","CustomName":"FLUTAMIDE ORAL 125 MG"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"14610","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"79952","CodeType":"REV","Code":"0771","CodeVersion":"2020","CustomName":"Preventive Care Services - Vaccine Administration"},{"ServiceGroup":"14412","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"12163","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0646","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training, Disabled Patient, Central Line\""},{"ServiceGroup":"44860","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"12155","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98493","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3341F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0238T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0030T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.05","CodeVersion":"2017","CustomName":"CV&HEMATOPOIETIC SCAN&RADIOISOTOPE FUNCT STUDY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0100T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26273","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2212","CodeVersion":"2020","CustomName":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9775","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/P TIB\/PA;IVASC LITH&TL STNT PL&ATH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0710","CodeVersion":"2020","CustomName":"RESTRAINT ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8849","CodeVersion":"2020","CustomName":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1120","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBLE PT SLF DISCHARGE EARLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0482","CodeVersion":"2020","CustomName":"MICROPROCESSOR CU FOR ELEC\/PNEUMAT VAD REPL ONL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0327","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2300","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE"},{"ServiceGroup":"43957","CodeType":"HCPCS","Code":"T1021","CodeVersion":"2020","CustomName":"HOME HEALTH AIDE\/CERTIFIED NURSE ASST PER VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0155","CodeVersion":"2020","CustomName":"STERILE DILUTANT FOR EPOPROSTENOL 50 ML"},{"ServiceGroup":"114930","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1038","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE"},{"ServiceGroup":"113609","CodeType":"HCPCS","Code":"G0277","CodeVersion":"2020","CustomName":"HPO UND PRESS FULL BODY CHMBR PER 30 MIN INT"},{"ServiceGroup":"103386","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1005","CodeVersion":"2020","CustomName":"TB SCREEN NOT PERF\/RSLT NOT INTEPR RSN NOT GVN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3292F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0580","CodeVersion":"2020","CustomName":"POLYCARBONATE LENS"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6688","CodeVersion":"2020","CustomName":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB\/ELB DISRTC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6885","CodeVersion":"2020","CustomName":"REPL SOCKET SD\/INTERSCAPULAR THOR MOLD PT MODEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2778","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0275","CodeVersion":"2020","CustomName":"BED PAN STANDARD METAL OR PLASTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0508","CodeVersion":"2020","CustomName":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT & PROV"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1790","CodeVersion":"2020","CustomName":"INJECTION DROPERIDOL UP TO 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9498","CodeVersion":"2020","CustomName":"ANTIBIOTIC REGIMEN PRESCRIBED"},{"ServiceGroup":"1942","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0998","CodeVersion":"2020","CustomName":"Patient Convenience Items - Beauty Shop\/Barber"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0385","CodeVersion":"2020","CustomName":"Blood and Blood Components - Leukocytes"},{"ServiceGroup":"13131","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"758","CodeVersion":"2020","CustomName":"BACK \"&\" NECK PROCEDURES EXCEPT SPINAL FUSION W\/O CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.38","CodeVersion":"2017","CustomName":"COMBINED PHYS PT WITHOUT MENTION COMPONENTS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99160","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0263U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0339T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39606","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46885","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104015","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.22","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF AORTIC VALVE"},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105249","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0672T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0583T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33724","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0124A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90375","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0084A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9345","CodeVersion":"2020","CustomName":"F\/U REC DOC INCIDENTALLY DETECTED PULM NODULES"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5K8ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION RT LUNG NATURAL\/ARTFICL OPENING ENDO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2755","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS HYBRID COMPOS PER SEG CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0426","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 50 MIN W\/PT TELEHLTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5629","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3473","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1035","CodeVersion":"2020","CustomName":"MULTI-PSTN PT TRNSF SYS W\/SEAT PT WT <\/= 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5654","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5925","CodeVersion":"2020","CustomName":"FACIAL AUGMENTATION IMPLANT PROSTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3430","CodeVersion":"2020","CustomName":"RETROGRADE FILLING - PER ROOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9012","CodeVersion":"2020","CustomName":"CRYOPRECIPITATE EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9680","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES W\/CHF BILLD SID-BENEF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7635","CodeVersion":"2020","CustomName":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3332","CodeVersion":"2020","CustomName":"LIFT ELEV INSIDE SHOE TAPERED UP ONE-HALF INCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0158","CodeVersion":"2020","CustomName":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4346","CodeVersion":"2020","CustomName":"SCALING PRESENCE GEN MOD\/SEV GINGIVAL INFLAMM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5996","CodeVersion":"2020","CustomName":"PERIO MEDICAMNT CARR PERIPH SL - LAB PROCD-MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1068","CodeVersion":"2020","CustomName":"ADULTS WHO ARE NOT AMBULATORY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2628","CodeVersion":"2020","CustomName":"CATHETER OCCLUSION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44322","CodeType":"CPT","Code":"69620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.99","CodeVersion":"2017","CustomName":"OTHER RESPIRATORY THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3800","CodeVersion":"2020","CustomName":"GENETIC TESTING AMYOTROPHIC LATERAL SCLEROSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1558","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0423","CodeVersion":"2020","CustomName":"INTENSIVE CARD REHAB; W\/WO CONT ECG MON W\/O EXER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0800","CodeVersion":"2020","CustomName":"LASER IN SITU KERATOMILEUSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9277","CodeVersion":"2020","CustomName":"DOC PT D ASP\/ANTI-PLT\/DOC CONTRAIND ASP\/ANTI-PLT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9382","CodeVersion":"2020","CustomName":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD"},{"ServiceGroup":"29155","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7628","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP PROD CONC PER MG"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"51266","CodeType":"REV","Code":"0907","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Community Behavioral Health Program (Day Treatment)"},{"ServiceGroup":"10927","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"26775","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"982","CodeVersion":"2020","CustomName":"Extensive O.R. Procedure Unrelated to Principal Diagnosis with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0203U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3475F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113544","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0258T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27343","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0683T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79758","CodeType":"CPT","Code":"00320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.49","CodeVersion":"2017","CustomName":"OTHER REVISION OF VASCULAR PROCEDURE"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0312U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107320","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3203","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE OXFORD W\/SUPINATOR\/PRONATOR JR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9321","CodeVersion":"2020","CustomName":"COUNT PREV CT CARD NM STUDY DOC 12-MO PRIOR CURR"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"113663","CodeType":"HCPCS","Code":"T2042","CodeVersion":"2020","CustomName":"HOSPICE ROUTINE HOME CARE; PER DIEM"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1290","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRST"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1325","CodeVersion":"2020","CustomName":"INJECTION EPOPROSTENOL 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8655","CodeVersion":"2020","CustomName":"NETUPITANT 300 MG & PALONOSETRON 0.5 MG ORAL"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9564","CodeVersion":"2020","CustomName":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2042","CodeVersion":"2020","CustomName":"TISAGENLECLEUCEL TO 600 M CAR-POS VI T CE PER TD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9370","CodeVersion":"2020","CustomName":"VINCRISTINE SULFATE 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2370","CodeVersion":"2020","CustomName":"INJECTION PHENYLEPHRINE HCL UP TO 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4400","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SET"},{"ServiceGroup":"112912","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4188","CodeVersion":"2020","CustomName":"AMNIOARMOR PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6010","CodeVersion":"2020","CustomName":"PARTIAL HAND LITTLE & OR RING FINGER REMAINING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9621","CodeVersion":"2020","CustomName":"PATIENT ID UNHLTHY ALCOHOL USER SCR & BRF COUNS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9505","CodeVersion":"2020","CustomName":"ABX REG PRSC W\/I 10 DA AFTR ONSET SX DOC MED RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9740","CodeVersion":"2020","CustomName":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1826","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 30 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9745","CodeVersion":"2020","CustomName":"DOCUMENTED REASON FOR NOT SCREENING\/REC F\/U HBP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2627","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB M ARM SUPP ADJUSTBL RANCHO"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0339","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Other Radiology - Therapeutic"},{"ServiceGroup":"74614","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"12350","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0523","CodeVersion":"2020","CustomName":"Free-Standing Clinic - Family Practice Clinic"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"504","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"760","CodeVersion":"2020","CustomName":"HEMOPHILIA FACTORS VIII AND IX-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4086F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99161","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4256F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"37.94","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT AUTO CARDIOVERT\/ DEFIB TOTAL SYSTEM"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4144F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0490T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104449","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0140U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0193U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14096","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0783","CodeVersion":"2020","CustomName":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1300","CodeVersion":"2020","CustomName":"INJECTION ECULIZUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2074","CodeVersion":"2020","CustomName":"MEDICATION ASSIST WEEKLY BUNDLE NOT INCL DRUG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4320","CodeVersion":"2020","CustomName":"IRRIGATION TRAY W\/BULB\/PISTON SYRINGE ANY PRPOS"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0278","CodeVersion":"2020","CustomName":"INJECTION AMIKACIN SULFATE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9980","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 30 M"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2326","CodeVersion":"2020","CustomName":"INJECTION NUSINERSEN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1057","CodeVersion":"2020","CustomName":"ASPIRIN\/ANOTH AP TX NOT USED REASON NOT GIVEN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4187","CodeVersion":"2020","CustomName":"EPICORD PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6075","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN CERAMIC FPD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0639","CodeVersion":"2020","CustomName":"PT LIFT MOVEABLE ROOM-ROOM W\/DISASSMBL&REASSMBL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2941","CodeVersion":"2020","CustomName":"INJECTION SOMATROPIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5014","CodeVersion":"2020","CustomName":"REPAIR\/MODIFICATION OF A HEARING AID"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0219","CodeVersion":"2020","CustomName":"PET IMAG WHOLE BODY; MELANOMA NON-COVR INDICATS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9683","CodeVersion":"2020","CustomName":"FAC ONSITE AC TX NSG FAC RES FL\/ELCT DO BILL SID"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0506","CodeVersion":"2020","CustomName":"COMP ASMT OF & CARE PLNG PT RQR CC MGMT SRVC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7121","CodeVersion":"2020","CustomName":"5% DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5121","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9066","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE III B-4 MET LOC RECUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5114","CodeVersion":"2020","CustomName":"LEG STRAP; FOAM\/FABRIC REPLACEMENT ONLY PER SET"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6087","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - NOBLE ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4000","CodeVersion":"2020","CustomName":"REPLACE GIRDLE FOR SPINAL ORTHOSIS"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9355","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CHELATION; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9279","CodeVersion":"2020","CustomName":"MONITOR FEATURE\/DEVC STAND-ALONE\/INTEGRATED NOC"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1435","CodeVersion":"2020","CustomName":"INJECTION ESTRONE PER 1 MG"},{"ServiceGroup":"21342","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0972","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - DIAGNOSTIC"},{"ServiceGroup":"16536","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0189","CodeVersion":"2020","CustomName":"Leave Of Absence - Other LOA"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"833","CodeVersion":"2020","CustomName":"INTRACRANIAL VASCULAR PROCEDURES W\/ PDX HEMORRHAGE-NYDRG"},{"ServiceGroup":"3480","CodeType":"DRG","Code":"125","CodeVersion":"2020","CustomName":"Circulatory disorders except acute MI, with cardiac catheterization without complex diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"727","CodeVersion":"2020","CustomName":"Inflammation of the Male Reproductive System with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107105","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11193","CodeType":"ICD9P","Code":"35.96","CodeVersion":"2017","CustomName":"PERCUTANEOUS VALVULOPLASTY"},{"ServiceGroup":"14514","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72041","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3808","CodeVersion":"2020","CustomName":"WRIST HAND FINGER ORTHOSIS RIGID W\/O JNT; CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2362","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 24 NON-SEALED LEAD ACID BATT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2215","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9363","CodeVersion":"2020","CustomName":"HIT ANTI-SPASMOTIC TX; CARE SPL&EQP PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3070","CodeVersion":"2020","CustomName":"INJECTION PENTAZOCINE 30 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5694","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD&LN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5221","CodeVersion":"2020","CustomName":"IMMEDIATE MAXILLARY PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2931","CodeVersion":"2020","CustomName":"PRFABR STAINLESS STEEL CROWN-PERM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0744","CodeVersion":"2020","CustomName":"ABSORB WD DR HOM MDL PRTBLE PAD SZ 16 SQ IN\/LESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9977","CodeVersion":"2020","CustomName":"MEALS PER DIEM NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2611","CodeVersion":"2020","CustomName":"GEN WC BACK CUSHN WDTH < 22 IN HT MOUNT HARDWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0795","CodeVersion":"2020","CustomName":"INJ CORTICORELIN OVINE TRIFLUTATE 1 MICROGM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0050","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC BRF INTERVENTN PER 15 MIN"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3649","CodeVersion":"2020","CustomName":"ORTHOPED SHOE MODIFICATION ADDITION\/TRANSFER NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2622","CodeVersion":"2020","CustomName":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0067","CodeVersion":"2020","CustomName":"DENTISTRY MIPS SPECIALTY SET"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7292","CodeVersion":"2020","CustomName":"PLCMT TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9502","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL; Q8 HRS PER DIEM"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2039","CodeVersion":"2020","CustomName":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9424","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN ANAT LOC LUNG NOT NSCLC\/NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4045","CodeVersion":"2020","CustomName":"REPLACE NONMOLD THI LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4305","CodeVersion":"2020","CustomName":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML\/>-HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2016","CodeVersion":"2020","CustomName":"COMP COMMUNITY SUPPORT SERVICES PER DIEM"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10A07ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION VIA NAT\/ART OPG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4346","CodeVersion":"2020","CustomName":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"33825","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"88420","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"644","CodeVersion":"2020","CustomName":"Endocrine Disorders with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0286T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1034F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2024F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0116U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3394F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105259","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0083A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16551","CodeType":"ICD9P","Code":"89.15","CodeVersion":"2017","CustomName":"OTHER NONOPERATIVE NEUROLOGIC FUNCTION TESTS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78065","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2629","CodeVersion":"2020","CustomName":"PROSTHETIC EYE OTHER TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7287","CodeVersion":"2020","CustomName":"EXFOLIATIVE CYTOLOG SAMPLE CLCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2017","CodeVersion":"2020","CustomName":"PSYCHOSOCIAL REHAB SERVICES PER 15 MUNUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8670","CodeVersion":"2020","CustomName":"ROLAPITANT ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6061","CodeVersion":"2020","CustomName":"ABUT PORCLN TO MTL CROWN NOBLE MTL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9610","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0454","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6549","CodeVersion":"2020","CustomName":"RETAINER - FOR RESIN BONDED FIXED PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9344","CodeVersion":"2020","CustomName":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1050","CodeVersion":"2020","CustomName":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8902","CodeVersion":"2020","CustomName":"MR ANGIO WITHOUT CONTRST FOLLOWED W\/CONTRST ABD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5518","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY ALL SPL NECES CATH REPAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9485","CodeVersion":"2020","CustomName":"CRISIS INTERVENT MENTAL HEALTH SERV"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4361","CodeVersion":"2020","CustomName":"OSTOMY FACEPLATE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4368","CodeVersion":"2020","CustomName":"OSTOMY FILTER ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6085","CodeVersion":"2020","CustomName":"INTERIM IMPLANT CROWN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7649","CodeVersion":"2020","CustomName":"ISOETHARINE HCI NON-COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0240","CodeVersion":"2020","CustomName":"BATH\/SHOWER CHAIR W\/WO WHEELS ANY SIZE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0310","CodeVersion":"2020","CustomName":"BEDSIDE RAILS FULL-LENGTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4222","CodeVersion":"2020","CustomName":"PROGENAMATRIX PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9298","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB & RELATLIMAB-RMBW 3 MG\/1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0491","CodeVersion":"2020","CustomName":"EMERG POWER SRC FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7530","CodeVersion":"2020","CustomName":"REMV FB MUCOS SKN\/SUBQ ALVEOL TISS"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7527","CodeVersion":"2020","CustomName":"EVEROLIMUS ORAL 0. 25 MG"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"58764","CodeType":"REV","Code":"0514","CodeVersion":"2020","CustomName":"Clinic - OB-GYN Clinic"},{"ServiceGroup":"108082","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"10410","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"29718","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"549","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76207","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113178","CodeType":"CPT","Code":"0022A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4187F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93026","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106711","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0520T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64320","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85966","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0042T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107074","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0185","CodeVersion":"2020","CustomName":"GEL\/GEL-LIKE PRSS PAD MATTRSS STD LEN&WDTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2356","CodeVersion":"2020","CustomName":"INJECTION TEZEPELUMAB-EKKO 1 MG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2618","CodeVersion":"2020","CustomName":"PROBE\/NEEDLE CRYOABLATION"},{"ServiceGroup":"25282","CodeType":"HCPCS","Code":"A0426","CodeVersion":"2020","CustomName":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7016","CodeVersion":"2020","CustomName":"DOME&MOUTHPIECE USED W\/SMALL VOLUME US NEBULIZR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3420","CodeVersion":"2020","CustomName":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0483","CodeVersion":"2020","CustomName":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6612","CodeVersion":"2020","CustomName":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3246","CodeVersion":"2020","CustomName":"INJECTION TIROFIBAN HCI 0.25 MG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0081","CodeVersion":"2020","CustomName":"BRIEF CARE MANAGEMENT HOME VISIT FOR EXISTING PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2111","CodeVersion":"2020","CustomName":"1 VISN +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2128","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ON DAILY ASP\/OTH ANTIPLATELET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4431","CodeVersion":"2020","CustomName":"OST POUCH URIN; W\/BARR W\/FAUCET TAP W\/VALVE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7881","CodeVersion":"2020","CustomName":"OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8913","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST LOWER EXTREMITY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"5060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96999","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4174","CodeVersion":"2020","CustomName":"PALINGEN OR PROMATRX 0.36 MG PER 0.25 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0086","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME CARE PLAN OVERSIGHT"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3912","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2704","CodeVersion":"2020","CustomName":"INJECTION PROPOFOL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9488","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 25 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1899","CodeVersion":"2020","CustomName":"LEAD PACEMAKER\/CARDIOVERT-DEFIB COMBINATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4930","CodeVersion":"2020","CustomName":"GLOVES STERILE PER PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9727","CodeVersion":"2020","CustomName":"PT UNABLE COMPLETE LEPF PROM INI EVAL &\/ D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0207","CodeVersion":"2020","CustomName":"INJECTION AMIFOSTINE 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2192","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: TEMP HA PT OVR 55 YOA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7183","CodeVersion":"2020","CustomName":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0624","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - FDA Investigational Devices"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0813","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unknown Donor"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0347U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95799","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3756F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0616T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27348","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.67","CodeVersion":"2017","CustomName":"IMPLANTATION OF CARDIOMYOSTIMULATION SYSTEM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115367","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104736","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95559","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0470","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR POST FRME&ANT APRON W\/STRAP PRFAB"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7039","CodeVersion":"2020","CustomName":"FILTER NON DISPBL USED W\/POS ARWAY PRESS DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5259","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITC"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4142","CodeVersion":"2020","CustomName":"XCM BIOLOGIC TISSUE MATRIX PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5824","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1710","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9927","CodeVersion":"2020","CustomName":"DOC SY RSN NOT RX WF\/ANR FDA-APV AC D\/T PT IN CT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6940","CodeVersion":"2020","CustomName":"ELB DISARTIC OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5930","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1180","CodeVersion":"2020","CustomName":"INJECTION DYPHYLLINE UP TO 500 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1810","CodeVersion":"2020","CustomName":"INJ DROPERIDOL&FENTANYL CITRATE UP TO 2 ML AMP"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0495","CodeVersion":"2020","CustomName":"BATT CHRGR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1025","CodeVersion":"2020","CustomName":"INTEN MXDISCPLIN SRVC CHILD W\/CMPLX IMPAIR DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80139","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90379","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7211","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII KOVALTRY 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2900","CodeVersion":"2020","CustomName":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4020","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3908","CodeVersion":"2020","CustomName":"WRIST HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0015","CodeVersion":"2020","CustomName":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7183","CodeVersion":"2020","CustomName":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5140","CodeVersion":"2020","CustomName":"IMMEDIATE DENTURE - MANDIBULAR"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0976","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RESPIRATORY THERAPY"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"58455","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"91013","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0485","CodeVersion":"2020","CustomName":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0463","CodeVersion":"2020","CustomName":"HOSPITAL OUTPATIENT CLIN VISIT ASSESS & MGMT PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7852","CodeVersion":"2020","CustomName":"DISC REPAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0322","CodeVersion":"2020","CustomName":"TOMOGRAPHIC SURVEY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7501","CodeVersion":"2020","CustomName":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0452","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9518","CodeVersion":"2020","CustomName":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4222","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SUPPLY KIT; HOME MIX PER DAY"},{"ServiceGroup":"68262","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0492","CodeVersion":"2020","CustomName":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0236","CodeVersion":"2020","CustomName":"PUMP FOR WATER CIRCULATING PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0156","CodeVersion":"2020","CustomName":"SEAT ATTACHMENT WALKER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0571","CodeVersion":"2020","CustomName":"BUPRENORPHINE ORAL 1 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2017","CodeVersion":"2020","CustomName":"INJECTION TENIPOSIDE 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8930","CodeVersion":"2020","CustomName":"E-STIM AUR ACUPUNCT PNTS; EA 15 MIN 1-1 CNTC PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0592","CodeVersion":"2020","CustomName":"COMPREHENSIVE CONTACT LENS EVALUATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4660","CodeVersion":"2020","CustomName":"SPHYGMOMANOMETER\/BP APPARATUS W\/CUFF&STETHOSCOPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8484","CodeVersion":"2020","CustomName":"INFLUENZA IMMUN NOT ADMINISTERED RSN NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3677","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4368","CodeVersion":"2020","CustomName":"OSTOMY FILTER ANY TYPE EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0205","CodeVersion":"2020","CustomName":"INJECTION ALGLUCERASE PER 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4191","CodeVersion":"2020","CustomName":"RESTORIGIN PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0602","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA"},{"ServiceGroup":"10545","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8600","CodeVersion":"2020","CustomName":"IV T-PA INITIATED W\/IN 3 HRS TIME LAST KNWN WELL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7507","CodeVersion":"2020","CustomName":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8301","CodeVersion":"2020","CustomName":"INFECTION CONTROL SUPPLIES NOS"},{"ServiceGroup":"89984","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"68139","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"884","CodeVersion":"2020","CustomName":"SPINAL FUSION EXC CERV W CURVATURE OF THE SPINE OR MALIGNANC -NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92193","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3318F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71340","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4178F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0307U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.41","CodeVersion":"2017","CustomName":"RESECTION OF INTRACRANIAL VESSELS W\/REPLACEMENT"},{"ServiceGroup":"83885","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0043A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98560","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6722","CodeVersion":"2020","CustomName":"TERM DEVC HOOK\/HAND HVY-DUTY MECH VOL CLOS"},{"ServiceGroup":"88265","CodeType":"HCPCS","Code":"C1762","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE HUMAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4709","CodeVersion":"2020","CustomName":"ACID CONCENTRATE SOLUTION HEMODIAL PER GALLON"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4081","CodeVersion":"2020","CustomName":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2664","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-4\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0342","CodeVersion":"2020","CustomName":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH&INFUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4045","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8043","CodeVersion":"2020","CustomName":"UPPER FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3230","CodeVersion":"2020","CustomName":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5859","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KN-SHIN PROG FLX\/EXT ANY MOTOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0148","CodeVersion":"2020","CustomName":"WALK HEAVY DUTY W\/O WHLS RIGID\/FOLD ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5971","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7510","CodeVersion":"2020","CustomName":"PREDNISOLONE ORAL PER 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9364","CodeVersion":"2020","CustomName":"SINUSITIS CAUSED BY\/PRES CAUSED BY BACTERIAL INF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4601","CodeVersion":"2020","CustomName":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0013","CodeVersion":"2020","CustomName":"CUSTOM MOTORIZED\/POWER WHEELCHAIR BASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0650","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2501","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA TORIC\/PRISM BALLAST PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1955","CodeVersion":"2020","CustomName":"INJECTION LEVOCARNITINE PER 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9208","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF PRETERM LABOR PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5651","CodeVersion":"2020","CustomName":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9317","CodeVersion":"2020","CustomName":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2313","CodeVersion":"2020","CustomName":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1453","CodeVersion":"2020","CustomName":"INJECTION FOSAPREPITANT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8918","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST PELVIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0157","CodeVersion":"2020","CustomName":"CRUTCH ATTACHMENT WALKER EACH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5410","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPL RIGD DRESS W\/EA ADD CAST CHG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2152","CodeVersion":"2020","CustomName":"SOLID ORGAN; TRANSPLANTATION & RELATED COMP"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5718","CodeVersion":"2020","CustomName":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL"},{"ServiceGroup":"24","CodeType":"ICD10P","Code":"4A020N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSUR LT HEART OP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5060","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BEHIND THE EAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7208","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED-AUCL 1 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1004","CodeVersion":"2020","CustomName":"SERVICES QUALIFIED NURSING AIDE UP TO 15 MINUTES"},{"ServiceGroup":"69961","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"22820","CodeType":"REV","Code":"872","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Specialized Biologic Processing and Storage - Prior to Transport"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"44106","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"17624","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"9506","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"33831","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"68189","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"254","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of upper arm and lower leg, except foot, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100265","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104121","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1205F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4133F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83647","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83885","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108093","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105551","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2340","CodeVersion":"2020","CustomName":"CHEMODENERVATION ABDUCTOR MUSCLE VOCAL CORD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0061","CodeVersion":"2020","CustomName":"ANESTHESIOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9637","CodeVersion":"2020","CustomName":"FINAL REPORT W\/DOC 1\/MORE DOSE REDUCTION TECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0483","CodeVersion":"2020","CustomName":"DRUG TST DEFINITV DR ID METH P DAY 22\/MORE DR CL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5503","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD ROLLER\/ROCKR BOTTOM"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9434","CodeVersion":"2020","CustomName":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9277","CodeVersion":"2020","CustomName":"DOC PT D ASP\/ANTI-PLT\/DOC CONTRAIND ASP\/ANTI-PLT"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0TF3XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION RT KIDNEY PELVIS EXTERNAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2050","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL LIPOSOMAL NOS 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4235","CodeVersion":"2020","CustomName":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8815","CodeVersion":"2020","CustomName":"DOCUMENTED REASON MED REC WHY STATIN TX NOT PRSC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9291","CodeVersion":"2020","CustomName":"PRESCR DIG COGNITIVE &\/BT FDA-CLRD PER CRS TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1059","CodeVersion":"2020","CustomName":"PATIENT HSPC\/REC PALLIAT C ANY TIME DUR PERF PER"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9921","CodeVersion":"2020","CustomName":"NO SCR PRFRM PR SCR PRFRM\/POS SCR NO REC&RSN"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"103947","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4596","CodeVersion":"2020","CustomName":"CES SYSTEM SUPPLIES & ACCESSORIES PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4000","CodeVersion":"2020","CustomName":"REPLACE GIRDLE FOR SPINAL ORTHOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2391","CodeVersion":"2020","CustomName":"RESIN COMPOS - 1 SURFACE POSTERIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0800","CodeVersion":"2020","CustomName":"INJECTION CORTICOTROPIN UP TO 40 UNITS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53962","CodeType":"ICD9P","Code":"50.59","CodeVersion":"2017","CustomName":"OTHER TRANSPLANT OF LIVER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0153","CodeVersion":"2020","CustomName":"INJECTION ADENOSINE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0475","CodeVersion":"2020","CustomName":"DECALCIFICATION PROCEDURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0378","CodeVersion":"2020","CustomName":"HOSPITAL OBSERVATION SERVICE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4036","CodeVersion":"2020","CustomName":"URGENT CARE MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3610","CodeVersion":"2020","CustomName":"TRNSF ORTHOS ONE SHOE TO ANOTHER CALIP PLATE NEW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9012","CodeVersion":"2020","CustomName":"CRYOPRECIPITATE EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7669","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"54966","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"9947","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"96201","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"58461","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"42824","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"68186","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"24703","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"63","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"253","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of upper arm and lower leg, except foot, age greater than 17, with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"51715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93057","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0266T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0538T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17379","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3386F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21818","CodeType":"CPT","Code":"93572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86476","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7270","CodeVersion":"2020","CustomName":"TOOTH REIMPL&\/STBL ACC DISPLCD"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"13422","CodeType":"HCPCS","Code":"A0426","CodeVersion":"2020","CustomName":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"A4301","CodeVersion":"2020","CustomName":"IMPLANTABLE ACCESS TOTAL CATHETER PORT\/RESERVOIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9376","CodeVersion":"2020","CustomName":"HIT HYDRATION TX; >2 LITERS NO>3 LITERS DAY"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5910","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1772","CodeVersion":"2020","CustomName":"INFUSION PUMP PROGRAMMABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0816","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO &=300 LBS"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3489","CodeVersion":"2020","CustomName":"INJECTION ZOLEDRONIC ACID 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5270","CodeVersion":"2020","CustomName":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4101","CodeVersion":"2020","CustomName":"APLIGRAF PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0561","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9765","CodeVersion":"2020","CustomName":"REV EVAR LE AA;IV LITHOTRIPSY & TL STENT PLCMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0155","CodeVersion":"2020","CustomName":"STERILE DILUTANT FOR EPOPROSTENOL 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2645","CodeVersion":"2020","CustomName":"BRACHYTHERAPY PLANAR SRC PALLADIUM-103 PER SQ ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9341","CodeVersion":"2020","CustomName":"SEARCH PRIOR CT EXT HC FAC\/ENT 12-MO PRI TO IMAG"},{"ServiceGroup":"50903","CodeType":"REV","Code":"0569","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Other Med. Social Service"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0833","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"36663","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"14187","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0329","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Other Radiology - Diagnostic"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105730","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107041","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104724","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0008M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0077U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0276U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104108","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97199","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90426","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37516","CodeType":"ICD9P","Code":"96.71","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT < 96 CONSECUTIVE HOURS"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1660","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6110","CodeVersion":"2020","CustomName":"BELOW ELBOW MOLDED SOCKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2395","CodeVersion":"2020","CustomName":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1322","CodeVersion":"2020","CustomName":"INJECTION ELOSULFASE ALFA 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2651","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-2 SURF"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0484","CodeVersion":"2020","CustomName":"MONITOR FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2231","CodeVersion":"2020","CustomName":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2378","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6449","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH >\/= 3 & <5 IN PER YD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5780","CodeVersion":"2020","CustomName":"ADD EXOSKL KNEE-SHIN PNEUMAT\/HYDRA PNEUMAT CNTRL"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8628","CodeVersion":"2020","CustomName":"COCHLEAR IMPLANT EXT CONTROLLER COMPONENT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3904","CodeVersion":"2020","CustomName":"MASTERS TWO STEP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0615","CodeVersion":"2020","CustomName":"PACEMKR MON CHECKS BATTRY DEPLET W\/DIGTL\/VISIBL"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3925","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS PIP\/DIP NONTORSION JOINT PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9682","CodeVersion":"2020","CustomName":"ONSITE AC TX NSG FAC RES W\/SKN INF BILL SID-BNEF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3473","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7199","CodeVersion":"2020","CustomName":"HEMOPHILIA CLOTTING FACTOR NOC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1758","CodeVersion":"2020","CustomName":"CATHETER URETERAL"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5105","CodeVersion":"2020","CustomName":"BELOW KNEE PLSTC SOCKT JNT&THIGH LACER SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0423","CodeVersion":"2020","CustomName":"INTENSIVE CARD REHAB; W\/WO CONT ECG MON W\/O EXER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9604","CodeVersion":"2020","CustomName":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"69046","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0310","CodeVersion":"2020","CustomName":"Laboratory Pathology - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0882","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Home Dialysis Aid Visit"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"350","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"25346","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0641","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Non-Routine Nursing, Central Line\""},{"ServiceGroup":"15789","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15520","CodeType":"CPT","Code":"99602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90373","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4177F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42434","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"73360","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"884","CodeVersion":"2020","CustomName":"SPINAL FUSION EXC CERV W CURVATURE OF THE SPINE OR MALIGNANC -NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104250","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113580","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107035","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0200U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4192F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0505T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.76","CodeVersion":"2017","CustomName":"REPLCMT TRANSVENOUS ATRIAL &OR VENTRICULAR LEAD"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0559T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13294","CodeType":"ICD9P","Code":"88.93","CodeVersion":"2017","CustomName":"MAGNETIC RESONANCE IMAGING OF SPINAL CANAL"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3241","CodeVersion":"2020","CustomName":"INJECTION TEPROTUMUMAB-TRBW 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1004","CodeVersion":"2020","CustomName":"LW FRQ U\/S DIA TX DVC HM USE INCL CMPNT & ACCESS"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2792","CodeVersion":"2020","CustomName":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9053","CodeVersion":"2020","CustomName":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6091","CodeVersion":"2020","CustomName":"REPL OF REPL PART ATT IMPL\/ABUT S PROS PER ATT"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9364","CodeVersion":"2020","CustomName":"PORCINE IMPLANT PERMACOL PER SQUARE CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3620","CodeVersion":"2020","CustomName":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7950","CodeVersion":"2020","CustomName":"OSSEOUS OSTEOPERIOSTEAL\/CARTILAGE GRAFT MAND\/MAX"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5913","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0507","CodeVersion":"2020","CustomName":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2054","CodeVersion":"2020","CustomName":"TRANSPLANTATION OF MULTIVISCERAL ORGANS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2618","CodeVersion":"2020","CustomName":"PROBE\/NEEDLE CRYOABLATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4911","CodeVersion":"2020","CustomName":"DRAIN BAG\/BOTTLE FOR DIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6537","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 30-40 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2034","CodeVersion":"2020","CustomName":"CRISIS INTERVENTION WAIVER; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2001","CodeVersion":"2020","CustomName":"REHABILITATION PROGRAM PER 1\/2 DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0037","CodeVersion":"2020","CustomName":"PT NOT ASSESS NONVRB DELIR APHASIC DV VIS\/HR IMP"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"16030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0297","CodeVersion":"2020","CustomName":"HOSP BED TOTAL ELEC W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2601","CodeVersion":"2020","CustomName":"GENERAL WHLCHAIR SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1170","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7324","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV ORTHOVISC IA INJ PER DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4543","CodeVersion":"2020","CustomName":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1200","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0590","CodeVersion":"2020","CustomName":"INTEGRAL LENS SERVICE MISC SERVICES REPORTED SEP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9130","CodeVersion":"2020","CustomName":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3260","CodeVersion":"2020","CustomName":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4364","CodeVersion":"2020","CustomName":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"23024","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"356","CodeVersion":"2020","CustomName":"Female reproductive system reconstructive procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"546","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85906","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"54963","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0179T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93721","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.65","CodeVersion":"2017","CustomName":"EXTRACORPOREAL MEMBRANE OXYGENATION"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1234","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W\/O SEAT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9041","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0243","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION CASIRIVIMAB & IMDEVIMAB"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9153","CodeVersion":"2020","CustomName":"MX VIT W\/WO MINERLS&TRACE ELEMS ORL PER DOSE NOS"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3310","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8559","CodeVersion":"2020","CustomName":"PATIENT REFERRED TO PHYSICIAN FOR OTOLOGIC EVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0499","CodeVersion":"2020","CustomName":"BELT\/VEST\/BAG CARRY ANY TYPE VAD REPLACE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0515","CodeVersion":"2020","CustomName":"INJECTION BENZTROPINE MESYLATE PER 1 MG"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3763","CodeVersion":"2020","CustomName":"EWHO RIGID W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"87520","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3764","CodeVersion":"2020","CustomName":"EWHO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4278","CodeVersion":"2020","CustomName":"FREE SFT TSS GFT EA ADD CNTIG T\/EDNT T SAME SITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2053","CodeVersion":"2020","CustomName":"TRANSPLANTATION SMALL INTESTINE&LIVER ALLOGRAFTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6638","CodeVersion":"2020","CustomName":"UP EXT ADD PROS ELEC LOCK ONLY W\/MNL PWR ELB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5130","CodeVersion":"2020","CustomName":"IMMEDIATE DENTURE - MAXILLARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1052","CodeVersion":"2020","CustomName":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP"},{"ServiceGroup":"103302","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3355","CodeVersion":"2020","CustomName":"INJECTION UROFOLLITROPIN 75 IU"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9401","CodeVersion":"2020","CustomName":"ANTICOAGULAT CLIN INCL ALL SERV NO LAB PER SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2260","CodeVersion":"2020","CustomName":"INJECTION MILRINONE LACTATE 5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2049","CodeVersion":"2020","CustomName":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9136","CodeVersion":"2020","CustomName":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1686","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7518","CodeVersion":"2020","CustomName":"MYCOPHENOLIC ACID ORAL 180 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7461","CodeVersion":"2020","CustomName":"REMV BEN NONODONTOGNIC TUMR >125 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9848","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0093","CodeVersion":"2020","CustomName":"INJECTION MORPHINE SULFATE 500 MG"},{"ServiceGroup":"42783","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"68510","CodeType":"REV","Code":"0291","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Rental"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"14066","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"20898","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"259","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"830","CodeVersion":"2020","CustomName":"Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other O.R. Procedure without CC\/MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30133","CodeType":"ICD9P","Code":"86.3","CodeVersion":"2017","CustomName":"OTH LOC EXC\/DESTRUC LES\/TISSUE SKN&SUBCUT TISSUE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78283","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0287U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0257T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93094","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91006","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91583","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104741","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"96.7","CodeVersion":"2017","CustomName":"OTHER CONTINUOUS INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88487","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.8","CodeVersion":"2017","CustomName":"OBSTETRIC TAMPONADE OF UTERUS OR VAGINA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1030","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1714","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY DIRECTIONAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6450","CodeVersion":"2020","CustomName":"ELB DISRTC MOLD SCKT ENDOSKEL W\/SFT PROSTH TISS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1899","CodeVersion":"2020","CustomName":"LEAD PACEMAKER\/CARDIOVERT-DEFIB COMBINATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1002","CodeVersion":"2020","CustomName":"CUSTOMIZED ITEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0024","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH PREV INFORM DISSEMIN SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1815","CodeVersion":"2020","CustomName":"PROSTHESIS URINARY SPHINCTER"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5670","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE MOLD SUPRACONDYLR SUSP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0163","CodeVersion":"2020","CustomName":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3105","CodeVersion":"2020","CustomName":"INJECTION TERBUTALINE SULFATE UP TO 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8797","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0953","CodeVersion":"2020","CustomName":"ONC EXPECTANT MANAGEMENT PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9061","CodeVersion":"2020","CustomName":"INJECTION, AMIVANTAMAB-VMJW 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9037","CodeVersion":"2020","CustomName":"PLATLTS PHERES LEUKOCYTES RDUC IRRADATD EA UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2397","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0425","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0008","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3303","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90061","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0558","CodeVersion":"2020","CustomName":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9355","CodeVersion":"2020","CustomName":"COLLAGEN NERVE CUFF PER 0.5 CENTIMETER LENGTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1021","CodeVersion":"2020","CustomName":"CLIN DECN SUP MECH EHLTHLINE CLIN DECN SUP MECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2358","CodeVersion":"2020","CustomName":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2215","CodeVersion":"2020","CustomName":"TAKE HM SPLY NSL NLX 2PK LST SEP ADD CD PRIM PCR"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0645","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training Patient\/Caregiver, Central Line\""},{"ServiceGroup":"32978","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0300","CodeVersion":"2020","CustomName":"Laboratory - General Classifiaction"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"016","CodeVersion":"2020","CustomName":"Nonspecific cerebrovascular disorders with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0484T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0252T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115367","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3476F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0353T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"299","CodeType":"ICD9P","Code":"92.39","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY NEC"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0475T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9789","CodeVersion":"2020","CustomName":"BLD PRESS RCD DUR INPT S ER V UC V & PT SR BP"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1707","CodeVersion":"2020","CustomName":"JANSSEN COVID-19 VACCINE"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0190","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"74470","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2079","CodeVersion":"2020","CustomName":"TAKE HOME SUP BUPRENORPHINE ORAL;TO 7 ADD D SUP;"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6630","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1766","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH GUID INTRACARD EP NOT PEEL-AWAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5100","CodeVersion":"2020","CustomName":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8698","CodeVersion":"2020","CustomName":"MISC COMP SPL\/ACCESS FOR USE WITH TOT AH SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9994","CodeVersion":"2020","CustomName":"PT USE PALLIATIVE CARE SRV ANY TIME DUR MEAS PER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1951","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1297","CodeVersion":"2020","CustomName":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0710","CodeVersion":"2020","CustomName":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0180","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: LODGNG-RECIP"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9160","CodeVersion":"2020","CustomName":"INJECTION DENILEUKIN DIFTITOX 300 MCG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7298","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0481","CodeVersion":"2020","CustomName":"MICROPROCESSOR CNTRL UNIT FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4193","CodeVersion":"2020","CustomName":"COLL-E-DERM PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0111","CodeVersion":"2020","CustomName":"CRTCH FORARM VARIOUS MATL EA W\/TIP&HNDGRIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1300","CodeVersion":"2020","CustomName":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8568","CodeVersion":"2020","CustomName":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0220","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB & CILGAVIMAB INC INJ & PA MON"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"70045","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"68846","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"58","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"70042","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"88427","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"473","CodeVersion":"2020","CustomName":"Acute leukemia without major operating room procedure, age greater than 17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"813","CodeVersion":"2020","CustomName":"NONBACTERIAL GASTROENTERITI \"&\" ABDOMINAL PAIN AGE OVER 17 W CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91014","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30133","CodeType":"ICD9P","Code":"14.24","CodeVersion":"2017","CustomName":"DESTRUC CHORIORETINAL LESION LASER PHOTOCOAGULAT"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102959","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0003A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1121F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4064F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0625T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78704","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3331F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71.01","CodeVersion":"2017","CustomName":"LYSIS OF VULVAR ADHESIONS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92819","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0434T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0710T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.95","CodeVersion":"2017","CustomName":"HYPERBARIC OXYGENATION"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7140","CodeVersion":"2020","CustomName":"EXTRAC ERUPTED TOOTH\/EXPOSED ROOT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1731","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 20\/>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1368","CodeVersion":"2020","CustomName":"ON-Q PAIN MGT SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2175","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE HCL PER 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2006","CodeVersion":"2020","CustomName":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4639","CodeVersion":"2020","CustomName":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9822","CodeVersion":"2020","CustomName":"WOMEN WHO HAD EA DUR 12 MONTH PRI TO INDEX DATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0700","CodeVersion":"2020","CustomName":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4254","CodeVersion":"2020","CustomName":"NOVAFIX DL PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3908","CodeVersion":"2020","CustomName":"WRIST HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5288","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC PERS FM\/DM TRANSMITTER ALD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9548","CodeVersion":"2020","CustomName":"FINAL REPORTS IMAG STDY STAT NO F\/U IMAG RECOM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1566","CodeVersion":"2020","CustomName":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2523","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2663","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-3 SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3844","CodeVersion":"2020","CustomName":"DNA ANALY CONNEXIN 26 GENE CONGN PFND DEAFNESS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5700","CodeVersion":"2020","CustomName":"REPLACEMENT SOCKET BELOW KNEE MOLDED PT MODEL"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1751","CodeVersion":"2020","CustomName":"CATHETER INFUS INSRT PERIPHERALLY CNTRLLY\/MIDLN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8097","CodeVersion":"2020","CustomName":"ASTHMA KIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q3031","CodeVersion":"2020","CustomName":"COLLAGEN SKIN TEST"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6455","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH >\/= 5 IN PER YARD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0288","CodeVersion":"2020","CustomName":"INJ AMPHOTERICIN B CHOLESTRYL SULFAT CMPLX 10 MG"},{"ServiceGroup":"44713","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9094","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; M1 METASTATIC LOC RECUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6210","CodeVersion":"2020","CustomName":"FOAM DRESS > 16 BUT <\/= 48 SQ W\/O ADHES BORDR EA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56453","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0372","CodeVersion":"2020","CustomName":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5062","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1084","CodeVersion":"2020","CustomName":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK\/FULL LEGRESTS"},{"ServiceGroup":"80140","CodeType":"REV","Code":"0810","CodeVersion":"2020","CustomName":"Acquisition of Body Components - General Classification"},{"ServiceGroup":"33829","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"39245","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0221","CodeVersion":"2020","CustomName":"Special Charges - Admission Charge"},{"ServiceGroup":"75182","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"58460","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"215","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15070","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6102F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83835","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.41","CodeVersion":"2017","CustomName":"LAPAROSCOPIC UNILATERAL SALPINGO-OOPHORECTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113733","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1121","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0331T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90425","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3497F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.7","CodeVersion":"2017","CustomName":"MANUAL EXPLORATION OF UTERINE CAVITY POSTPARTUM"},{"ServiceGroup":"115054","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0039","CodeVersion":"2020","CustomName":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0606","CodeVersion":"2020","CustomName":"INJECTION ETELCALCETIDE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4523","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER LG EA"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5125","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8500","CodeVersion":"2020","CustomName":"ARTIFICIAL LARYNX ANY TYPE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2407","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN ORBACTIV 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1435","CodeVersion":"2020","CustomName":"INJECTION ESTRONE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2624","CodeVersion":"2020","CustomName":"SKIN PROTECT & POSITIONING WC CUSH WIDTH < 22 IN"},{"ServiceGroup":"34873","CodeType":"ICD10P","Code":"08RJ3JZ","CodeVersion":"2020","CustomName":"REPLACEMENT RIGHT LENS SYNTHETIC SUBSTITUTE PERQ"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0307","CodeVersion":"2020","CustomName":"COMPLETE CBC AUTOMATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1710","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS NEWINGTON CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0707","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL RAD IMG - IMAGE CAP ONLY"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5936","CodeVersion":"2020","CustomName":"OBTURATOR\/PROSTHESIS INTERIM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1817","CodeVersion":"2020","CustomName":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2265","CodeVersion":"2020","CustomName":"INJECTION MINOCYCLINE HCL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0837","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1706","CodeVersion":"2020","CustomName":"ASTRAZENECA COVID-19 VACC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8968","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAG SCORE 0"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7610","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL SOL ADMIN THRU DME CONC 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0199","CodeVersion":"2020","CustomName":"DRY PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5640","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4252","CodeVersion":"2020","CustomName":"VENDAJE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9345","CodeVersion":"2020","CustomName":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"10905","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"705","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"78537","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"755","CodeVersion":"2020","CustomName":"SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"666","CodeVersion":"2020","CustomName":"Prostatectomy with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3317F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3497F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111858","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0644T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88493","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0019U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103970","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0578T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33414","CodeType":"CPT","Code":"94004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87062","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1205","CodeVersion":"2020","CustomName":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2009","CodeVersion":"2020","CustomName":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5190","CodeVersion":"2020","CustomName":"WELLNESS ASSESSMENT PERFORMED BY NONPHYSICIAN"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5M7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION BILATERAL LUNGS NAT\/ARTFICL OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0572","CodeVersion":"2020","CustomName":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0508","CodeVersion":"2020","CustomName":"TRIFOCAL VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6411","CodeVersion":"2020","CustomName":"EYE PAD NON-STERILE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3590","CodeVersion":"2020","CustomName":"ORTHO SHOE ADD CONVRT FIRM COUNTER SFT COUNTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4135","CodeVersion":"2020","CustomName":"MEDISKIN PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5697","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE\/KNEE DISARTIC PELV BAND"},{"ServiceGroup":"70241","CodeType":"HCPCS","Code":"C2698","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE STRANDED NOS PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4261","CodeVersion":"2020","CustomName":"CERVICAL CAP FOR CONTRACEPTIVE USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2132","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS SFT PRFAB W\/FIT & ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5258","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL CIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1540","CodeVersion":"2020","CustomName":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5248","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL CIC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8694","CodeVersion":"2020","CustomName":"AUD OSSEOINTEG DEVC TRANSDUCER\/ACTR REPL ONLY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7624","CodeVersion":"2020","CustomName":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1655","CodeVersion":"2020","CustomName":"INJECTION TINZAPARIN SODIUM 1000 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1000","CodeVersion":"2020","CustomName":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0129","CodeVersion":"2020","CustomName":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2022","CodeVersion":"2020","CustomName":"CASE MANAGEMENT; PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5504","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/WEDGE SHOE"},{"ServiceGroup":"15302","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"13849","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"42784","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"3810","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"74384","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"13488","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"73653","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"628","CodeVersion":"2020","CustomName":"NEONATE, BWT OVER 2499G, W\/O SIGNIF OR PROC, W MINOR PROB-NYDRG"},{"ServiceGroup":"21122","CodeType":"DRG","Code":"459","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82750","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113686","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3394F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3475F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62294","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0329T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110760","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105031","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64377","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17378","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3720F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16551","CodeType":"ICD9P","Code":"89.14","CodeVersion":"2017","CustomName":"ELECTROENCEPHALOGRAM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16468","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"48.71","CodeVersion":"2017","CustomName":"SUTURE OF LACERATION OF RECTUM"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105251","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93067","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0116U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9042","CodeVersion":"2020","CustomName":"INJECTION BRENTUXIMAB VEDOTIN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0115","CodeVersion":"2020","CustomName":"POST-COITAL DIRECT QUAL EXAM VAGINAL\/CERV MUCOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0221","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB&CILGAVIMAB INC INJ&PA MONH\/RES;"},{"ServiceGroup":"87963","CodeType":"ICD10P","Code":"0DB60Z3","CodeVersion":"2020","CustomName":"EXCISION \/ OF STOMACH \/ OPEN APPROACH \/ VERTICAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1260","CodeVersion":"2020","CustomName":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0709","CodeVersion":"2020","CustomName":"INTRAORAL - CMPL SERIES OF RAD IMG-IMG CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0515","CodeVersion":"2020","CustomName":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0041","CodeVersion":"2020","CustomName":"LARGE SIZE FOOTPLATE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5618","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8999","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7205","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8957","CodeVersion":"2020","CustomName":"IV INFUS TX\/DX; INIT PROLNG RQR PORT\/IMPL PUMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4920","CodeVersion":"2020","CustomName":"UNSCHEDULED DRESSING CHANGE NOT TX DENTIST STAFF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2188","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: NEW\/CHG HA ABV 50 YOA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1575","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN\/HYALURONIDASE 100 MG IG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9745","CodeVersion":"2020","CustomName":"DOCUMENTED REASON FOR NOT SCREENING\/REC F\/U HBP"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7510","CodeVersion":"2020","CustomName":"REPR PROSTHETIC DEVICE REPR\/REPLACE MINOR PARTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4215","CodeVersion":"2020","CustomName":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG"},{"ServiceGroup":"24404","CodeType":"HCPCS","Code":"V5243","CodeVersion":"2020","CustomName":"HEARING AID ANALOG MONAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5910","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4048","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8045","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9138","CodeVersion":"2020","CustomName":"ONC;DZ STS;NHL;DIAG EVAL STAGE NOT DETERMINED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8958","CodeVersion":"2020","CustomName":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6791","CodeVersion":"2020","CustomName":"RETAINER CROWN-FULL CAST PREDOMINANTLY BASE METL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0716","CodeVersion":"2020","CustomName":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2400","CodeVersion":"2020","CustomName":"REPR CONGN DIAPHRAGMAT HERN FETUS PROC IN UTERO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4635","CodeVersion":"2020","CustomName":"UNDERARM PAD CRUTCH REPLACEMENT EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0895","CodeVersion":"2020","CustomName":"INJECTION DEFEROXAMINE MESYLATE 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9516","CodeVersion":"2020","CustomName":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"9861","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0947","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Complex Medical Equipment - Ancillary"},{"ServiceGroup":"107734","CodeType":"DRG","Code":"805","CodeVersion":"2020","CustomName":"SIMULTANEOUS KIDNEY AND PANCREAS TRANSPLANT-NYDRG"},{"ServiceGroup":"87307","CodeType":"DRG","Code":"270","CodeVersion":"2020","CustomName":"Other skin, subcutaneous tissue, and breast procedures without CC"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"185","CodeVersion":"2020","CustomName":"Dental and oral disease except extractions and restorations, age greater than 17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1128F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86583","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0582F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0494T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92546","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107320","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112112","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0214U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1555","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6461","CodeVersion":"2020","CustomName":"SYN RSRB STR PAD SZ >16 SI BUT<\/= 48 SI NO A B E"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3450","CodeVersion":"2020","CustomName":"ROOT AMPUTATION - PER ROOT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1320","CodeVersion":"2020","CustomName":"INJECTION AMITRIPTYLINE HCL UP TO 20 MG"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2698","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE STRANDED NOS PER SOURCE"},{"ServiceGroup":"73742","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3911","CodeVersion":"2020","CustomName":"INTRAORIFICE BARRIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2381","CodeVersion":"2020","CustomName":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2013","CodeVersion":"2020","CustomName":"PSYCHIATRIC HEALTH FACILITY SERVICE PER DIEM"},{"ServiceGroup":"65284","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0978","CodeVersion":"2020","CustomName":"WHLCHAIR ACSS PSTN BELT\/SFTY BELT\/PELV STRAP EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5225","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2915","CodeVersion":"2020","CustomName":"RECEMENT CAST OR PREFABRICATED POST AND CORE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1573","CodeVersion":"2020","CustomName":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9530","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9299","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8513","CodeVersion":"2020","CustomName":"CLEANING DEVC USED W\/TRACHEOESOPH VOICE PROS PIP"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0703","CodeVersion":"2020","CustomName":"2-D O\/F PHOTO IMG OBTD INTRAORL\/EO-IMG CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4148","CodeVersion":"2020","CustomName":"NEOX CORD 1K NEOX CORD RT\/CLARIX CORD 1K-SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3220","CodeVersion":"2020","CustomName":"TX PULPOT-CORONL DENTNOCEMENTL JUNC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4171","CodeVersion":"2020","CustomName":"INTERFYL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5585","CodeVersion":"2020","CustomName":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2625","CodeVersion":"2020","CustomName":"STENT NON-CORONARY TEMPORARY W\/DELIVERY SYSTEM"},{"ServiceGroup":"102261","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"63488","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"62098","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"9838","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"14651","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"12694","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"187","CodeVersion":"2020","CustomName":"Dental extractions and restorations"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"902","CodeVersion":"2020","CustomName":"Wound Debridements for Injuries with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.42","CodeVersion":"2017","CustomName":"OTHER SPINAL TRACTION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0260T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46766","CodeType":"CPT","Code":"90804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90799","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28286","CodeType":"CPT","Code":"99602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0301T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0334U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0340T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72","CodeVersion":"2017","CustomName":"FORCEPS VACUUM AND BREECH DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.01","CodeVersion":"2017","CustomName":"INCISION OF INTRACRANIAL VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.62","CodeVersion":"2017","CustomName":"OTHER EXCISION OF OTHER VESSELS OF HEAD AND NECK"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79867","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28227","CodeType":"ICD9P","Code":"36","CodeVersion":"2017","CustomName":"OPERATIONS ON VESSELS OF HEART"},{"ServiceGroup":"90478","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0090","CodeVersion":"2020","CustomName":"SILDENAFIL CITRATE 25 MG"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8695","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATTERY W\/IMPL NEUROSTIM REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8560","CodeVersion":"2020","CustomName":"ETOPOSIDE ORAL 50 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9271","CodeVersion":"2020","CustomName":"INJECTION PEMBROLIZUMAB 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9313","CodeVersion":"2020","CustomName":"INJECTION MOXETUMOMAB PASUDOTOX-TDFK 0.01 MG"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1560","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3202","CodeVersion":"2020","CustomName":"ORTHOPED SHOE OXFORD W\/SUPINATOR\/PRONATOR CHILD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5267","CodeVersion":"2020","CustomName":"HEARING AID\/ALD\/SUPP\/ACCESS NOT OTHERWISE SPEC"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1784","CodeVersion":"2020","CustomName":"OCULAR DEVICE INTRAOPERATIVE DETACHED RETINA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0320","CodeVersion":"2020","CustomName":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9012","CodeVersion":"2020","CustomName":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D2391","CodeVersion":"2020","CustomName":"RESIN COMPOS - 1 SURFACE POSTERIOR"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"106712","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4480F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0491","CodeVersion":"2020","CustomName":"INJECTION ANIFROLUMAB-FNIA 1 MG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3498F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0579T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0730T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0332U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0071T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0177","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9165","CodeVersion":"2020","CustomName":"INJECTION DIETHYLSTILBESTROL DIPHOSPHATE 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0291","CodeVersion":"2020","CustomName":"INJECTION PLAZOMICIN 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0888","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B9006","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION INFUSION PUMP STATIONARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0232","CodeVersion":"2020","CustomName":"WOUND WARMING WOUND COVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0215","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; PER MILE"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2151","CodeVersion":"2020","CustomName":"DOC PT DX DEGEN NEURO CND DX ANY TM EPIS CARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0604","CodeVersion":"2020","CustomName":"CINACALCET ORAL 1 MG"},{"ServiceGroup":"103947","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"68662","CodeType":"HCPCS","Code":"J0885","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9360","CodeVersion":"2020","CustomName":"INJECTION VINBLASTINE SULFATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9811","CodeVersion":"2020","CustomName":"PATIENT NOT ACHV PDC AL 75% ASTHMA CONTROL MED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9212","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFACON-1 RECOMBINANT 1 MCG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0042","CodeVersion":"2020","CustomName":"REFERRAL PHYS OCCUP SPEECH\/ RECREATIONAL THERAPY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101743","CodeType":"CPT","Code":"90460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5321","CodeVersion":"2020","CustomName":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1499","CodeVersion":"2020","CustomName":"SPINAL ORTHOSIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1112","CodeVersion":"2020","CustomName":"DOC PT DX DEG NEURO COND ALS\/PARKINSON'S DX TM E"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"113846","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8854","CodeVersion":"2020","CustomName":"DOCUMENTATION REASON NOT OBJ MSR ADHERENCE CPAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1060","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS THORACIC PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0500","CodeVersion":"2020","CustomName":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"35558","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"34923","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"68193","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0843","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"29607","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.9","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ASSISTING DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74","CodeVersion":"2017","CustomName":"CESAREAN SECTION AND REMOVAL OF FETUS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3219F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"70.71","CodeVersion":"2017","CustomName":"SUTURE OF LACERATION OF VAGINA"},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103970","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5020","CodeVersion":"2020","CustomName":"PART FT MOLDED SOCKET TIB TUBERCLE HT W\/TOE FIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3473","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - MOLAR"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"37706","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0634","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOT SAGIT-COR CNTRL RIGD POST CUSTOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1452","CodeVersion":"2020","CustomName":"INJECTION FOMIVIRSEN SODIUM INTRAOCULAR 1.65 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0492","CodeVersion":"2020","CustomName":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7899","CodeVersion":"2020","CustomName":"UNSPECIFIED TMD THERAPY BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2020","CodeVersion":"2020","CustomName":"INJECTION LINEZOLID 200 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7046","CodeVersion":"2020","CustomName":"WATR CHAMB HUMDIFIR USED W\/POS ARWAY PRSS DEVC R"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0637","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P PREFAB"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0083","CodeVersion":"2020","CustomName":"CHEMO ADMIN OTH THAN INFUS TECH ONLY PER VISIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3358","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2219","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3753F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9501","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q12 HRS DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2510","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR QUADRI-LAT BRIM MOLD PT"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5286","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM\/DM RECEIVR"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1295","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; FIX FULL ARMS ELEV LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2920","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 40 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5257","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL BTE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3031","CodeVersion":"2020","CustomName":"FOOT INSRT\/PLAT REMV ADD LW EXT ORTHOF HI STRGTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1030","CodeVersion":"2020","CustomName":"CONT NONINVASIVE GLU MONITORING DEVICE PURCHASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9978","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 10 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8498","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG RECTAL\/SUPPOSITORY NOS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1940","CodeVersion":"2020","CustomName":"INJECTION FUROSEMIDE UP TO 20 MG"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0690","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"40222","CodeType":"REV","Code":"692","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - HOURLY CHARGE"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"109234","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79699","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16289","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28624","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30031","CodeType":"ICD9P","Code":"37.23","CodeVersion":"2017","CustomName":"COMBINED RIGHT&LEFT HEART CARD CATHETERIZATION"},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0072A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91892","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0050U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7502","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 100 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9295","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2622","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE NON-INFLATABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1610","CodeVersion":"2020","CustomName":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG"},{"ServiceGroup":"94781","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9056","CodeVersion":"2020","CustomName":"COMA STIMULATION PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0443","CodeVersion":"2020","CustomName":"PORTABLE O2 CONTENTS GASEOUS 1 MO SUPPLY=1 UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9107","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5312","CodeVersion":"2020","CustomName":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5626","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9735","CodeVersion":"2020","CustomName":"PT UNABL COMPL SHOULDER FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9286","CodeVersion":"2020","CustomName":"ABX REGIMEN PRSC W\/I 10 DA AFTER ONSET SX"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9354","CodeVersion":"2020","CustomName":"ACELLULAR PERICARDIAL TISS MATRIX NONHUMAN SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6605","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7352","CodeVersion":"2020","CustomName":"AFAMELANOTIDE IMPLANT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9687","CodeVersion":"2020","CustomName":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4253","CodeVersion":"2020","CustomName":"ZENITH AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0398","CodeVersion":"2020","CustomName":"HST W\/TYPE II PRTBLE MON UNATTENDED MIN 7 CH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9776","CodeVersion":"2020","CustomName":"DOC M RSN NO RCV AL 2 PRO PHRM ANTI-EMTC DIF CLS"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0105","CodeVersion":"2020","CustomName":"CANE QUAD\/3-PRONG ALL MATL ADJUSTBL\/FIX W\/TIPS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9452","CodeVersion":"2020","CustomName":"NUTRITION CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9275","CodeVersion":"2020","CustomName":"HOME GLUCOSE DISPBL MONITOR INCLUDES TEST STRIPS"},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0065","CodeVersion":"2020","CustomName":"SPOKE PROTECTORS EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0012","CodeVersion":"2020","CustomName":"LIGHTWEIGHT PORTABLE MOTORIZED\/POWER WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3900","CodeVersion":"2020","CustomName":"WHFO DYN FLEXOR HINGE WRST\/FNGR DRIVEN CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3030","CodeVersion":"2020","CustomName":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2009","CodeVersion":"2020","CustomName":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9002","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE MAINTENANCE RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0135","CodeVersion":"2020","CustomName":"WALKER FOLDING ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"33825","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"12119","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"58433","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0185","CodeVersion":"2020","CustomName":"Leave Of Absence - Nursing Home (for Hospitalization)"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"656","CodeVersion":"2020","CustomName":"Kidney and Ureter Procedures for Neoplasm with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4190F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0728T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0289U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0123U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9462","CodeVersion":"2020","CustomName":"INJECTION DELAFLOXACIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3208","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH INFANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9285","CodeVersion":"2020","CustomName":"INVERSION\/EVERSION CORRECTION DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9110","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA;T3-4&\/N1-3 M0 NO PROGRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1817","CodeVersion":"2020","CustomName":"SEPTAL DEFECT IMPLANT SYSTEM INTRACARDIAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4234","CodeVersion":"2020","CustomName":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6070","CodeVersion":"2020","CustomName":"ABUT RETN PORCLN METL FPD BASE METL"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5502","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0148","CodeVersion":"2020","CustomName":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG"},{"ServiceGroup":"9053","CodeType":"ICD10P","Code":"0D1687A","CodeVersion":"2020","CustomName":"BYPASS STOMACH JEJUNUM AUTO TISS NAT\/ART OP ENDO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3330","CodeVersion":"2020","CustomName":"LIFT ELEVATION METAL EXTENSION"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0605","CodeVersion":"2020","CustomName":"ANTIBODY TST FOR A PH REL PATHOGEN INCL COV"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0638","CodeVersion":"2020","CustomName":"INJECTION CANAKINUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3431","CodeVersion":"2020","CustomName":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2410","CodeVersion":"2020","CustomName":"INJECTION OXYMORPHONE HCL UP TO 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8451","CodeVersion":"2020","CustomName":"BETA-BLOCKER TX LVEF <40% NOT PRSCR RSN DOC CLIN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9126","CodeVersion":"2020","CustomName":"ONC; CML HEMATOLOGIC CYTOGENIC\/MOLECULAR REMISS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9612","CodeVersion":"2020","CustomName":"PHOTODOCUM 2\/MORE CECAL LANDMARK EST COMPL EXAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0320","CodeVersion":"2020","CustomName":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0405","CodeVersion":"2020","CustomName":"ECG RTN ECG W\/12 LEADS INTERPR & REPORT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0209","CodeVersion":"2020","CustomName":"WHEELCHAIR VAN MILEAGE PER MILE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7999","CodeVersion":"2020","CustomName":"UNSPECIFIED ORAL SURGERY PROCEDURE BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0178","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6884","CodeVersion":"2020","CustomName":"REPL SOCKET ABOVE ELBOW\/ELBOW DISART MOLD TO PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6782","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 CAST NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2086","CodeVersion":"2020","CustomName":"OFF-BASED TX OPIOID USE D\/O; AL 70 MIN 1ST CA MO"},{"ServiceGroup":"12834","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"9526","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0840","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0603","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply >4 LPM"},{"ServiceGroup":"12918","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"737","CodeVersion":"2020","CustomName":"VENTRICULAR SHUNT REVISION-NYDRG"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"501","CodeVersion":"2020","CustomName":"Knee procedure with principal diagnosis of infection with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2024F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4554F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29428","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"88.52","CodeVersion":"2017","CustomName":"ANGIOCARDIOGRAPHY OF RIGHT HEART STRUCTURES"},{"ServiceGroup":"46414","CodeType":"CPT","Code":"90857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88760","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0074A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2641","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED PALLADIUM-103 PER SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1403","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4009","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9405","CodeVersion":"2020","CustomName":"PATIENT RECEIVED F\/U WITHIN 7 DAYS AFTER D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9100","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6655","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7181","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII A-SUBUNIT PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4230","CodeVersion":"2020","CustomName":"ANAT CROWN EXP-4\/>CONT TEETH\/BND TT SPACES QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0080","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT-MILE-VEH VOLUN W\/NO VESTED INT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5672","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE REMV MED BRIM SUSP"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2054","CodeVersion":"2020","CustomName":"LM >=110 MIL AUTOL ANTI-CD19 CAR-POS VIABL TC"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"42976","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3291F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0210","CodeVersion":"2020","CustomName":"INJECTION METHYLDOPATE HCL UP TO 250 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9949","CodeVersion":"2020","CustomName":"LEG PAIN NOT MEASURED BY THE VAS AT 3 MO POSTOP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2202","CodeVersion":"2020","CustomName":"PT DID NOT RECV BRF CNSL ID UH ALC USR NO RSN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0122","CodeVersion":"2020","CustomName":"INJECTION ERAVACYCLINE 1 MG"},{"ServiceGroup":"45967","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"17083","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"582","CodeVersion":"2020","CustomName":"INJURIES EXCEPT MULTIPLE TRAUMA W MAJOR CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"564","CodeVersion":"2020","CustomName":"Headaches, Age Greater than 17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.62","CodeVersion":"2017","CustomName":"REPR CURRNT OBSTETRIC LAC RECT&SPHNCTR ANI"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38909","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83901","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35558","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107052","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0513T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99467","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0354U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104735","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69688","CodeType":"CPT","Code":"93619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2760","CodeVersion":"2020","CustomName":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0572","CodeVersion":"2020","CustomName":"AROSL COMPRS ADJSTBL PRSS LGHT DUTY INTERMIT USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9907","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV TOBACCO CESSNT INTERVENTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6116","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2170","CodeVersion":"2020","CustomName":"PERQ AVF DIR SITE TISS APP TR E&SEC PROC RDR BF"},{"ServiceGroup":"93919","CodeType":"HCPCS","Code":"H0017","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH; RES W\/O ROOM&BOARD PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8422","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0850","CodeVersion":"2020","CustomName":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0145","CodeVersion":"2020","CustomName":"ORAL EVAL PT UND 3 YR AGE CNSL W\/PRIM CAREGIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0890","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2014","CodeVersion":"2020","CustomName":"SKILLS TRAINING AND DEVELOPMENT PER 15 MINUTES"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8509","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0642","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1600","CodeVersion":"2020","CustomName":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4112","CodeVersion":"2020","CustomName":"CYMETRA INJECTABLE 1 CC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7321","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV HYALGAN\/SUPARTZ IA INJ PER DOSE"},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8040","CodeVersion":"2020","CustomName":"LTD ORTHODONTIC TX ADULT DENTITION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6026","CodeVersion":"2020","CustomName":"TRANSCARPAL\/MC\/PART HAND DISARTICULATION PROS"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8846","CodeVersion":"2020","CustomName":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1006","CodeVersion":"2020","CustomName":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9012","CodeVersion":"2020","CustomName":"OTHER SPECIFIED CASE MANAGEMENT SERVICE NEC"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1788","CodeVersion":"2020","CustomName":"PORT INDWELLING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3070","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT NONREMV ATTCH SHOE LNGTUDNL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0410","CodeVersion":"2020","CustomName":"POUNDS OF OXYGEN PER LB CHAR"},{"ServiceGroup":"12791","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"26228","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"3987","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"73610","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"43284","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"91754","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"70050","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0382","CodeVersion":"2020","CustomName":"Blood and Blood Components - Whole Blood"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0300T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0093A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.17","CodeVersion":"2017","CustomName":"ABDOMINAL-CORONARY ARTERY BYPASS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"0238T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"958","CodeType":"ICD9P","Code":"96.71","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT < 96 CONSECUTIVE HOURS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77485","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0658T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.01","CodeVersion":"2017","CustomName":"INDUCTION LABOR ARTIFICIAL RUPTURE MEMBRANES"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0233U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3573F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0071U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3450","CodeVersion":"2020","CustomName":"HEEL SACH CUSHION TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1007","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT TILT&RECLINE MECH SHEAR RDUC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9277","CodeVersion":"2020","CustomName":"TRANSMITTER; EXT INTERSTITIAL CONT GLU MON SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9341","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9990","CodeVersion":"2020","CustomName":"CERTI TRANSL\/SIGN-LANG SERVICES PER VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1024","CodeVersion":"2020","CustomName":"EVAL&TX TEAM PROV CARE MX\/SEV HANDICAP CHLD PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9353","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0410","CodeVersion":"2020","CustomName":"GRP PSYCHOTX NOT MX FAM GRP PART HOS 45-50 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0028","CodeVersion":"2020","CustomName":"ALCOHL&\/RX PREV PROB ID&REF SRVC NOT W\/ASSESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9529","CodeVersion":"2020","CustomName":"PT MIN BLUNT HEAD TRAUMA APPROP INDICAT HEAD CT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9306","CodeVersion":"2020","CustomName":"INJECTION PERTUZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9382","CodeVersion":"2020","CustomName":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1015","CodeVersion":"2020","CustomName":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5646","CodeVersion":"2020","CustomName":"ADD LOW EXT BELOW KNEE AIR FL GEL\/= CUSHN SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2410","CodeVersion":"2020","CustomName":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS\/PLASTC LNS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9776","CodeVersion":"2020","CustomName":"IO NEAR-INFR FLUOR IMAG MAJ EXTRA-HEP BILE DUCT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1058","CodeVersion":"2020","CustomName":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0130","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7999","CodeVersion":"2020","CustomName":"UNSPECIFIED ORAL SURGERY PROCEDURE BY REPORT"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5213","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/BTE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3950","CodeVersion":"2020","CustomName":"CANAL PREP&FIT PREFORMED DOWEL\/POST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9285","CodeVersion":"2020","CustomName":"INJECTION OLARATUMAB 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0840","CodeVersion":"2020","CustomName":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0477","CodeVersion":"2020","CustomName":"PWR MODULE PT CABLE ELEC\/PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6641","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2502","CodeVersion":"2020","CustomName":"SPCH GEN DEVC DIGTIZD>8 MINS <= 20 MINS REC TIME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4273","CodeVersion":"2020","CustomName":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"96059","CodeType":"HCPCS","Code":"C1754","CodeVersion":"2020","CustomName":"CATHETER INTRADISCAL"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5172","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9465","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT"},{"ServiceGroup":"20012","CodeType":"ICD10P","Code":"0TY10Z0","CodeVersion":"2020","CustomName":"TRANSPLANTATION LT KIDNEY ALLOGENEIC OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4418","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOS; W\/O BARRIER ATTCH W\/FILTER EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9782","CodeVersion":"2020","CustomName":"HISTORY OF\/ACTV DX FAMILIAL HYPERCHOLESTEROLEMIA"},{"ServiceGroup":"22408","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"22408","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"50842","CodeType":"REV","Code":"692","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - HOURLY CHARGE"},{"ServiceGroup":"9840","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0940","CodeVersion":"2020","CustomName":"Other Therapeutic Services - General Classification"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0609","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Other"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"618","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MAJOR PROB-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98577","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106669","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0218U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38705","CodeType":"ICD9P","Code":"37.33","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OPN APPRCH"},{"ServiceGroup":"108692","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4195F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0256U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107056","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.51","CodeVersion":"2017","CustomName":"PART BREECH EXTRAC W\/FORCEPS AFTERCOMING HEAD"},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.38","CodeVersion":"2017","CustomName":"FETAL PULSE OXIMETRY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97463","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0141U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0464T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104739","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13621","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0064U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0535F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90998","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46104","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4255F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8499","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8301","CodeVersion":"2020","CustomName":"INFECTION CONTROL SUPPLIES NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6407","CodeVersion":"2020","CustomName":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4559","CodeVersion":"2020","CustomName":"COUPLING GEL\/PASTE USE W\/US DEVICE PER OZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7012","CodeVersion":"2020","CustomName":"WATER COLLEC DEV USE W\/LG VOL NEB"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1900","CodeVersion":"2020","CustomName":"LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9812","CodeVersion":"2020","CustomName":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5050","CodeVersion":"2020","CustomName":"ANKLE SYMES MOLDED SOCKET SACH FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0145","CodeVersion":"2020","CustomName":"ORAL EVAL PT UND 3 YR AGE CNSL W\/PRIM CAREGIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5940","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4765","CodeVersion":"2020","CustomName":"DIALYSATE CONC POWDER ADD PERITON DIALYSIS-PCKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4277","CodeVersion":"2020","CustomName":"FREE SFT TSS GFT PROC 1ST T\/EDNTULS T PSTN GFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4981","CodeVersion":"2020","CustomName":"INSRTION LEVONORGESTREL-RELEASING INTRAUTERN SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4082","CodeVersion":"2020","CustomName":"DRUG OR BIOLOGICAL NOC PART B DRUG CAP"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2796","CodeVersion":"2020","CustomName":"INJECTION ROMIPLOSTIM 10 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4351","CodeVersion":"2020","CustomName":"INTERMIT URIN CATH; STRAIGHT TIP W\/WO COAT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2342","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20\/21 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6087","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - NOBLE ALLOYS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15878","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3902","CodeVersion":"2020","CustomName":"BALLISTOCARDIOGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6223","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O SALINE\/HYDRGEL >16 <\/=48 SQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9979","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 20 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7620","CodeVersion":"2020","CustomName":"MAXILLA-CLOSED REDUCTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1627","CodeVersion":"2020","CustomName":"INJECTION GRANISETRON EXTENDED-RELEASE 0.1 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2275","CodeVersion":"2020","CustomName":"ADD LW EXTRM VARUS\/VULGUS CORR PLSTC MOD PADD\/LN"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0982","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - OUTPATIENT SERVICES"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0849","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Other Outpatient CAPD"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3763F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.86","CodeVersion":"2017","CustomName":"REPLCMT PACEMAKER W\/SNGL CHAMBR-RATE RESPONS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3072F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0498T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.51","CodeVersion":"2017","CustomName":"PART BREECH EXTRAC W\/FORCEPS AFTERCOMING HEAD"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104111","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0180T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3300","CodeVersion":"2020","CustomName":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5810","CodeVersion":"2020","CustomName":"INTERIM COMPLETE DENTURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9970","CodeVersion":"2020","CustomName":"HEALTH CLUB MEMBERSHIP ANNUAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4375","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/FCEPLATE ATTCH PLSTC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0065","CodeVersion":"2020","CustomName":"SPOKE PROTECTORS EACH"},{"ServiceGroup":"68662","CodeType":"HCPCS","Code":"J0840","CodeVersion":"2020","CustomName":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4774","CodeVersion":"2020","CustomName":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7190","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0810","CodeVersion":"2020","CustomName":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2278","CodeVersion":"2020","CustomName":"INJECTION ZICONOTIDE 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5312","CodeVersion":"2020","CustomName":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9176","CodeVersion":"2020","CustomName":"INJECTION ELOTUZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9898","CodeVersion":"2020","CustomName":"PT 66\/> INSTITUTIONAL SNP\/RESID LTC >90 DA MSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6205","CodeVersion":"2020","CustomName":"PONTIC INDIRECT RESIN BASED COMPOS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86234","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9465","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM DIETITIAN VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2952","CodeVersion":"2020","CustomName":"POST AND CORE ADDITION TO CROWN INDIRECTLY FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0329","CodeVersion":"2020","CustomName":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1190","CodeVersion":"2020","CustomName":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0189","CodeVersion":"2020","CustomName":"TESTOSTERONE PELLET 75 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4360","CodeVersion":"2020","CustomName":"DISPSBL EXT URETHRAL CLAMP\/COMP DEV PAD POUCH EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1110","CodeVersion":"2020","CustomName":"PROPHYLAXIS - ADULT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5552","CodeVersion":"2020","CustomName":"INSULIN INTERMEDIATE ACTING; 5 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0394","CodeVersion":"2020","CustomName":"ALS SPECIALIZED SERVICE DISPBL SPL; IV DRUG TX"},{"ServiceGroup":"13715","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"12787","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"17075","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"66561","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"12683","CodeType":"REV","Code":"0904","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Activity Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"948","CodeVersion":"2020","CustomName":"Signs and Symptoms without MCC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"594","CodeVersion":"2020","CustomName":"Skin Ulcers without CC\/MCC"},{"ServiceGroup":"90004","CodeType":"DRG","Code":"274","CodeVersion":"2020","CustomName":"Malignant breast disorders with CC"},{"ServiceGroup":"64916","CodeType":"DRG","Code":"929","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury without CC\/MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90356","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4165F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80533","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6102F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0083U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0572T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0586T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89948","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106063","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0104","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; FLEXSIG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2150","CodeVersion":"2020","CustomName":"INJECTION MANNITOL 25% IN 50 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4736","CodeVersion":"2020","CustomName":"TOPICAL ANESTHETIC FOR DIALYSIS PER GRAM"},{"ServiceGroup":"88261","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9460","CodeVersion":"2020","CustomName":"TOBACCO ASMT\/CESS INTERVEN NOT PRFR RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4490","CodeVersion":"2020","CustomName":"SURGICAL STOCKING ABOVE KNEE LENGTH EACH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8567","CodeVersion":"2020","CustomName":"PT NO VERIFICATION & DOC SUDDEN HEARING LOSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9507","CodeVersion":"2020","CustomName":"FR FRZ P HT COVID-19 CONV FRZ WI 8 HRS COLL EA U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1040","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LUMBAR IDIO\/CONG SCOLIOSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3350","CodeVersion":"2020","CustomName":"INJECTION UREA UP TO 40 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5105","CodeVersion":"2020","CustomName":"DAY CARE SRVC CENTER-BASED; SRVC NOT W\/PROGM FEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9916","CodeVersion":"2020","CustomName":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9307","CodeVersion":"2020","CustomName":"INJECTION PRALATREXATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9011","CodeVersion":"2020","CustomName":"COORD CARE FEE RISK ADJ MAINTENANCE LEVEL 5"},{"ServiceGroup":"61516","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3365","CodeVersion":"2020","CustomName":"INJECTION IV UROKINASE 250000 IU VIAL"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.3","CodeVersion":"2017","CustomName":"HIGH FORCEPS OPERATION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8070","CodeVersion":"2020","CustomName":"COMP ORTHODONT TX TRNSITNL DENTITN"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"78377","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"3212","CodeType":"REV","Code":"0802","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"22529","CodeType":"REV","Code":"0931","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Half Day"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94904","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0328U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"ICD9P","Code":"00.66","CodeVersion":"2017","CustomName":"PERQ TRANSLUMINAL CORONARY ANGIOPLASTY PTCA"},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62294","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0287T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0529F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0118U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83960","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0642T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1228","CodeVersion":"2020","CustomName":"SPECIAL BACK HEIGHT FOR WHEELCHAIR"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"43955","CodeType":"HCPCS","Code":"T1030","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7852","CodeVersion":"2020","CustomName":"DISC REPAIR"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9358","CodeVersion":"2020","CustomName":"DERM SUBST NAT NONDNTR COL FET BOV PER 0.5 SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1220","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8501","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SPEAKING VALVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5200","CodeVersion":"2020","CustomName":"DISPENSING FEE CONTRALATERAL MONAURAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0135","CodeVersion":"2020","CustomName":"WALKER FOLDING ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0001","CodeVersion":"2020","CustomName":"STANDARD WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2783","CodeVersion":"2020","CustomName":"CROWN - 3\/4 PORCELAIN\/CERAMIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2522","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS"},{"ServiceGroup":"87967","CodeType":"ICD10P","Code":"0DB63Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH PERCUTANEOUS APPROACH VERTICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2400","CodeVersion":"2020","CustomName":"REPR CONGN DIAPHRAGMAT HERN FETUS PROC IN UTERO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2112","CodeVersion":"2020","CustomName":"PT RECV <=5 MG DA PDN\/RA ACT WORSE\/GCC <6 MO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0571","CodeVersion":"2020","CustomName":"BUPRENORPHINE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1764","CodeVersion":"2020","CustomName":"EVENT RECORDER CARDIAC"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0307","CodeVersion":"2020","CustomName":"Laboratory - Urology"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"17100","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"977","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"804","CodeVersion":"2020","CustomName":"AUTILOGOUS BONE MARROW TRANSPLANT-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102959","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.62","CodeVersion":"2017","CustomName":"INSERTION TEMP NON-IMPLANTABLE ECC ASSIST DEVICE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0234T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22661","CodeType":"ICD9P","Code":"36.04","CodeVersion":"2017","CustomName":"INTRACORONARY ARTERY THROMBOLYTIC INFUSION"},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0121U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0248U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0302T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.9","CodeVersion":"2017","CustomName":"RESPIRATORY THERAPY"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1504F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5245","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9761","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0607","CodeVersion":"2020","CustomName":"REPL BATTRY AUTO EXT DEFIB GARMNT TYPE ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9064","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE II NO DZ PROGRESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8681","CodeVersion":"2020","CustomName":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7018","CodeVersion":"2020","CustomName":"H2O DIST USE W\/LG VOL NEB 1000 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1364","CodeVersion":"2020","CustomName":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4389","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE W\/BARR W\/BUILT-IN CONVXITY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7301","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG"},{"ServiceGroup":"72941","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0884","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO &=300 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1840","CodeVersion":"2020","CustomName":"DYN ADJUSTBL SHLDR FLX\/ABDCT\/ROT DEVC SFT MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4890","CodeVersion":"2020","CustomName":"CONTRACTS REPAIR&MAINTENANCE HEMODIAL EQUIPMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0850","CodeVersion":"2020","CustomName":"INJECTION CYTOMEGALOVIRUS IMMUNE GLOB IV-VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4133","CodeVersion":"2020","CustomName":"GRAFIX PRM GRAFIXPL PRM STRAVIX & STRAVIXPL P SC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2720","CodeVersion":"2020","CustomName":"CROWN - RESIN WITH HIGH NOBLE METAL"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2621","CodeVersion":"2020","CustomName":"PACEMAKER OTHER THAN SINGLE OR DUAL CHAMBER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2353","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2365","CodeVersion":"2020","CustomName":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"45945","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0276","CodeVersion":"2020","CustomName":"PILD\/PLACEBO CONTROL CLIN TR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5630","CodeVersion":"2020","CustomName":"REPAIR OR REPLACE BROKEN CLASP - PER TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3580","CodeVersion":"2020","CustomName":"ORTHOPED SHOE ADD CONVERT INSTEP VELCRO CLOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9059","CodeVersion":"2020","CustomName":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2313","CodeVersion":"2020","CustomName":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7040","CodeVersion":"2020","CustomName":"PREHENSILE ACTUATOR SWITCH CONTROLLED"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4199","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB > 100 GMS PPAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1170","CodeVersion":"2020","CustomName":"INJECTION HYDROMORPHONE UP TO 4 MG"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0015","CodeVersion":"2020","CustomName":"ALCOHL&\/RX SRVC;INTENSV OP;CRISIS INTRVN&ACTV TX"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"17365","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"84721","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"33262","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4058F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.89","CodeVersion":"2017","CustomName":"REHABILITATION NOT ELSEWHERE CLASSIFIED"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.22","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION WITH EXTRACTION"},{"ServiceGroup":"115056","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4013F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"7010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4167F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91631","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3323F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"16025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0689T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32551","CodeType":"ICD9P","Code":"54.21","CodeVersion":"2017","CustomName":"LAPAROSCOPY"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0394T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9034","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9454","CodeVersion":"2020","CustomName":"1-TIME SCR HCV INF NOT RECV WI 12 MO RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1228","CodeVersion":"2020","CustomName":"SPECIAL BACK HEIGHT FOR WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7871","CodeVersion":"2020","CustomName":"NON-ARTHROSCOPIC LYSIS AND LAVAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1780","CodeVersion":"2020","CustomName":"LENS INTRAOCULAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9621","CodeVersion":"2020","CustomName":"PATIENT ID UNHLTHY ALCOHOL USER SCR & BRF COUNS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1455","CodeVersion":"2020","CustomName":"INJECTION FOSCARNET SODIUM PER 1000 MG"},{"ServiceGroup":"40222","CodeType":"REV","Code":"948","CodeVersion":"2020","CustomName":"OTHER THERAPEUTIC SERVICES-PULMONARY REHABILITATION"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"87305","CodeType":"DRG","Code":"268","CodeVersion":"2020","CustomName":"Skin, subcutaneous tissue, and breast plastic procedures"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"007","CodeVersion":"2020","CustomName":"Peripheral and cranial nerve and other nervous system procedures with CC"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"79678","CodeType":"DRG","Code":"003","CodeVersion":"2020","CustomName":"Craniotomy, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93078","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0017U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91858","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3388F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4188F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0248T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93339","CodeType":"CPT","Code":"97804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16703","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44885","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8869","CodeVersion":"2020","CustomName":"PATIENT HAS DOC IMMUN HEP B & INIT ANTI-TNF TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0178","CodeVersion":"2020","CustomName":"LOMUSTINE ORAL 10 MG"},{"ServiceGroup":"83542","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9614","CodeVersion":"2020","CustomName":"PHOTODOCUMENTATION <2 CECAL LSMK EST COMPLETE EX"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9040","CodeVersion":"2020","CustomName":"INJECTION BLEOMYCIN SULFATE 15 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9510","CodeVersion":"2020","CustomName":"ADLT PT 18\/>MD NO REM 12 MO DEM 12 MO PHQ-9 <5"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9000","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9039","CodeVersion":"2020","CustomName":"INJECTION BLINATUMOMAB 1 MICROGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0130","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4618","CodeVersion":"2020","CustomName":"BREATHING CIRCUITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2208","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 2.12-4.00D CYL-EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0498","CodeVersion":"2020","CustomName":"HOLSTER FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5273","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE USE W\/COCHLEAR IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4722","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>1999<\/=2999CC PERITON DIALYS"},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.8","CodeVersion":"2017","CustomName":"OTHER SPECIFIED INSTRUMENTAL DELIVERY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0055","CodeVersion":"2020","CustomName":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9627","CodeVersion":"2020","CustomName":"DID NOT SUST BLAD INJ SRG\/NOR DSCV SUBSQ UP 30PS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H1001","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC; ANTPRTM MGMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9471","CodeVersion":"2020","CustomName":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED\/DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1070","CodeVersion":"2020","CustomName":"PATIENT NOT SCREENED FUT FALL RISK RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8049","CodeVersion":"2020","CustomName":"REP\/MOD MAXLOFCE PROSTH LABR EA 15 MIN NON-MD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4208","CodeVersion":"2020","CustomName":"NOVAFIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2999","CodeVersion":"2020","CustomName":"LOWER EXTREMITY ORTHOSES NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0330","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - General Classification"},{"ServiceGroup":"70381","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"14320","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"45882","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"20071","CodeType":"DRG","Code":"946","CodeVersion":"2020","CustomName":"Rehabilitation without CC\/MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3758F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108443","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87059","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11227","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"113615","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0304U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0017U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5645","CodeVersion":"2020","CustomName":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2405","CodeVersion":"2020","CustomName":"REPR SACROCOC TERATOMA FETUS IN UTERO"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9277","CodeVersion":"2020","CustomName":"TRANSMITTER; EXT INTERSTITIAL CONT GLU MON SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2212","CodeVersion":"2020","CustomName":"INJECTION METHYLNALTREXONE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2599","CodeVersion":"2020","CustomName":"CONTACT LENS OTHER TYPE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1953","CodeVersion":"2020","CustomName":"INJECTION LEVETIRACETAM 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4342","CodeVersion":"2020","CustomName":"PRDONTAL SCAL&ROOT PLAN 1-3 TEETH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1773","CodeVersion":"2020","CustomName":"RETRIEVAL DEVICE INSERTABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7186","CodeVersion":"2020","CustomName":"INJ AHF\/ VWF CMPLX PER FACTOR VIIII IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1100","CodeVersion":"2020","CustomName":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5180","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0713","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME PER 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9281","CodeVersion":"2020","CustomName":"REACHING\/GRABBING DEVICE ANY TYPE ANY LENGTH EA"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6451","CodeVersion":"2020","CustomName":"MOD COMPRS BANDGE LOAD RESIST WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4416","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED W\/BARRIER ATTCH W\/FILTER EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7192","CodeVersion":"2020","CustomName":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"603","CodeVersion":"2020","CustomName":"NEONATE, BIRTHWT UNDER 750G, DIED-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"008","CodeVersion":"2020","CustomName":"Peripheral and cranial nerve and other nervous system procedures without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.53","CodeVersion":"2017","CustomName":"TOTAL BREECH EXTRAC W\/FORCEPS AFTERCOMING HEAD"},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83901","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.6","CodeVersion":"2017","CustomName":"REPAIR ATRIAL&VENTRICULAR SEPTA W\/TISSUE GRAFT"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34871","CodeType":"ICD9P","Code":"11.6","CodeVersion":"2017","CustomName":"CORNEAL TRANSPLANT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84908","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.90","CodeVersion":"2017","CustomName":"NON-INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3218F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0064U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107062","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62259","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0281U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107657","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90425","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0850","CodeVersion":"2020","CustomName":"TRACTION STAND FREESTANDING CERVICAL TRACTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2306","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER OVR 6.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C5272","CodeVersion":"2020","CustomName":"APPL SG TRNK ARMS LEGS AREA 100 CM; EA ADD 25 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9215","CodeVersion":"2020","CustomName":"LOCAL ANESTHESIA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9001","CodeVersion":"2020","CustomName":"ASSESSMENT BY CHAPLAIN SERVICES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9055","CodeVersion":"2020","CustomName":"PLT LEUKOCYTES RDUC CMV-NEG APHERES\/PHERES EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1439","CodeVersion":"2020","CustomName":"INJECTION FERRIC CARBOXYMALTOSE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7658","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1031","CodeVersion":"2020","CustomName":"ROLLABOUT CHAIR ANY&ALL TYPES W\/CASTERS 5 IN\/GT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5638","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7521","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE CUFFD PVC SILICONE\/= EA"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9787","CodeVersion":"2020","CustomName":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9763","CodeVersion":"2020","CustomName":"PT DID NOT HAVE 2\/3 HPV VACC ON\/BTW 9 & 13 BD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9702","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0140","CodeVersion":"2020","CustomName":"WALKER W\/TRUNK SUPPORT ADJUSTBLE\/FIX HT ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1009","CodeVersion":"2020","CustomName":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1085","CodeVersion":"2020","CustomName":"HEMI-WHLCHAIR; FIX FULL ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9204","CodeVersion":"2020","CustomName":"INJECTION MOGAMULIZUMAB-KPKC 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98468","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1825","CodeVersion":"2020","CustomName":"DYN ADJUSTBL FNGR EXT\/FLX DEVC W\/SFT INTRFCE MAT"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3357","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1429","CodeVersion":"2020","CustomName":"INJECTION GOLODIRSEN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9471","CodeVersion":"2020","CustomName":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED\/DOC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0641","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG"},{"ServiceGroup":"91754","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0999","CodeVersion":"2020","CustomName":"Patient Convenience Items - Other Convenience Items"},{"ServiceGroup":"17073","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"9494","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"42871","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0522","CodeVersion":"2020","CustomName":"FREE-STANDING CLINIC - HOME VISIT BY RHC\/FQHC PRACTITIONER"},{"ServiceGroup":"42870","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"139","CodeVersion":"2020","CustomName":"Cardiac arrhythmia and conduction disorders without CC"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88358","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0059T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.73","CodeVersion":"2017","CustomName":"INITIAL INSERTION TRANSVENOUS LEAD INTO ATRIUM"},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3294F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3331F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63460","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0516T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0063A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69685","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101411","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0284U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0092T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9600","CodeVersion":"2020","CustomName":"INJECTION PORFIMER SODIUM 75 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4330","CodeVersion":"2020","CustomName":"PERIANAL FECAL COLLECTION POUCH W\/ADHESIVE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3330","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY MOLAR TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"84122","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0260","CodeVersion":"2020","CustomName":"HISTORY AND PHYSICAL RELATED TO SURGICAL PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5063","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; USE BARRIER W\/FLANGE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7472","CodeVersion":"2020","CustomName":"REMOVAL OF TORUS PALATINUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8920","CodeVersion":"2020","CustomName":"MRA WITHOUT CONTRAST FOLLOWED W\/CONTRAST PELVIS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2320","CodeVersion":"2020","CustomName":"INJECTION NANDROLONE DECANOATE UP TO 50 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9325","CodeVersion":"2020","CustomName":"HIT PAIN MANAGEMENT INFUSION; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9594","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7297","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3740","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/CUFF ADJ LOCK W\/ACTV CNTRL CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9425","CodeVersion":"2020","CustomName":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4370","CodeVersion":"2020","CustomName":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J7650","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL THRU DME UNIT DOSE PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5510","CodeVersion":"2020","CustomName":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W\/O HEAT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9606","CodeVersion":"2020","CustomName":"PERQ TL REV AC TOTAL\/SUBTOTAL OCCLUSION 1 VES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9633","CodeVersion":"2020","CustomName":"PT NOT SUSTN URETER INJ SX\/DISC 30D POST SRG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8833","CodeVersion":"2020","CustomName":"PATIENT NOT D\/C HOME POSTOP DAY #2 FOLLOW EVAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9711","CodeVersion":"2020","CustomName":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY\/CRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5511","CodeVersion":"2020","CustomName":"REPAIR BROKEN COMPLETE DENTURE BASE MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2785","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4258","CodeVersion":"2020","CustomName":"ENVERSE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6024","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q3027","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 1 MCG IM USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2626","CodeVersion":"2020","CustomName":"REDUCTION OF OCULAR PROSTHESIS"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0974","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - NUCLEAR"},{"ServiceGroup":"33828","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"33625","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"69679","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"847","CodeVersion":"2020","CustomName":"Chemotherapy without Acute Leukemia as Secondary Diagnosis with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"599","CodeVersion":"2020","CustomName":"Malignant Breast Disorders without CC\/MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93018","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67279","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"5005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1121","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0030T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93217","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14654","CodeType":"ICD10P","Code":"0SW93JZ","CodeVersion":"2020","CustomName":"REVISION SYNTH SUBST RT HIP JOINT PERQ APPRCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9260","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1114","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C EARL DT ME DOC MED REC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1634","CodeVersion":"2020","CustomName":"PERITONEAL DIALYSIS CLAMPS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4771","CodeVersion":"2020","CustomName":"SERUM CLOTTING TIME TUBE FOR DIALYSIS PER 50"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4534","CodeVersion":"2020","CustomName":"YOUTH-SIZED INCONT PRODUCT BRF EA"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5272","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVICE TDD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9395","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC >9 DID NOT ACHV REMISSION 12 MO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2017","CodeVersion":"2020","CustomName":"PSYCHOSOCIAL REHAB SERVICES PER 15 MUNUTES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1455","CodeVersion":"2020","CustomName":"INJECTION FOSCARNET SODIUM PER 1000 MG"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1401","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2094","CodeVersion":"2020","CustomName":"DOC PT REASON NO PRSC ACE INHIB\/ARB\/ARNI THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9435","CodeVersion":"2020","CustomName":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"74614","CodeType":"HCPCS","Code":"H0035","CodeVersion":"2020","CustomName":"MENTAL HEALTH PARTIAL HOSP TX < 24 HOURS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4160","CodeVersion":"2020","CustomName":"NUSHIELD PER SQUARE CENTIMETER"},{"ServiceGroup":"10543","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2770","CodeVersion":"2020","CustomName":"INJECTION QUINUPRISTIN\/DALFOPRISTIN 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2780","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST HIGH NOBLE METAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3090","CodeVersion":"2020","CustomName":"INJECTION TEDIZOLID PHOSPHATE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0608","CodeVersion":"2020","CustomName":"REPLACEMENT GARMENT USE W\/AUTO EXTERNAL DEFIB EA"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H1000","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ASSESSMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3364","CodeVersion":"2020","CustomName":"INJECTION UROKINASE 5000 IU VIAL"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1887","CodeVersion":"2020","CustomName":"CATHETER GUIDING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1054","CodeVersion":"2020","CustomName":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9961","CodeVersion":"2020","CustomName":"DUPLICATE\/COPY PATIENT'S RECORDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0106","CodeVersion":"2020","CustomName":"BUPROPION HCI SUSTAINED RLSE TAB 150 MG 60 TABS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4928","CodeVersion":"2020","CustomName":"SURGICAL MASK PER 20"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9262","CodeVersion":"2020","CustomName":"INJECTION OMACETAXINE MEPESUCCINATE 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2067","CodeVersion":"2020","CustomName":"BRST RECON 1 BRST DIEP FLAP(S)&\/GAP FLAP(S) UNI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1844","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C5278","CodeVersion":"2020","CustomName":"APP SG F\/N\/HF\/G A >\/=100 CM;EA ADD 100 CM\/1% CHL"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0844","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"65421","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"50903","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0117U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107085","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33764","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3755F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"958","CodeType":"ICD9P","Code":"96.70","CodeVersion":"2017","CustomName":"CONT INVASIVE MECHANICAL VENT UNSP DURATION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0537T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74662","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0994","CodeVersion":"2020","CustomName":"ARMREST EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0242","CodeVersion":"2020","CustomName":"BATHTUB RAIL FLOOR BASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9706","CodeVersion":"2020","CustomName":"LOW RISK OF RECURRENCE PROSTATE CANCER"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4283","CodeVersion":"2020","CustomName":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9509","CodeVersion":"2020","CustomName":"ADULT 18 YR\/OLDER MD\/DYSTHYMIA REMISS AT 12 MO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0153","CodeVersion":"2020","CustomName":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7044","CodeVersion":"2020","CustomName":"ORAL INTERFACE USED W\/POS ARWAY PRESS DEVICE EA"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8031","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS SILICONE\/EQUAL W\/NTEGRAL ADHES"},{"ServiceGroup":"106596","CodeType":"HCPCS","Code":"V5245","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC"},{"ServiceGroup":"104923","CodeType":"HCPCS","Code":"C1753","CodeVersion":"2020","CustomName":"CATHETER INTRAVASCULAR ULTRASOUND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7505","CodeVersion":"2020","CustomName":"HOUSING REUSABL W\/O ADHES EXCHG SYS&\/ VALV EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9332","CodeVersion":"2020","CustomName":"INJ EFGARTIGIMOD ALFA-FCAB 2MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0002","CodeVersion":"2020","CustomName":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8543","CodeVersion":"2020","CustomName":"DOC POS FCN ASMT STD T;PLN NOT DOC RSN NOT GVN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105286","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2100","CodeVersion":"2020","CustomName":"BLD GLU MONITOR W\/INTEGRATED VOICE SYNTHESIZER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4222","CodeVersion":"2020","CustomName":"INFUS SPL EXT RX INFUS PUMP CASSETTE\/BAG"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0730T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.1","CodeVersion":"2017","CustomName":"LOW FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53962","CodeType":"ICD10P","Code":"0FY00Z1","CodeVersion":"2020","CustomName":"TRANSPLANTATION OF LIVER SYNGENEIC OPEN APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8032","CodeVersion":"2020","CustomName":"NIPPLE PROSTHESIS PREFAB REUSABLE ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6026","CodeVersion":"2020","CustomName":"TRANSCARPAL\/MC\/PART HAND DISARTICULATION PROS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7032","CodeVersion":"2020","CustomName":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7608","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9139","CodeVersion":"2020","CustomName":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1831","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH TOE DEVICE"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0669","CodeVersion":"2020","CustomName":"WC ACCESS WC SEAT\/BACK CUSHION NO DME PDAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6252","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS >16 <\/=48 SQ W\/O ADHES BORDR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7200","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX RIXUBIS PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2188","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: NEW\/CHG HA ABV 50 YOA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4673","CodeVersion":"2020","CustomName":"EXT LINE W\/EASY LOCK CONNECTORS USED W\/DIALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9449","CodeVersion":"2020","CustomName":"WEIGHT MANAGEMENT CLASSES NON-PHYS PER SESSION"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0436","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8701","CodeVersion":"2020","CustomName":"REPAIR OF FIXED RETAINER INCL REATTACHMENT - MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3030","CodeVersion":"2020","CustomName":"INJECTION SUMATRIPTAN SUCCINATE 6 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9313","CodeVersion":"2020","CustomName":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74.0","CodeVersion":"2017","CustomName":"CLASSICAL CESAREAN SECTION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1980","CodeVersion":"2020","CustomName":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0277","CodeVersion":"2020","CustomName":"VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6648","CodeVersion":"2020","CustomName":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9004","CodeVersion":"2020","CustomName":"DEPART VETERANS AFFAIR WHOLE HEALTH PARTNER SERV"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2171","CodeVersion":"2020","CustomName":"PERQ AVF DIR ANY SITE MAG-GD ART&V CATH & RF E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1752","CodeVersion":"2020","CustomName":"CATHETER HEMODIALYSIS SHORT-TERM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"58463","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0306","CodeVersion":"2020","CustomName":"Laboratory - Bacteriology & MICROBIOLOGY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"33266","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"88427","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0412","CodeVersion":"2020","CustomName":"Respiratory Services - Inhalation Services"},{"ServiceGroup":"701","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"848","CodeVersion":"2020","CustomName":"Chemotherapy without Acute Leukemia as Secondary Diagnosis without CC\/MCC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"493","CodeVersion":"2020","CustomName":"Laparoscopic cholecystectomy without common duct exploration with CC"},{"ServiceGroup":"26692","CodeType":"DRG","Code":"026","CodeVersion":"2020","CustomName":"Seizure and headache, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83901","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0122U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0336T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3395F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9310","CodeVersion":"2020","CustomName":"CONSULT DX SERV DENT\/PHY NOT REQUESTING DENT\/PHY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1610","CodeVersion":"2020","CustomName":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0634","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOT SAGIT-COR CNTRL RIGD POST CUSTOM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7179","CodeVersion":"2020","CustomName":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9300","CodeVersion":"2020","CustomName":"EXERCISE EQUIPMENT"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4300","CodeVersion":"2020","CustomName":"IMPLANTABLE ACCESS CATHETER EXTERNAL ACCESS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0710","CodeVersion":"2020","CustomName":"INJECTION CEPHAPIRIN SODIUM UP TO 1 G"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3400","CodeVersion":"2020","CustomName":"INJECTION TRIFLUPROMAZINE HCL UP TO 20 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7295","CodeVersion":"2020","CustomName":"ETHINYL ESTRAD&ETONOG 0.015 0.12MG\/24H M VAG RNG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5668","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4380","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/FACEPLATE ATTCH RUBBER EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9682","CodeVersion":"2020","CustomName":"ONSITE AC TX NSG FAC RES W\/SKN INF BILL SID-BNEF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0861","CodeVersion":"2020","CustomName":"ADD HALO PROC REPLCMT LINER\/INTERFCE MATERIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8135","CodeVersion":"2020","CustomName":"PT NOT DOC RECV AB PROP 1HR TO INCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9405","CodeVersion":"2020","CustomName":"PATIENT RECEIVED F\/U WITHIN 7 DAYS AFTER D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2755","CodeVersion":"2020","CustomName":"U-V LENS PER LENS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0243","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 2400 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0897","CodeVersion":"2020","CustomName":"INJECTION DENOSUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3364","CodeVersion":"2020","CustomName":"INJECTION UROKINASE 5000 IU VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6590","CodeVersion":"2020","CustomName":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0638","CodeVersion":"2020","CustomName":"INJECTION CANAKINUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2060","CodeVersion":"2020","CustomName":"INJECTION LORAZEPAM 2 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2400","CodeVersion":"2020","CustomName":"INJECTION CHLOROPROCAINE HCL PER 30 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4015","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7295","CodeVersion":"2020","CustomName":"ETHINYL ESTRAD&ETONOG 0.015 0.12MG\/24H M VAG RNG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8427","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE READY MADE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9794","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT ON A DAILY ASPIRIN\/OTH AP"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"12496","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"12119","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"104337","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0699","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - OTHER PRE-HOSPICE\/PALLIATIVE CARE SERVICES"},{"ServiceGroup":"73360","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0307","CodeVersion":"2020","CustomName":"Laboratory - Urology"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0854","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"36968","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0641","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Non-Routine Nursing, Central Line\""},{"ServiceGroup":"61637","CodeType":"REV","Code":"0919","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Other Behavioral Health Treatments"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"372","CodeVersion":"2020","CustomName":"Vaginal delivery with complicating diagnoses"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98568","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"54670","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91593","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.98","CodeVersion":"2017","CustomName":"REPLACEMENT AUTO CARDIOVERT\/DEFIB PULSE GEN ONLY"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0403T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.79","CodeVersion":"2017","CustomName":"OTHER VACUUM EXTRACTION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0354T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0503T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46889","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96781","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82760","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4260","CodeVersion":"2020","CustomName":"SIGNATURE APATCH PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2410","CodeVersion":"2020","CustomName":"GOLD FOIL - ONE SURFACE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0476","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9280","CodeVersion":"2020","CustomName":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3610","CodeVersion":"2020","CustomName":"TRNSF ORTHOS ONE SHOE TO ANOTHER CALIP PLATE NEW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9188","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY NOT PRSC REASON NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6610","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST HIGH NOBLE METAL 2 SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5410","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPL RIGD DRESS W\/EA ADD CAST CHG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0182","CodeVersion":"2020","CustomName":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1781","CodeVersion":"2020","CustomName":"MESH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0135","CodeVersion":"2020","CustomName":"INJECTION ADALIMUMAB 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5718","CodeVersion":"2020","CustomName":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3956","CodeVersion":"2020","CustomName":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4055","CodeVersion":"2020","CustomName":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6217","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL >16 <\/=48 SQ W\/O ADHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2260","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3101","CodeVersion":"2020","CustomName":"INJECTION TENECTEPLASE 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1823","CodeVersion":"2020","CustomName":"INJECTION INEBILIZUMAB-CDON 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"107695","CodeType":"HCPCS","Code":"G0342","CodeVersion":"2020","CustomName":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH&INFUS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8700","CodeVersion":"2020","CustomName":"TEMOZOLOMIDE ORAL 5 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91581","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0745","CodeVersion":"2020","CustomName":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6200","CodeVersion":"2020","CustomName":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM"},{"ServiceGroup":"74933","CodeType":"HCPCS","Code":"S5130","CodeVersion":"2020","CustomName":"HOMEMAKER SERVICE NOS; PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0160","CodeVersion":"2020","CustomName":"SITZ TYPE BATH\/EQP PRTBLE USED W\/WO COMMODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6247","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD > 48 SQ ADHES BORDR"},{"ServiceGroup":"115049","CodeType":"REV","Code":"0932","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Full Day"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"68846","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"881","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV 96+ HRS -NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73980","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3288F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93962","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0693T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.51","CodeVersion":"2017","CustomName":"CLIPPING OF ANEURYSM"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106713","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0729T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8010","CodeVersion":"2020","CustomName":"LTD ORTHODONT TX PRIMARY DENTITION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1020","CodeVersion":"2020","CustomName":"PERSONAL CARE SERVICES PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0439","CodeVersion":"2020","CustomName":"ANNUAL WELLNESS VST; PERSONALIZED PPS SUBSQT VST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1851","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9309","CodeVersion":"2020","CustomName":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4022","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"52245","CodeType":"HCPCS","Code":"H0015","CodeVersion":"2020","CustomName":"ALCOHL&\/RX SRVC;INTENSV OP;CRISIS INTRVN&ACTV TX"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1738","CodeVersion":"2020","CustomName":"INJECTION MELOXICAM 1 MG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1352","CodeVersion":"2020","CustomName":"OXYGEN ACC FLOW REG CPBL POS INSPIRATORY PRESS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1020","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9968","CodeVersion":"2020","CustomName":"PT REFERRED ANR PROV\/SPEC DUR PRFRM PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4624","CodeVersion":"2020","CustomName":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5654","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"103899","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8046","CodeVersion":"2020","CustomName":"PARTIAL FACIAL PROSTHESIS PROVIDED NON-PHYSICIAN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2205","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0273","CodeVersion":"2020","CustomName":"BED BOARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0830","CodeVersion":"2020","CustomName":"AMBULATORY TRACTION DEVICE ALL TYPES EACH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6698","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB LOCK MECH EXCL SCKT INSRT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8501","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SPEAKING VALVE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9338","CodeVersion":"2020","CustomName":"HIT IMMUOTHAPY; CARE COORDINATION PER DIEM"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"73605","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"9444","CodeType":"REV","Code":"0541","CodeVersion":"2020","CustomName":"Ambulance - Supplies"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0671","CodeVersion":"2020","CustomName":"Outpatient Special Residence Charges - Hospital Owned"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0218T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0535T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0253T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101741","CodeType":"CPT","Code":"90473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104119","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0259U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3372F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0257","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5140","CodeVersion":"2020","CustomName":"FOSTER CARE ADULT; PER DIEM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4197","CodeVersion":"2020","CustomName":"PURAPLY XT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3840","CodeVersion":"2020","CustomName":"DNA ANALYSIS GERMLINE MUTATS RET PROTO-ONCOGENE"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9217","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE 7.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0075","CodeVersion":"2020","CustomName":"CELLULAR THERAPY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9299","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4755","CodeVersion":"2020","CustomName":"BLOOD TUBING ART&VENOUS COMBINED HEMODIALYSIS EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0179","CodeVersion":"2020","CustomName":"INJECTION BROLUCIZUMAB-DBLL 1 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9281","CodeVersion":"2020","CustomName":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0178","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0744","CodeVersion":"2020","CustomName":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5875","CodeVersion":"2020","CustomName":"MOD REMV PROSTH FOLLOW IMPL SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0605","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0120","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; ALT G0105 COLNSCPY BA ENEMA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4022","CodeVersion":"2020","CustomName":"ASSISTED OOCYTE FERTILIZATION CASE RATE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7328","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0973","CodeVersion":"2020","CustomName":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5103","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-DYYB BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9481","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 10 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7501","CodeVersion":"2020","CustomName":"AZATHIOPRINE PARENTERAL100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0415","CodeVersion":"2020","CustomName":"COLLECT MICROORAGNISMS CULT & SENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7520","CodeVersion":"2020","CustomName":"I&D ABSC EXTRAORAL SOFT TISS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6450","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH >\/= 5 IN PER YARD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78665","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1451","CodeVersion":"2020","CustomName":"INJECTION FOMEPIZOLE 15 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2009","CodeVersion":"2020","CustomName":"INJ FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT"},{"ServiceGroup":"46729","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4248","CodeVersion":"2020","CustomName":"CHLORHEXIDINE CONTAINING ANTISEPTIC 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1180","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1825","CodeVersion":"2020","CustomName":"GEN NEUROSTIM NONRCHRGBL W\/CAR SIN BR STIM LEAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2067","CodeVersion":"2020","CustomName":"MEDICATION ASSISSTED TX METHADONE; WEEKLY BUNDLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0596","CodeVersion":"2020","CustomName":"PHAKIC INTRAOCULAR LENS CORRECT REFRACTIVE ERROR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9092","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA;T1-3 N1-2 M0 NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8515","CodeVersion":"2020","CustomName":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4624","CodeVersion":"2020","CustomName":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0920","CodeVersion":"2020","CustomName":"Other Diagnostic Services - General Classification"},{"ServiceGroup":"48003","CodeType":"REV","Code":"0569","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Other Med. Social Service"},{"ServiceGroup":"43502","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"73656","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"33264","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"074","CodeVersion":"2020","CustomName":"Other ear, nose, mouth and throat diagnoses, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"805","CodeVersion":"2020","CustomName":"SIMULTANEOUS KIDNEY AND PANCREAS TRANSPLANT-NYDRG"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7644","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL NON-CP U DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0984","CodeVersion":"2020","CustomName":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC"},{"ServiceGroup":"84161","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"100950","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"24806","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"12163","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"977","CodeType":"REV","Code":"0333","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Radiation Therapy"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37593","CodeType":"ICD9P","Code":"00.92","CodeVersion":"2017","CustomName":"TRANSPLANT FROM LIVE NON-RELATED DONOR"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92193","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4193F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0249U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0081A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23206","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0103U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28624","CodeType":"HCPCS","Code":"J9355","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4246","CodeVersion":"2020","CustomName":"BETADINE OR PHISOHEX SOLUTION PER PINT"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5244","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0829","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY DUTY CAPT CHR PT 601 LBS\/>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3472","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - PREMOLAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0414","CodeVersion":"2020","CustomName":"OPN TX ANT PELV BONE FX &\/ DISLOC UNI\/BIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6706","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9537","CodeVersion":"2020","CustomName":"HOME TX HEMATOPOIETIC HORMONE INJ TX;PER DIEM"},{"ServiceGroup":"75639","CodeType":"HCPCS","Code":"H0008","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0113","CodeVersion":"2020","CustomName":"CRTCH UNDARM WOOD EA ADJSTBL\/FIX PAD TIP&HNDGRIP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2309","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8476","CodeVersion":"2020","CustomName":"MOST RECENT BP SYST <140 MM HG & DIAS <90 MM HG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0623","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOSIS RIGID\/SEMI-RIGID PANL PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4480","CodeVersion":"2020","CustomName":"VABRA ASPIRATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9994","CodeVersion":"2020","CustomName":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7677","CodeVersion":"2020","CustomName":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2062","CodeVersion":"2020","CustomName":"LOXAPINE FOR INHALATION 1 MG"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2007","CodeVersion":"2020","CustomName":"RESTRATA PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1100","CodeVersion":"2020","CustomName":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4049","CodeVersion":"2020","CustomName":"FINGER SPLINT STATIC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1730","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 19\/<"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4649","CodeVersion":"2020","CustomName":"SURGICAL SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5622","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1120","CodeVersion":"2020","CustomName":"PROPHYLAXIS - CHILD"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1699","CodeVersion":"2020","CustomName":"DIALYSIS EQUIPMENT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5561","CodeVersion":"2020","CustomName":"INSULIN DELIVERY DEVICE REUSABLE PEN; 3 ML SIZE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4740","CodeVersion":"2020","CustomName":"SHUNT ACCESSORY HEMODIALYSIS ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5265","CodeVersion":"2020","CustomName":"EAR MOLD\/INSERT DISPOSABLE ANY TYPE"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"75639","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"13641","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"30092","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"32560","CodeType":"DRG","Code":"935","CodeVersion":"2020","CustomName":"Nonextensive Burns"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.31","CodeVersion":"2017","CustomName":"AMNIOSCOPY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90436","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4148F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106714","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3751F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4191F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1121F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89856","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0338T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89950","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0162U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0113U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6550","CodeVersion":"2020","CustomName":"SHLDR DISRTC MOLD SCKT ENDOSKEL W\/SFT PROS TISS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9599","CodeVersion":"2020","CustomName":"AA 6.0 CM\/>MAX DIA CL FRMT CT\/MIN DIA AX FRMT CT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9250","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9768","CodeVersion":"2020","CustomName":"ENDO UG DIR MSR HEP PORTOSYS PRESS GRAD ANY METH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3489","CodeVersion":"2020","CustomName":"INJECTION ZOLEDRONIC ACID 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9437","CodeVersion":"2020","CustomName":"CHILDBRTH REFRESH CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1841","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7873","CodeVersion":"2020","CustomName":"ARTHROSCOPY: LAVAGE AND LYSIS OF ADHESIONS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1562","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN VIVAGLBIN 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3931","CodeVersion":"2020","CustomName":"WHFO PREFABRICATED INCL FITTING & ADJUSTMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7899","CodeVersion":"2020","CustomName":"UNSPECIFIED TMD THERAPY BY REPORT"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0594","CodeVersion":"2020","CustomName":"INJECTION BUSULFAN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9992","CodeVersion":"2020","CustomName":"TRNSPRT COSTS CLIN TRIAL PRTCP & ONE CAREGIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3570","CodeVersion":"2020","CustomName":"LAETRILE AMYGDALIN VITAMIN B17"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9530","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"28623","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9683","CodeVersion":"2020","CustomName":"FAC ONSITE AC TX NSG FAC RES FL\/ELCT DO BILL SID"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4168","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; AMINO ACID 3.5% -HOM MIX"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1071","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE CYPIONATE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2941","CodeVersion":"2020","CustomName":"INTERIM THERAPEUTIC RESTORATION-PRIMARY DENTITN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9061","CodeVersion":"2020","CustomName":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2076","CodeVersion":"2020","CustomName":"INTK ACT INCL INT MED EX CMPL DOC P EVL&INT ASMT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8948","CodeVersion":"2020","CustomName":"APPLIC MODAL 1\/MORE AREAS; LW-LEVL LASR; EA 15 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0079","CodeVersion":"2020","CustomName":"COMPREHENSIVE CARE MGMT HOME VISIT NEW PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1893","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH INTRCARD EP CURVE NOT PEEL-AWAY"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1706","CodeVersion":"2020","CustomName":"ASTRAZENECA COVID-19 VACC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1644","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 1000 UNITS"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0521","CodeVersion":"2020","CustomName":"FREE-STANDING CLINIC - CLINIC VISIT BY MEMBER TO RHC\/FQHC"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"36413","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"36144","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"701","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0985","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EKG"},{"ServiceGroup":"9228","CodeType":"REV","Code":"0412","CodeVersion":"2020","CustomName":"Respiratory Services - Inhalation Services"},{"ServiceGroup":"33793","CodeType":"DRG","Code":"251","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.6","CodeVersion":"2017","CustomName":"REPAIR OF OTHER CURRENT OBSTETRIC LACERATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64795","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34875","CodeType":"ICD9P","Code":"20.98","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT COCHLEAR PROSTH DEVICE MX CHANNEL"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"ICD9P","Code":"92.30","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY NOS"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90366","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91686","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0518T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0059T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8510","CodeVersion":"2020","CustomName":"SCREENING DEPRESSION DOC NEG A F\/U PLAN NOT RQR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6064","CodeVersion":"2020","CustomName":"ABUT SUPP CAST METL CROWN NOBL METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9767","CodeVersion":"2020","CustomName":"REV EVAR LE AA; IV LITHO&TL STNT PLCMT&ATHERECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0630","CodeVersion":"2020","CustomName":"PATIENT LIFT HYDRAULIC\/MECH INCL SEAT SLING\/PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3708","CodeVersion":"2020","CustomName":"GASTROINTESTINAL FAT ABSORPTION STUDY"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4252","CodeVersion":"2020","CustomName":"VENDAJE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0675","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION\/DEFL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1785","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2522","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC BIFOCAL PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4300","CodeVersion":"2020","CustomName":"IMPLANTABLE ACCESS CATHETER EXTERNAL ACCESS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5678","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2100","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9989","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN NOT ADMINIS PNEUMOCOCCAL VACCINE"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J7511","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9100","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; R0 RESECT NO PROGRESSN"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5680","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9065","CodeVersion":"2020","CustomName":"INJECTION CLADRIBINE PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0306","CodeVersion":"2020","CustomName":"COMPLETE CBC AUTOMATED&AUTOMATED WBC DIFF COUNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0366","CodeVersion":"2020","CustomName":"CONE BM CT CAP&INT FD VIEW 1 FULL DENT ARCH-MAX"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.91","CodeVersion":"2017","CustomName":"INTERMITTENT POSITIVE PRESSURE BREATHING"},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6805","CodeVersion":"2020","CustomName":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9400","CodeVersion":"2020","CustomName":"INJECTION ZIV-AFLIBERCEPT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5225","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - FLEXIBLE BASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1002","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH MEDCURRENT DFIND MCR AUC PROG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0172","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1950","CodeVersion":"2020","CustomName":"ANKLE FOOT ORTHOSIS SPIRAL PLASTIC CUSTOM-FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5211","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"30092","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"36727","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16427","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"5100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0129U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"944","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113713","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0186U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.6","CodeVersion":"2017","CustomName":"REPAIR OF OTHER CURRENT OBSTETRIC LACERATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.18","CodeVersion":"2017","CustomName":"ENDARTERECTOMY OF LOWER LIMB ARTERIES"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65402","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8399","CodeVersion":"2020","CustomName":"PATIENT W\/DOC RESULTS CENTRL DXA EVER BEING PERF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9438","CodeVersion":"2020","CustomName":"CESAREAN BIRTH CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8698","CodeVersion":"2020","CustomName":"MISC COMP SPL\/ACCESS FOR USE WITH TOT AH SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9853","CodeVersion":"2020","CustomName":"PATIENT ADM TO ICU IN THE LAST 30 DAYS OF LIFE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9264","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1540","CodeVersion":"2020","CustomName":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7998","CodeVersion":"2020","CustomName":"INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W\/FX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0898","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1452","CodeVersion":"2020","CustomName":"INJECTION FOMIVIRSEN SODIUM INTRAOCULAR 1.65 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0302","CodeVersion":"2020","CustomName":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5580","CodeVersion":"2020","CustomName":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC\/=MOLD MDL"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4148F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0113A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28512","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106768","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3776F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112111","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2200","CodeVersion":"2020","CustomName":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0035","CodeVersion":"2020","CustomName":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0436","CodeVersion":"2020","CustomName":"ROTARY WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1819","CodeVersion":"2020","CustomName":"SURGICAL TISSUE LOCALIZATION AND EXCISION DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8659","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STS CH RSD SC LW BACK IMPR SC=0\/>0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0172","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9880","CodeVersion":"2020","CustomName":"MDPP BNF ACHV AL 5% WL BW MO 1-12 MDPP SP UND EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2794","CodeVersion":"2020","CustomName":"CROWN - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4122","CodeVersion":"2020","CustomName":"DERMACLL DERMACLL AWM\/DERMACLL AWM POROUS P SC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1034","CodeVersion":"2020","CustomName":"PROV COVID-19 TST NP SA & SELF-COLL 1 TST CNT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9145","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG"},{"ServiceGroup":"104745","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5150","CodeVersion":"2020","CustomName":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8785","CodeVersion":"2020","CustomName":"BLOOD PRESSURE READING NOT DOC REASON NOT GIVEN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6641","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3218F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100280","CodeType":"HCPCS","Code":"A7003","CodeVersion":"2020","CustomName":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5728","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN FLUID SWING&STANCE CNTRL"},{"ServiceGroup":"52244","CodeType":"HCPCS","Code":"H0022","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG INTERVENTION SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0508","CodeVersion":"2020","CustomName":"TRIFOCAL VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3010","CodeVersion":"2020","CustomName":"INJECTION FENTANYL CITRATE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2950","CodeVersion":"2020","CustomName":"INJECTION PROMAZINE HCL UP TO 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9958","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECEIVE COMBINATION THERAPY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2278","CodeVersion":"2020","CustomName":"INJECTION ZICONOTIDE 1 MICROGRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6001","CodeVersion":"2020","CustomName":"ULTRASONIC GUID PLACEMENT RADIATION TX FIELDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2312","CodeVersion":"2020","CustomName":"TRIFOCL +\/-7.25-+\/-12.00D SPHER 2.25-4.00D CYL E"},{"ServiceGroup":"87520","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6242","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD 16 SQ\/< NO ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0491","CodeVersion":"2020","CustomName":"EMERG POWER SRC FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0894","CodeVersion":"2020","CustomName":"INJECTION DECITABINE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5200","CodeVersion":"2020","CustomName":"DISPENSING FEE CONTRALATERAL MONAURAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0222","CodeVersion":"2020","CustomName":"INTRAVENOUS INJ BEBTELOVIMAB INC INJ & PA MON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2209","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; 2 ART GFT&1 VENUS GFT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0402","CodeVersion":"2020","CustomName":"Other Imaging Services - Ultrasound"},{"ServiceGroup":"17067","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"38797","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0229U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3351F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.54","CodeVersion":"2017","CustomName":"RE-ENTRY OPERATION"},{"ServiceGroup":"38907","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0415","CodeVersion":"2020","CustomName":"OPN TX POST PELV BONE FX &\/ DISLOC UNI\/BIL"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6975","CodeVersion":"2020","CustomName":"INTERSCAP-THOR OTTO BOCK\/=MYOELEC CNTRL TERM DVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9382","CodeVersion":"2020","CustomName":"PT NOT OFFRD ASST END OF LIFE ISSUES DUR MSR PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1150","CodeVersion":"2020","CustomName":"WHLCHAIR; DTACHBLE ARMS DTACHBLE ELEV LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8923","CodeVersion":"2020","CustomName":"LVEF< 40%\/DOC MOD\/SEV DPRSD LT VENT SYSTOLIC FCN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8435","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3808","CodeVersion":"2020","CustomName":"WRIST HAND FINGER ORTHOSIS RIGID W\/O JNT; CUSTOM"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7473","CodeVersion":"2020","CustomName":"REMOVAL OF TORUS MANDIBULARIS"},{"ServiceGroup":"50903","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0014","CodeVersion":"2020","CustomName":"OTHER MOTORIZED\/POWER WHEELCHAIR BASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0173","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4082","CodeVersion":"2020","CustomName":"DRUG OR BIOLOGICAL NOC PART B DRUG CAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2397","CodeVersion":"2020","CustomName":"POWER WHLCHAIR ACCESSORY LITHIUM-BASED BATTRY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5780","CodeVersion":"2020","CustomName":"ADD EXOSKL KNEE-SHIN PNEUMAT\/HYDRA PNEUMAT CNTRL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3352F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2220","CodeVersion":"2020","CustomName":"BIFOCAL ADD OVER 3.25D"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4206","CodeVersion":"2020","CustomName":"FLUID FLOW OR FLUID GF 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9140","CodeVersion":"2020","CustomName":"DIABETIC MGMT PROGM F\/U VISIT NON-MD PROVIDER"},{"ServiceGroup":"15517","CodeType":"HCPCS","Code":"S9376","CodeVersion":"2020","CustomName":"HIT HYDRATION TX; >2 LITERS NO>3 LITERS DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0190","CodeVersion":"2020","CustomName":"MIFEPRISTONE ORAL 200 MG"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"12124","CodeType":"REV","Code":"0812","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Cadaver Donor"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"28145","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"3448","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0824","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"58462","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"51672","CodeType":"DRG","Code":"286","CodeVersion":"2020","CustomName":"Adrenal and pituitary procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4191F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1504F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.6","CodeVersion":"2017","CustomName":"FORCEPS APPLICATION TO AFTERCOMING HEAD"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14834","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3757F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101742","CodeType":"CPT","Code":"90474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4554F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0044U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50202","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102722","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6900","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE THUMB\/1 FNGR REMAIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4210","CodeVersion":"2020","CustomName":"NEEDLE-FREE INJECTION DEVICE EACH"},{"ServiceGroup":"87963","CodeType":"ICD10P","Code":"0DB63Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH PERCUTANEOUS APPROACH VERTICAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4259","CodeVersion":"2020","CustomName":"CELERA DUAL LAYER\/CELERA DUAL MEMBRANE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9447","CodeVersion":"2020","CustomName":"INFANT SAFETY CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6945","CodeVersion":"2020","CustomName":"ELB DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4013","CodeVersion":"2020","CustomName":"CMPL CYCLE GAMETE INTRAFALLOPIAN TRNSF CASE RATE"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0479","CodeVersion":"2020","CustomName":"TISS INSITU HYBRIDIZATION W\/INTEPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8701","CodeVersion":"2020","CustomName":"REPAIR OF FIXED RETAINER INCL REATTACHMENT - MAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4108","CodeVersion":"2020","CustomName":"INTEGRA MATRIX PER SQ CM"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8514","CodeVersion":"2020","CustomName":"TRACHEOESOPH PUNCTURE DILAT REPLACEMENT ONLY EA"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2597","CodeVersion":"2020","CustomName":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3455","CodeVersion":"2020","CustomName":"HEEL NEW LEATHER STANDARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4635","CodeVersion":"2020","CustomName":"UNDERARM PAD CRUTCH REPLACEMENT EACH"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8661","CodeVersion":"2020","CustomName":"RISK-ADJ F STS CH RSD SC LW BACK IMPR PT NOT APP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0992","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91566","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5F7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION RIGHT LOWER LUNG LOBE NAT\/ARTFICL OP"},{"ServiceGroup":"88264","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4232","CodeVersion":"2020","CustomName":"SYRINGE W\/NDLE EXTERNAL INSULIN PUMP STERILE 3CC"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9000","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2910","CodeVersion":"2020","CustomName":"INJECTION AUROTHIOGLUCOSE UP TO 50 MG"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2929","CodeVersion":"2020","CustomName":"PREFAB PORCELAIN\/CERAMIC CROWN - PRIMARY TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5108","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6407","CodeVersion":"2020","CustomName":"PACK STRIPS NON-IMPREGNTD UP 2 IN WDTH-LINR YARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4550","CodeVersion":"2020","CustomName":"SURGICAL TRAYS"},{"ServiceGroup":"58764","CodeType":"REV","Code":"0513","CodeVersion":"2020","CustomName":"Clinic - Psychiatric Clinic"},{"ServiceGroup":"45966","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"29710","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4009F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91014","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3341F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0668T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0138U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0204T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.96","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REVISION GASTRIC RESTRICTIVE PROC"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0663T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5824","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1530","CodeVersion":"2020","CustomName":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7560","CodeVersion":"2020","CustomName":"MAXIL SINUSOT REMV TOOTH FRAG\/FB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7870","CodeVersion":"2020","CustomName":"ARTHROCENTESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7645","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0840","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0450","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2704","CodeVersion":"2020","CustomName":"INJECTION PROPOFOL 10 MG"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B5200","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL AMINO ACID&CARB STRSS-BR CHAIN"},{"ServiceGroup":"113637","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0426","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"74588","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1742","CodeVersion":"2020","CustomName":"INJ IBUTILIDE FUMARATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6677","CodeVersion":"2020","CustomName":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC&ELB"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2112","CodeVersion":"2020","CustomName":"PT RECV <=5 MG DA PDN\/RA ACT WORSE\/GCC <6 MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0605","CodeVersion":"2020","CustomName":"VAPORIZER ROOM TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3243","CodeVersion":"2020","CustomName":"INJECTION TIGECYCLINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2049","CodeVersion":"2020","CustomName":"NON-EMERG TRNSPRT; STRETCHER VAN MILEAGE; MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9979","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 20 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5190","CodeVersion":"2020","CustomName":"HEARING AID CONTRALATERAL RTE MONAURAL GLASSES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0915","CodeVersion":"2020","CustomName":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG"},{"ServiceGroup":"24808","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"58458","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0985","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EKG"},{"ServiceGroup":"70041","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"17081","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0662","CodeVersion":"2020","CustomName":"Respite Care - Hourly Charge\/Aide\/Homemaker\/Companion"},{"ServiceGroup":"38444","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"76947","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"88420","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"00.53","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT CARD RESYNC PACEMKR PULSE GEN ONLY"},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0129U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0244U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100261","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0704T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0637T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2320","CodeVersion":"2020","CustomName":"INJECTION NANDROLONE DECANOATE UP TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2540","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THI\/WEIGHT BEAR LACER MOLD PT MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6692","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SILCON GEL INSERT\/EQUAL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9395","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC >9 DID NOT ACHV REMISSION 12 MO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0039","CodeVersion":"2020","CustomName":"PATIENT NOT REFERRED REASON NOT OTHERWISE SPEC"},{"ServiceGroup":"44427","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0106","CodeVersion":"2020","CustomName":"BUPROPION HCI SUSTAINED RLSE TAB 150 MG 60 TABS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2051","CodeVersion":"2020","CustomName":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; PD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0190","CodeVersion":"2020","CustomName":"SCREENING OF A PATIENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1094","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE ACETATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0860","CodeVersion":"2020","CustomName":"TRACTION EQUIPMENT OVERDOOR CERVICAL"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3411","CodeVersion":"2020","CustomName":"INJECTION THIAMINE HCL 100 MG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1771","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONTINENCE W\/SLING GRAFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9932","CodeVersion":"2020","CustomName":"DOC PT RSN NOT HAVING REC NEG\/MANAGED POS TB SCR"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9110","CodeVersion":"2020","CustomName":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0990","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9930","CodeVersion":"2020","CustomName":"PATIENTS WHO ARE RECEIVING COMFORT CARE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1096","CodeVersion":"2020","CustomName":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1029","CodeVersion":"2020","CustomName":"ORAL DEVICE\/APPL NM ELEC STIM TONGUE MUSCLE"},{"ServiceGroup":"97506","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9522","CodeVersion":"2020","CustomName":"TOT #ED VISITS & IP=\/>2 PAST 12 MO\/NO SCR NO R"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8834","CodeVersion":"2020","CustomName":"PT D\/C HOME NO LATER POSTOP DAY #2 FOLLOW CEA"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3472","CodeVersion":"2020","CustomName":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7009","CodeVersion":"2020","CustomName":"RESRVOR BOTTLE NON-DISPBL W\/LG VOL US NEBULIZR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7840","CodeVersion":"2020","CustomName":"CONDYLECTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0920","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4563","CodeVersion":"2020","CustomName":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0706","CodeVersion":"2020","CustomName":"INJECTION CAFFEINE CITRATE 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0077","CodeVersion":"2020","CustomName":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2335","CodeVersion":"2020","CustomName":"RSN COMPOS-4\/> SURF\/W\/INCISAL ANG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4163","CodeVersion":"2020","CustomName":"WOUNDEX BIOSKIN PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4565","CodeVersion":"2020","CustomName":"SLINGS"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0690","CodeVersion":"2020","CustomName":"INJECTION CEFAZOLIN SODIUM 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9228","CodeVersion":"2020","CustomName":"CHLAMYDIA GONORRHEA SYPHILIS SCREEN RESULTS DOC"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0223","CodeVersion":"2020","CustomName":"Special Charges - U.R. Service Charge"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"3077","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"12019","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107273","CodeType":"CPT","Code":"15821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112511","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77585","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3278F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0073A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0581F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3378F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0562T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0086U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.48","CodeVersion":"2017","CustomName":"RESECTION OF LOWER LIMB ARTERIES W\/REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0471T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16746","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4161","CodeVersion":"2020","CustomName":"BIO-CONNEKT WOUND MATRIX PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1729","CodeVersion":"2020","CustomName":"CATHETER DRAINAGE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0476","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2026","CodeVersion":"2020","CustomName":"SPECIALIZED CHILDCARE WAIVER; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3320","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL AND SOLE CORK PER INCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9597","CodeVersion":"2020","CustomName":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN"},{"ServiceGroup":"53485","CodeType":"HCPCS","Code":"A4258","CodeVersion":"2020","CustomName":"SPRING-POWERED DEVICE FOR LANCET EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1002","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9295","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9280","CodeVersion":"2020","CustomName":"INJECTION MITOMYCIN 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1050","CodeVersion":"2020","CustomName":"ADDITION TO CTLSO\/SCOLIOSIS ORTHOSIS STERNAL PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0270","CodeVersion":"2020","CustomName":"PHYSICIAN MGT PT HOME CARE STD MONTHLY CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0420","CodeVersion":"2020","CustomName":"AMBULANCE WAITING TIME ONE-HALF HOUR INCREMENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9580","CodeVersion":"2020","CustomName":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN\/LESS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7513","CodeVersion":"2020","CustomName":"DACLIZUMAB PARENTERAL 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2650","CodeVersion":"2020","CustomName":"INJECTION PREDNISOLONE ACETATE UP TO 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2430","CodeVersion":"2020","CustomName":"INJECTION PAMIDRONATE DISODIUM PER 30 MG"},{"ServiceGroup":"104226","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5628","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104621","CodeType":"HCPCS","Code":"T2045","CodeVersion":"2020","CustomName":"HOSPICE GENERAL INPATIENT CARE; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0999","CodeVersion":"2020","CustomName":"UNLISTED AMBULANCE SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9487","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4167","CodeVersion":"2020","CustomName":"TRUSKIN PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5160","CodeVersion":"2020","CustomName":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2507","CodeVersion":"2020","CustomName":"INJECTION PEGLOTICASE 1 MG"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8651","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE =0\/>0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1940","CodeVersion":"2020","CustomName":"INJECTION FUROSEMIDE UP TO 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0013","CodeVersion":"2020","CustomName":"ESKETAMINE NASAL SPRAY 1 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86234","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4179F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2910","CodeVersion":"2020","CustomName":"INJECTION AUROTHIOGLUCOSE UP TO 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9229","CodeVersion":"2020","CustomName":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9085","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6360","CodeVersion":"2020","CustomName":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0183","CodeVersion":"2020","CustomName":"PROCHLORPERAZINE MALEATE ORAL 5MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0171","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6722","CodeVersion":"2020","CustomName":"RETAINER CROWN - RESIN WITH NOBLE METAL"},{"ServiceGroup":"22383","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"42869","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"51322","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"12724","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"30456","CodeType":"REV","Code":"0343","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic Radiopharmaceuticals"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"037","CodeVersion":"2020","CustomName":"Orbital procedures"},{"ServiceGroup":"64916","CodeType":"DRG","Code":"927","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3141F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5992","CodeVersion":"2020","CustomName":"ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0755","CodeVersion":"2020","CustomName":"ELECTRONIC SALIVARY REFLEX STIMULATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1212","CodeVersion":"2020","CustomName":"INJECTION DMSO DIMETHYL SULFOXIDE 50% 50 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1022","CodeVersion":"2020","CustomName":"ADD LE PROS ENDOSK KNEE DISART ABV K HIP DISAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0884","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0596","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U"},{"ServiceGroup":"76094","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3670","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS ACROMIO\/CLAVICULAR PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4360","CodeVersion":"2020","CustomName":"WALKING BOOT PNEUMATC &\/ VACUUM PREFAB CUSTM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5111","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-CBQV BIOSIMILAR 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2024","CodeVersion":"2020","CustomName":"SERVICE ASSESSMENT\/PLAN CARE DEVELOPMENT WAIVER"},{"ServiceGroup":"34390","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5116","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91461","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3388","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0524","CodeVersion":"2020","CustomName":"FREE-STANDING CLINIC - VISIT BY RHC\/FQHC PRACTITIONER TO A MEMBER IN A COVERED PART A STAY AT A SNF OR SKILLED SWING BED IN A \n\nCOVERED PART A STAY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0646","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training, Disabled Patient, Central Line\""},{"ServiceGroup":"30033","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98362","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34872","CodeType":"ICD9P","Code":"13.70","CodeVersion":"2017","CustomName":"INSERTION OF PSEUDOPHAKOS NOS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0574T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0113A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0054A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6198","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GELL DRESS WND PAD > 48 SQ EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4036","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; GRAVITY FED PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1980","CodeVersion":"2020","CustomName":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2002","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7197","CodeVersion":"2020","CustomName":"ANTITHROMBIN III PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2940","CodeVersion":"2020","CustomName":"SEDATIVE FILLING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0516","CodeVersion":"2020","CustomName":"SAFETY EYEGLASS FRAMES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5010","CodeVersion":"2020","CustomName":"ASSESSMENT FOR HEARING AID"},{"ServiceGroup":"68662","CodeType":"HCPCS","Code":"J2354","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ\/IV INJ 25 MCG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9110","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA;T3-4&\/N1-3 M0 NO PROGRS"},{"ServiceGroup":"80919","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5925","CodeVersion":"2020","CustomName":"ADD ENDOSKEL AK-DISARTIC\/HIP DISARTIC MNL LOCK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9933","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV CMPL DENTUR MANDIBULR"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2034","CodeVersion":"2020","CustomName":"FLU VIRUS VAC SPLIT VIRUS INTRAMUSCULAR AGRIFLU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7865","CodeVersion":"2020","CustomName":"ARTHROPLASTY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2777","CodeVersion":"2020","CustomName":"INJECTION FARICIMAB-SVOA 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0147","CodeVersion":"2020","CustomName":"WALKER HEAVY DUTY MX BRAKE SYS VARIBLE WHL RSIST"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4186F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5254","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL CIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4570","CodeVersion":"2020","CustomName":"SPLINTS"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9360","CodeVersion":"2020","CustomName":"INJECTION VINBLASTINE SULFATE 1 MG"},{"ServiceGroup":"70047","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"147","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"8960","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"33789","CodeType":"DRG","Code":"886","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W\/O O.R.PROCEDURE -NYDRG"},{"ServiceGroup":"109976","CodeType":"DRG","Code":"270","CodeVersion":"2020","CustomName":"Other skin, subcutaneous tissue, and breast procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30133","CodeType":"ICD9P","Code":"14.54","CodeVersion":"2017","CustomName":"REPAIR RET DETACH W\/LASER PHOTOCOAGULATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3762F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90816","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0064A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107658","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4158","CodeVersion":"2020","CustomName":"KERECIS OMEGA3 PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3455","CodeVersion":"2020","CustomName":"HEEL NEW LEATHER STANDARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9357","CodeVersion":"2020","CustomName":"INJECTION VALRUBICIN INTRAVESICAL 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5430","CodeVersion":"2020","CustomName":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9332","CodeVersion":"2020","CustomName":"INJ EFGARTIGIMOD ALFA-FCAB 2MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5283","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM NCK LOOP INDUCT RECV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2721","CodeVersion":"2020","CustomName":"CROWN - RESIN W\/PREDOM BASE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9343","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA BOLUS; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1403","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6629","CodeVersion":"2020","CustomName":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5971","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0484","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 PIECE W\/O INTERFCE LINER CSTM"},{"ServiceGroup":"108484","CodeType":"HCPCS","Code":"H0019","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0010","CodeVersion":"2020","CustomName":"STANDARD-WEIGHT FRAME MOTORIZED\/POWER WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"R0076","CodeVersion":"2020","CustomName":"TRANSPORTATION PRTBLE EKG FACL\/LOCATION PER PT"},{"ServiceGroup":"88267","CodeType":"HCPCS","Code":"C1763","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE NON-HUMAN"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8511","CodeVersion":"2020","CustomName":"INSRT INDWLL TRACHEOESOPH PROS W\/WO VALV REPLCMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6214","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD SZ > 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7511","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1190","CodeVersion":"2020","CustomName":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9746","CodeVersion":"2020","CustomName":"PT HAS MS\/PROS HEART VLV\/PT TSNT\/R CAUSE OF AF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9786","CodeVersion":"2020","CustomName":"PA RPRT CBC CSC NOT SNT PTH BX CLIN RVW W\/I 7 D"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2202","CodeVersion":"2020","CustomName":"PT DID NOT RECV BRF CNSL ID UH ALC USR NO RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6245","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD 16 SQ\/< ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4152","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6601","CodeVersion":"2020","CustomName":"RETAINER INLAY - PORCELAIN\/CERAMIC 3\/MORE SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0776","CodeVersion":"2020","CustomName":"IV POLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4249","CodeVersion":"2020","CustomName":"AMNIPLY FOR TOPICAL USE ONLY PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4225","CodeVersion":"2020","CustomName":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0081","CodeVersion":"2020","CustomName":"INFUS TX USING OTH THAN CHEMOTHERAPEUTC RX VISIT"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"537","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"16617","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"36663","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"69021","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0323","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Arteriography"},{"ServiceGroup":"31931","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"12724","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4194F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3754F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0500T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0470T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0163T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0295","CodeVersion":"2020","CustomName":"INJECTION AMPCLLN SODIUM\/SULBACTAM SODIUM-1.5 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4554","CodeVersion":"2020","CustomName":"DISPOSABLE UNDERPADS ALL SIZES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0640","CodeVersion":"2020","CustomName":"INJECTION LEUCOVORIN CALCIUM PER 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7920","CodeVersion":"2020","CustomName":"SKIN GRAFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1426","CodeVersion":"2020","CustomName":"INJECTION CASIMERSEN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4281","CodeVersion":"2020","CustomName":"TUBING FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"97506","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0022","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG INTERVENTION SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2010","CodeVersion":"2020","CustomName":"COMPREHENSIVE MEDICATION SERVICES PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2510","CodeVersion":"2020","CustomName":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8270","CodeVersion":"2020","CustomName":"ENURESIS ALARM AUDITORY BUZZER &\/ VIBRATION DEVC"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5707","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1394","CodeVersion":"2020","CustomName":"OXYGEN CONCENTRATOR, EQUIVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1012","CodeVersion":"2020","CustomName":"ALCOHOL&\/SUBSTANCE ABS SERVICES SKILLS DVLP"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5668","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9032","CodeVersion":"2020","CustomName":"PLATELETS IRRADIATED EACH UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0952","CodeVersion":"2020","CustomName":"TOE LOOP\/HOLDER ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5848","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9360","CodeVersion":"2020","CustomName":"INJECTION VINBLASTINE SULFATE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47545","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9050","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS VST; WRKUP EVAL\/STAG@TM DX\/RECUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8922","CodeVersion":"2020","CustomName":"TTE W\/CONTRAST OR W\/O FLW W\/CONTRAST; F\/U OR LTD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6600","CodeVersion":"2020","CustomName":"RETAINER INLAY - PORCELAIN\/CERAMIC TWO SURFACES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7600","CodeVersion":"2020","CustomName":"PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9435","CodeVersion":"2020","CustomName":"MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM"},{"ServiceGroup":"104226","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5955","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTHESIS DEFINITIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7402","CodeVersion":"2020","CustomName":"ADD UP EXT PROS SD\/INTRSCAPULR THOR ULTRALT MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6793","CodeVersion":"2020","CustomName":"INTRM RET CRWN-FUR TX\/CMPL DX NEC B4 FINL IMPRSS"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0679","CodeVersion":"2020","CustomName":"Outpatient Special Residence Charges - Other Special Residence Charges"},{"ServiceGroup":"1942","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"180","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0543","CodeVersion":"2020","CustomName":"Ambulance - Heart Mobile"},{"ServiceGroup":"11659","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"17067","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"413","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0235U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80533","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.15","CodeVersion":"2017","CustomName":"SINGLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17542","CodeType":"CPT","Code":"93619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0110T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8043","CodeVersion":"2020","CustomName":"UPPER FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0428","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5916","CodeVersion":"2020","CustomName":"OCULAR PROSTHESIS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2997","CodeVersion":"2020","CustomName":"INJECTION ALTEPLASE RECOMBINANT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6620","CodeVersion":"2020","CustomName":"UPPER EXT ADD FLEX\/EXT WRIST UNIT W\/WO FRICTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0980","CodeVersion":"2020","CustomName":"SAFETY VEST WHEELCHAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9724","CodeVersion":"2020","CustomName":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2930","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 125 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4204","CodeVersion":"2020","CustomName":"XWRAP PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0144","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG THIN LAY SCR AUTO UND PHYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9213","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9740","CodeVersion":"2020","CustomName":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 4\/> IMPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0885","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1240","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LUMBAR DEROTATION PAD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9216","CodeVersion":"2020","CustomName":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6697","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB CSTM NOT CNGN\/TRAUM AMP INIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3902","CodeVersion":"2020","CustomName":"BALLISTOCARDIOGRAM"},{"ServiceGroup":"22402","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"21818","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"13268","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"28146","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"51263","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"438","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"077","CodeVersion":"2020","CustomName":"Other respiratory system operating room procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28624","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31377","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79867","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102726","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38818","CodeType":"ICD9P","Code":"17.43","CodeVersion":"2017","CustomName":"PERCUTANEOUS ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2250","CodeVersion":"2020","CustomName":"INJECTION MIDAZOLAM HCL PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5706","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0733","CodeVersion":"2020","CustomName":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7473","CodeVersion":"2020","CustomName":"REMOVAL OF TORUS MANDIBULARIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4156","CodeVersion":"2020","CustomName":"NEOX 100 OR CLARIX 100 PER SQUARE CM"},{"ServiceGroup":"87965","CodeType":"ICD10P","Code":"0DB67Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH VIA NAT ARTIF OPENING VERTICAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3315","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN PAMOATE 3.75 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4167","CodeVersion":"2020","CustomName":"TRUSKIN PER SQ CM"},{"ServiceGroup":"10517","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1428","CodeVersion":"2020","CustomName":"INJECTION ETEPLIRSEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0440","CodeVersion":"2020","CustomName":"STATION LQD O2 SYS PURCH;RESRVOR HUMIDFR NEBULZR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0138","CodeVersion":"2020","CustomName":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5248","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL CIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0307","CodeVersion":"2020","CustomName":"COMPLETE CBC AUTOMATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9054","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3120","CodeVersion":"2020","CustomName":"PULP CAP - INDIRECT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D7240","CodeVersion":"2020","CustomName":"REMOVAL IMPACTED TOOTH - CMPL BONY"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5010","CodeVersion":"2020","CustomName":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W\/TOE FILLER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2530","CodeVersion":"2020","CustomName":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0291","CodeVersion":"2020","CustomName":"INJECTION PLAZOMICIN 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2040","CodeVersion":"2020","CustomName":"FINANCIAL MGMT SELF-DIRECTED WAIVER; PER 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0631","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3050","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMOVABLE PREMOLDED MT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2383","CodeVersion":"2020","CustomName":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5125","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM-AYOW BIOSIMILAR 1 MCG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"65421","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0185","CodeVersion":"2020","CustomName":"Leave Of Absence - Nursing Home (for Hospitalization)"},{"ServiceGroup":"12214","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"80260","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"29893","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"88420","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"511","CodeVersion":"2020","CustomName":"Non-extensive burns without CC or significant trauma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0098T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90425","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76023","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0093A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0664T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0133U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81564","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3398","CodeType":"CPT","Code":"90853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.57","CodeVersion":"2017","CustomName":"REPAIR OF BLOOD VESSEL W\/SYNTHETIC PATCH GRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0481T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89987","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0605","CodeVersion":"2020","CustomName":"ANTIBODY TST FOR A PH REL PATHOGEN INCL COV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3510","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION INSOLE RUBBER"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1594","CodeVersion":"2020","CustomName":"CYCLER DIALYSIS MACHINE FOR PERITONEAL DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3460","CodeVersion":"2020","CustomName":"HEEL NEW RUBBER STANDARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0320","CodeVersion":"2020","CustomName":"TEL CALLS RN TO DZ MGMT PROGM MEMB MONITOR; MO"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6091","CodeVersion":"2020","CustomName":"REPL OF REPL PART ATT IMPL\/ABUT S PROS PER ATT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6244","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD > 48 SQ NO ADHES BORDR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9307","CodeVersion":"2020","CustomName":"INJECTION PRALATREXATE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68283","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6609","CodeVersion":"2020","CustomName":"RETAINER ONLAY - PORCELAIN\/CERAMIC 3\/MORE SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0858","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4254","CodeVersion":"2020","CustomName":"NOVAFIX DL PER SQ CM"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0479","CodeVersion":"2020","CustomName":"POWER MODULE ELECTRIC\/PNEUMATIC VAD REPLACE ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4640","CodeVersion":"2020","CustomName":"REPLCMT PAD W\/MED NECES ALTRNAT PRSS PAD OWND PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5864","CodeVersion":"2020","CustomName":"OVERDENTURE - PARTIAL MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1041","CodeVersion":"2020","CustomName":"PT CA AC FX\/INF REL TO LSP\/PT IDIO\/CNG SCOLIOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3080","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT NONREMOVABLE ATTCH SHOE MT EA"},{"ServiceGroup":"108041","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"13249","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"108935","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"57222","CodeType":"REV","Code":"0333","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Radiation Therapy"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"9228","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0882","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Home Dialysis Aid Visit"},{"ServiceGroup":"19615","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"83857","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52952","CodeType":"CPT","Code":"90847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62260","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107440","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"16000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36669","CodeType":"CPT","Code":"90471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0275","CodeVersion":"2020","CustomName":"ALPROSTADIL URETHRAL SUPPOSITORY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9800","CodeVersion":"2020","CustomName":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8754","CodeVersion":"2020","CustomName":"MOST RECENT DIASTOLIC BLOOD PRESSURE < 90MM HG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9376","CodeVersion":"2020","CustomName":"HIT HYDRATION TX; >2 LITERS NO>3 LITERS DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1017","CodeVersion":"2020","CustomName":"MONTHLY SUPPLIES FOR USE OF DEVICE CODED K1016"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0878","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO &=300 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3960","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W\/FIT&ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2340","CodeVersion":"2020","CustomName":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0178","CodeVersion":"2020","CustomName":"INJECTION AFLIBERCEPT 1 MG"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D1510","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0041","CodeVersion":"2020","CustomName":"PATIENT AND\/OR CARE PARTNER DECLINE REFERRAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0255","CodeVersion":"2020","CustomName":"BY NURSE SOCIAL WORKER OR OTHER DESIGNATED STAFF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7299","CodeVersion":"2020","CustomName":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0407","CodeVersion":"2020","CustomName":"F\/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82756","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6623","CodeVersion":"2020","CustomName":"UP EXT ADD SPRNG ASST ROTATL WRST U W\/LATCH RLSE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6370","CodeVersion":"2020","CustomName":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2605","CodeVersion":"2020","CustomName":"PSTN WHEELCHAIR SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4218","CodeVersion":"2020","CustomName":"STERILE SALINE\/WATER METERED DOSE DISPNS 10 ML"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0155","CodeVersion":"2020","CustomName":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6200","CodeVersion":"2020","CustomName":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0456","CodeVersion":"2020","CustomName":"INJECTION AZITHROMYCIN 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5263","CodeVersion":"2020","CustomName":"HEARING AID DISPOSABLE ANY TYPE BINAURAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1100","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS ORTHOS RING FLNGE PLSTC\/LEATHR"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"602","CodeVersion":"2020","CustomName":"NEONATE, BIRTHWT UNDER 750G, DISCHARGED ALIVE-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104118","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92193","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3376F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.12","CodeVersion":"2017","CustomName":"(AORTO)CORONARY BYPASS OF TWO CORONARY ARTERIES"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61357","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.93","CodeVersion":"2017","CustomName":"VENOUS CATHETERIZATION NOT ELSEWHERE CLASSIFIED"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0564T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2280","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2405","CodeVersion":"2020","CustomName":"REPR SACROCOC TERATOMA FETUS IN UTERO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7329","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRIVISC FOR IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5933","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS MODIFICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7295","CodeVersion":"2020","CustomName":"ETHINYL ESTRAD&ETONOG 0.015 0.12MG\/24H M VAG RNG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0014","CodeVersion":"2020","CustomName":"TACRINE HYDROCHLORIDE 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9019","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE ERWINAZE 1000 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2511","CodeVersion":"2020","CustomName":"SPEECH GEN SOFTWARE PROG PC\/PERS DIGITAL ASSIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9602","CodeVersion":"2020","CustomName":"FLUORODOPA F-18 DIAGNOSTIC PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4240","CodeVersion":"2020","CustomName":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2134","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2027","CodeVersion":"2020","CustomName":"SPECIALIZED CHILDCARE WAIVER; PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6890","CodeVersion":"2020","CustomName":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W\/FIT&ADJ"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9205","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN LIPOSOME 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8320","CodeVersion":"2020","CustomName":"TRUSS ADDITION TO STANDARD PAD WATER PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9516","CodeVersion":"2020","CustomName":"PT ACHIEVED IMPRV IN VA FROM PREOP LVL 90 D SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6693","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4350","CodeVersion":"2020","CustomName":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5614","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO SYS AK-DISARTC 4-BAR W\/PNEUMAT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2210","CodeVersion":"2020","CustomName":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"177","CodeVersion":"2020","CustomName":"Uncomplicated peptic ulcer with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"417","CodeVersion":"2020","CustomName":"Septicemia, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"16030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4195F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74.1","CodeVersion":"2017","CustomName":"LOW CERVICAL CESAREAN SECTION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107610","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0226U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.93","CodeVersion":"2017","CustomName":"INCISION OF CERVIX TO ASSIST DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0093U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6069","CodeVersion":"2020","CustomName":"ABUT RETN PORCLN MTL FPD HI NOBL MT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6751","CodeVersion":"2020","CustomName":"RETAINER CROWN-PORCELAIN FUSED PDMT BASE METAL"},{"ServiceGroup":"20012","CodeType":"ICD10P","Code":"0TY10Z1","CodeVersion":"2020","CustomName":"TRANSPLANTATION LT KIDNEY SYNGENEIC OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0488","CodeVersion":"2020","CustomName":"POWER PACK BASE FOR USE W\/ELEC VAD REPL ONLY"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2137","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 3 MON PO>3.0 CHG IMPV 5 PNT\/<"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4236","CodeVersion":"2020","CustomName":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4032","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2067","CodeVersion":"2020","CustomName":"MEDICATION ASSISSTED TX METHADONE; WEEKLY BUNDLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9663","CodeVersion":"2020","CustomName":"ANY LDL-C LABORATORY TEST RESULT >= 190 MG\/DL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1327","CodeVersion":"2020","CustomName":"INJECTION EPTIFIBATIDE 5 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6784","CodeVersion":"2020","CustomName":"RETAINER CROWN 3\/4 - TITANIUM & TITANIUM ALLOYS"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6400","CodeVersion":"2020","CustomName":"BE MOLD SCKT ENDOSKEL SYS W\/SFT PROSTH TISS SHAP"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0176","CodeVersion":"2020","CustomName":"HYDROXYUREA ORAL 500 MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5263","CodeVersion":"2020","CustomName":"HEARING AID DISPOSABLE ANY TYPE BINAURAL"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2399","CodeVersion":"2020","CustomName":"SPECIALTY TRIFOCAL"},{"ServiceGroup":"70241","CodeType":"HCPCS","Code":"C2643","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9842","CodeVersion":"2020","CustomName":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS"},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3265","CodeVersion":"2020","CustomName":"INJECTION TORSEMIDE 10 MG\/ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2510","CodeVersion":"2020","CustomName":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0640","CodeVersion":"2020","CustomName":"INJECTION LEUCOVORIN CALCIUM PER 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2114","CodeVersion":"2020","CustomName":"SINGLE VISION SPHERE OVER +\/- 12.00D PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5595","CodeVersion":"2020","CustomName":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC\/=MOLD"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8500","CodeVersion":"2020","CustomName":"ARTIFICIAL LARYNX ANY TYPE"},{"ServiceGroup":"34923","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"16719","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"36204","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"20752","CodeType":"DRG","Code":"621","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W OTHER PROB-NYDRG"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"453","CodeVersion":"2020","CustomName":"Complications of treatment without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90977","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"88.56","CodeVersion":"2017","CustomName":"CORONARY ARTERIOGRAPHY USING TWO CATHETERS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0197T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91891","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0149U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0283T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.59","CodeVersion":"2017","CustomName":"OTHER MANUALLY ASSISTED DELIVERY"},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93020","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9665","CodeVersion":"2020","CustomName":"PT NOT CURR STATIN TX USERS\/NO ORDER STATIN TX"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4133F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0595","CodeVersion":"2020","CustomName":"INJECTION BUTORPHANOL TARTRATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1005","CodeVersion":"2020","CustomName":"RESPITE CARE SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1142","CodeVersion":"2020","CustomName":"EMERGENT CASES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9332","CodeVersion":"2020","CustomName":"INJ EFGARTIGIMOD ALFA-FCAB 2MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7681","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4619","CodeVersion":"2020","CustomName":"FACE TENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9460","CodeVersion":"2020","CustomName":"TOBACCO ASMT\/CESS INTERVEN NOT PRFR RSN NOT GVN"},{"ServiceGroup":"69801","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"9828","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"70043","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"908","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Injuries with CC"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37260","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106185","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0178T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0286U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0317U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3751F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3291F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0023A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3390F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93071","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0863","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7471","CodeVersion":"2020","CustomName":"REMOVAL OF LATERAL EXOSTOSIS"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9594","CodeVersion":"2020","CustomName":"PT PRES MIN BLUNT HEAD TR & HEAD CT ORDER TR ECP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0826","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9460","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3303","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7310","CodeVersion":"2020","CustomName":"GANCICLOVIR 45 MG LONG-ACTING IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9264","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4527","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR\/PULLON LG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4081","CodeVersion":"2020","CustomName":"INJ EPOETIN ALFA 100 UNITS FOR ESRD ON DIALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6099","CodeVersion":"2020","CustomName":"IMPLANT SUPP RTNR FOR FPD - PORCELAIN FU NBL ALY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1885","CodeVersion":"2020","CustomName":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8575","CodeVersion":"2020","CustomName":"DEVELOPED POSTOP RENAL FAILURE\/REQ DIALYSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0240","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 600 MG"},{"ServiceGroup":"29402","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0160","CodeVersion":"2020","CustomName":"SITZ TYPE BATH\/EQP PRTBLE USED W\/WO COMMODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9839","CodeVersion":"2020","CustomName":"ANTI-EGFR MONOCLONAL ANTIBODY THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9360","CodeVersion":"2020","CustomName":"NO DOC NEGATIVE\/MANAGED POSITIVE TB SCREEN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4015","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0411","CodeVersion":"2020","CustomName":"INTERACTV GRP PSYCHOTX PART HOS 45 TO 50 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9057","CodeVersion":"2020","CustomName":"RBCS FRZN\/DEGLYCEROLIZED\/WASHED LEUKOCYTES RDUC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1637","CodeVersion":"2020","CustomName":"HEMOSTATS EACH"},{"ServiceGroup":"13683","CodeType":"HCPCS","Code":"A0433","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT LEVEL 2"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5222","CodeVersion":"2020","CustomName":"IMMEDIATE MANDIBULAR PRTL DENTURE - RESIN BASE"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4070","CodeVersion":"2020","CustomName":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0442","CodeVersion":"2020","CustomName":"ANNUAL ALCOHOL MISUSE SCREENING 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7188","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER I.U."},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0902","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Milieu Therapy"},{"ServiceGroup":"31214","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0546","CodeVersion":"2020","CustomName":"Ambulance - Neonatal Ambulance Services"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"300","CodeVersion":"2020","CustomName":"Endocrine disorders with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"576","CodeVersion":"2020","CustomName":"Septicemia without Mechanical Ventilation 96+ Hours, Age Greater than 17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"708","CodeVersion":"2020","CustomName":"HIV W MAJOR RELATED DIAGNOSIS, DISCHARGE AMA-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.5","CodeVersion":"2017","CustomName":"OTHER IMMOBILIZATION PRESSURE&ATTENTION TO WOUND"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"16035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106183","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82571","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0273U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4174F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0314U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0311U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0443T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0508T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0155T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0011U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106713","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53786","CodeType":"CPT","Code":"94640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9037","CodeVersion":"2020","CustomName":"INJECTION BELANTAMAB MAFODONTIN-BLMF 0.5 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9390","CodeVersion":"2020","CustomName":"INJECTION VINORELBINE TARTRATE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6251","CodeVersion":"2020","CustomName":"PONTIC RESIN W\/PREDOM BASE METAL"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6190","CodeVersion":"2020","CustomName":"RADIOGRAPHIC\/SURG IMPLANT INDX RPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9637","CodeVersion":"2020","CustomName":"FINAL REPORT W\/DOC 1\/MORE DOSE REDUCTION TECH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5937","CodeVersion":"2020","CustomName":"TRISMUS APPLIANCE NOT TMD TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4210","CodeVersion":"2020","CustomName":"GINGIVECT\/PLSTY 4\/>CNTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5566","CodeVersion":"2020","CustomName":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 300 U"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27251","CodeType":"HCPCS","Code":"S9484","CodeVersion":"2020","CustomName":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1056","CodeVersion":"2020","CustomName":"PSCR AC MED DUR PERF PER HX GI BL HX INTRACR BL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P3000","CodeVersion":"2020","CustomName":"SCR PAP SMEAR UP TO 3 SMEARS TECH UND PHYS SUPV"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4284","CodeVersion":"2020","CustomName":"BREAST SHIELD&SPLASH PROTECTR W\/BREAST PUMP REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5915","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2068","CodeVersion":"2020","CustomName":"BREAST RECON DIEP\/SIEA FLAP & CLOS DONR SITE UNI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0170","CodeVersion":"2020","CustomName":"CERVICAL COLLAR MOLDED TO PATIENT MODEL"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"90064","CodeType":"HCPCS","Code":"E0202","CodeVersion":"2020","CustomName":"PHOTOTHERAPY LIGHT WITH PHOTOMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0281","CodeVersion":"2020","CustomName":"E-STIM 1\/> AREAS CHRONIC STAGE III&IV ULCERS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1762","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE HUMAN"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9040","CodeVersion":"2020","CustomName":"INJECTION BLEOMYCIN SULFATE 15 UNITS"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0925","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Pregnancy Test"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0541","CodeVersion":"2020","CustomName":"Ambulance - Supplies"},{"ServiceGroup":"82037","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"70041","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"779","CodeVersion":"2020","CustomName":"OTHER DIGESTIVE SYSTEM DIAGNOSES AGE UNDER 18 W\/O CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3374F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4191F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.72","CodeVersion":"2017","CustomName":"DYSPHASIA TRAINING"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91007","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106670","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"3321F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9363","CodeVersion":"2020","CustomName":"HIT ANTI-SPASMOTIC TX; CARE SPL&EQP PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6501","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0415","CodeVersion":"2020","CustomName":"OPN TX POST PELV BONE FX &\/ DISLOC UNI\/BIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6503","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7628","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP PROD CONC PER MG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4160","CodeVersion":"2020","CustomName":"NUSHIELD PER SQUARE CENTIMETER"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5790","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0179","CodeVersion":"2020","CustomName":"INJECTION BROLUCIZUMAB-DBLL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1744","CodeVersion":"2020","CustomName":"INJECTION ICATIBANT 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7507","CodeVersion":"2020","CustomName":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3397","CodeVersion":"2020","CustomName":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9099","CodeVersion":"2020","CustomName":"BLOOD COMPONENT OR PRODUCT NOC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5421","CodeVersion":"2020","CustomName":"ADJUST PARTIAL DENTURE - MAXILLARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0301","CodeVersion":"2020","CustomName":"HOS BED HEVY DUTY XTRA WIDE W\/WT CAPACTY>350 PDS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8035","CodeVersion":"2020","CustomName":"MAGNETIC SOURCE IMAGING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8912","CodeVersion":"2020","CustomName":"PT DOC HAVE EXP WRG SITE SIDE PT PRO\/IMPL EVENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0641","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS MULTI-POSITION ANY SZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0205","CodeVersion":"2020","CustomName":"HEAT LAMP W\/STAND INCLUDES BULB\/INFRARED ELEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9059","CodeVersion":"2020","CustomName":"FRESH FRZN PLASMA BETWN 8-24 HR CLCT EA UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6545","CodeVersion":"2020","CustomName":"RETN-CAST METL RSN BOND FIX PROSTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0373","CodeVersion":"2020","CustomName":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1327","CodeVersion":"2020","CustomName":"INJECTION EPTIFIBATIDE 5 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0739","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2783","CodeVersion":"2020","CustomName":"CROWN - 3\/4 PORCELAIN\/CERAMIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1057","CodeVersion":"2020","CustomName":"ASPIRIN\/ANOTH AP TX NOT USED REASON NOT GIVEN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7638","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"106715","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"537","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0469","CodeVersion":"2020","CustomName":"Pulmonary Function - Other Pulmonary"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"22816","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"105470","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"31970","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"9263","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0845","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"509","CodeVersion":"2020","CustomName":"Full thickness burn without skin graft or inhalation injury without CC or significant trauma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4144F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74","CodeVersion":"2017","CustomName":"CESAREAN SECTION AND REMOVAL OF FETUS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115584","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103949","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5130","CodeVersion":"2020","CustomName":"IMMEDIATE DENTURE - MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4640","CodeVersion":"2020","CustomName":"REPLCMT PAD W\/MED NECES ALTRNAT PRSS PAD OWND PT"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0174","CodeVersion":"2020","CustomName":"THIETHYLPERAZINE MALEATE 10 MG ORL NOT>48HR DOSE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2360","CodeVersion":"2020","CustomName":"PWR WC ACSS 22 NF NON-SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7009","CodeVersion":"2020","CustomName":"ELECTRIC HOOK SWITCH\/MYOELECTRIC CONTROL ADULT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8035","CodeVersion":"2020","CustomName":"MAGNETIC SOURCE IMAGING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0514","CodeVersion":"2020","CustomName":"PRLNG PREV SRVC OFC\/OTH O\/P DIR CTC;EA ADD 30 M"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D1351","CodeVersion":"2020","CustomName":"SEALANT - PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5119","CodeVersion":"2020","CustomName":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5810","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK"},{"ServiceGroup":"78504","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"111966","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1898","CodeVersion":"2020","CustomName":"LEAD PACEMKR OTH THAN TRNS VDD SINGLE PASS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3485","CodeVersion":"2020","CustomName":"INJECTION ZIDOVUDINE 10 MG"},{"ServiceGroup":"73701","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8941","CodeVersion":"2020","CustomName":"ELD MALTX SCR POS F\/U NOT DOC NOT ELG F\/U PLN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1832","CodeVersion":"2020","CustomName":"AGRFT SUSP INCL CELL PROC & APPL & ALL SYST COMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4333","CodeVersion":"2020","CustomName":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6025","CodeVersion":"2020","CustomName":"GEL SHEET FOR DERMAL\/EPIDERMAL APPLICATION EACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0643T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0207","CodeVersion":"2020","CustomName":"PARAMEDIC INTERCEPT NON-HOS-BASED ALS SRVC NON-T"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0385","CodeVersion":"2020","CustomName":"MAXILLOFACIAL MRI IMAGE CAPTURE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0636","CodeVersion":"2020","CustomName":"INJECTION CALCITRIOL 0.1 MCG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5913","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0744","CodeVersion":"2020","CustomName":"ABSORB WD DR HOM MDL PRTBLE PAD SZ 16 SQ IN\/LESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5102","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER DIEM"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2616","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED YTTRIUM-90 PER SOURCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5560","CodeVersion":"2020","CustomName":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8410","CodeVersion":"2020","CustomName":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED"},{"ServiceGroup":"66563","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"147","CodeType":"REV","Code":"0580","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - General Classification"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"14566","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"18006","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"70047","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"26742","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"14492","CodeType":"REV","Code":"0220","CodeVersion":"2020","CustomName":"Special Charges - General Classification"},{"ServiceGroup":"35164","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"12342","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"36991","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105258","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.29","CodeVersion":"2017","CustomName":"OTHER MID FORCEPS OPERATION"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83821","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58779","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90438","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0564T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0302T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0431T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0039U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83642","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13294","CodeType":"ICD9P","Code":"88.95","CodeVersion":"2017","CustomName":"MR IMAGING OF PELVIS PROSTATE AND BLADDER"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS TO ASSIST DELIVERY"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD10P","Code":"05H633Z","CodeVersion":"2020","CustomName":"INSERTION INFUS DEVICE LT SUBCLAVIAN VEIN PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3980","CodeVersion":"2020","CustomName":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT&ADJ"},{"ServiceGroup":"44107","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5785","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2383","CodeVersion":"2020","CustomName":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3630","CodeVersion":"2020","CustomName":"EOSINOPHIL COUNT BLOOD DIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8561","CodeVersion":"2020","CustomName":"PT NOT ELIG REF OTOLOGIC EVAL HX ACTV DRAIN MSR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0575","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NALOXONE ORAL >10 MG BUPRENORPHINE"},{"ServiceGroup":"15596","CodeType":"HCPCS","Code":"S5497","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT NOC; PER DIEM"},{"ServiceGroup":"3358","CodeType":"ICD10P","Code":"3E053KZ","CodeVersion":"2020","CustomName":"INTRODUCTION OTH DX SUBSTANCE PERIPH ART PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2722","CodeVersion":"2020","CustomName":"CROWN - RESIN WITH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1852","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0481","CodeVersion":"2020","CustomName":"ELECTRON MICROSCOPY DIAGNOSTIC"},{"ServiceGroup":"95660","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1116","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9503","CodeVersion":"2020","CustomName":"HIT ANTIBIOTC ANTIVIRAL\/ANTIFUNGAL; Q6 HRS; DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6950","CodeVersion":"2020","CustomName":"ABVE ELB OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4211","CodeVersion":"2020","CustomName":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0104","CodeVersion":"2020","CustomName":"ZIDOVUDINE ORAL 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7070","CodeVersion":"2020","CustomName":"INFUSION D-5-W 1000 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0307","CodeVersion":"2020","CustomName":"COMPLETE CBC AUTOMATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3630","CodeVersion":"2020","CustomName":"TRNSF ORTHOS 1 SHOE TO ANOTHER SOLID STIRRUP NEW"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8419","CodeVersion":"2020","CustomName":"BMI DOC OUT NML PARAM NO F\/U PLN DOC NO RSN GVN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8705","CodeVersion":"2020","CustomName":"TOPOTECAN ORAL 0.25 MG"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4424","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/BARRIER ATTCH W\/FLTR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3397","CodeVersion":"2020","CustomName":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0219","CodeVersion":"2020","CustomName":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2351","CodeVersion":"2020","CustomName":"DISKECT ANT W\/OSTEOPHYTECT; LUMB EA ADD INTRSP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0473","CodeVersion":"2020","CustomName":"ACCESS TISS-GROSS\/MICRO-PREP\/REPRT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0896","CodeVersion":"2020","CustomName":"INJECTION LUSPATERCEPT-AAMT 0.25 MG"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0322","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Arthrography"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"19595","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"12837","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0829","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Other OP Hemodialysis"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"420","CodeVersion":"2020","CustomName":"Fever of unknown origin, age greater than 17, without CC"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12523","CodeType":"ICD9P","Code":"92.32","CodeVersion":"2017","CustomName":"MULTI-SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"79699","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92414","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3950","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1051","CodeVersion":"2020","CustomName":"PT CA AC FX\/INF REL LS\/PT HD IDIO\/CONG SCOLIOSIS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2326","CodeVersion":"2020","CustomName":"INJECTION NUSINERSEN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9925","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0177","CodeVersion":"2020","CustomName":"HYDROXYZINE PAMOATE 25 MG ORAL NOT >48 HR DOSE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0735","CodeVersion":"2020","CustomName":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9196","CodeVersion":"2020","CustomName":"DOC MED REASON NOT ORD 1ST\/2ND GEN CPH AMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1050","CodeVersion":"2020","CustomName":"FULL RECLIN WHLCHAIR; FIX FULL-LEN ARMS LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7310","CodeVersion":"2020","CustomName":"ALVEOLOPLASTY W\/EXTRACTION 4\/> TEETH\/SPACE QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6232","CodeVersion":"2020","CustomName":"GAUZE IMPREG HYDROGEL DIR WND CNTC >16 <\/= 48 SQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0112","CodeVersion":"2020","CustomName":"CRTCHES UNDARM WOOD PAIR W\/PADS TIPS&HNDGRIPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0424","CodeVersion":"2020","CustomName":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9044","CodeVersion":"2020","CustomName":"PLASMA CRYOPRECIPITATE REDUCED EACH UNIT"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6010","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:20 MEV\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7327","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE MONOVISC IA INJ PER DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3492F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29092","CodeType":"HCPCS","Code":"A0434","CodeVersion":"2020","CustomName":"SPECIALTY CARE TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9727","CodeVersion":"2020","CustomName":"PT UNABLE COMPLETE LEPF PROM INI EVAL &\/ D\/C"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"11312","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"44106","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"31734","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"74614","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"33237","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"31020","CodeType":"DRG","Code":"470","CodeVersion":"2020","CustomName":"Ungroupable"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"376","CodeVersion":"2020","CustomName":"Postpartum and postabortion diagnoses without operating room procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"475","CodeVersion":"2020","CustomName":"Respiratory system diagnosis with ventilator support"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56104","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1152F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99459","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4185F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3352F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106717","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92196","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86462","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0229U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0121U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0530T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0078U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4168F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90424","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0682T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82774","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4248F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6445","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1297","CodeVersion":"2020","CustomName":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY"},{"ServiceGroup":"92552","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9997","CodeVersion":"2020","CustomName":"DENTAL CASE MGMT - PTS SPECIAL HEALTH CARE NEEDS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5500","CodeVersion":"2020","CustomName":"DIAB ONLY FIT CSTM PREP&SPL SHOE MX DNSITY INSRT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5919","CodeVersion":"2020","CustomName":"FACIAL PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6506","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0969","CodeVersion":"2020","CustomName":"NARROWING DEVICE WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0315","CodeVersion":"2020","CustomName":"IM CNSL PHYS\/OTH Q HCP COVID-19 AGE <21 5-15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4314","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH 2-WAY LATX W\/COAT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2397","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8501","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SPEAKING VALVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1881","CodeVersion":"2020","CustomName":"DIALYSIS ACCESS SYSTEM"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"104841","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"10527","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4005","CodeVersion":"2020","CustomName":"FAMILY MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3364","CodeVersion":"2020","CustomName":"INJECTION UROKINASE 5000 IU VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1265","CodeVersion":"2020","CustomName":"INJECTION DOPAMINE HCL 40 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.98","CodeVersion":"2017","CustomName":"OTHER CONTROL ATMOSPHERIC PRESSURE&COMPOSITION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4352","CodeVersion":"2020","CustomName":"INTERMITTENT URINARY CATHETER; COUDE TIP EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0613","CodeVersion":"2020","CustomName":"ANNUAL GYN EXAM CLIN BREAST EXAM W\/O PELV EXAM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2426","CodeVersion":"2020","CustomName":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1012","CodeVersion":"2020","CustomName":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6925","CodeVersion":"2020","CustomName":"WRST DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1038","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LSP REG FX AT TIME PROCEDURE"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"31661","CodeType":"REV","Code":"0290","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"79177","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0304","CodeVersion":"2020","CustomName":"Laboratory - Non-Routine Dialysis"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"66481","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"74585","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0101U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10T20ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9025","CodeVersion":"2020","CustomName":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9756","CodeVersion":"2020","CustomName":"INTRAOPERATIVE NIR FLUOR LM OF LYM W\/ADMIN ICG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2387","CodeVersion":"2020","CustomName":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1200","CodeVersion":"2020","CustomName":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0303","CodeVersion":"2020","CustomName":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9513","CodeVersion":"2020","CustomName":"LUTETIUM LU 177 DOTATATE THERAPEUTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4456","CodeVersion":"2020","CustomName":"ADHESIVE REMOVER WIPES ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2916","CodeVersion":"2020","CustomName":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4234","CodeVersion":"2020","CustomName":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0119","CodeVersion":"2020","CustomName":"ONDANSETRON ORAL 4 MG"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8509","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0500","CodeVersion":"2020","CustomName":"INJECTION DICYCLOMINE HCL UP TO 20 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4011","CodeVersion":"2020","CustomName":"INTERNAL MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3304","CodeVersion":"2020","CustomName":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2700","CodeVersion":"2020","CustomName":"INJECTION OXACILLIN SODIUM UP TO 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"U0005","CodeVersion":"2020","CustomName":"IA DET NA;SEV AC RES SYND SARS-COV-2 COVID-19"},{"ServiceGroup":"103900","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7876","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DISCECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9722","CodeVersion":"2020","CustomName":"DOC HX RENAL FAILURE\/BASELINE S-CR >=4.0 MG\/DL;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1095","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE 9% INTRAOCULAR 1 MCG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4221F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5171","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6218","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL > 48 SQ W\/O ADHES EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C5276","CodeVersion":"2020","CustomName":"APPL SG F-S-N-H-F-G-M-D A TO 100 CM;EA ADD 25 CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9547","CodeVersion":"2020","CustomName":"CYST RNL LES\/AD LES<\/=1.0 CM\/>1.0 CM BUT<\/=4.0CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0303","CodeVersion":"2020","CustomName":"HOS BED HEVY DUTY W\/WT CAP >350 PDS<\/=TO 600 PDS"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2171","CodeVersion":"2020","CustomName":"PERQ AVF DIR ANY SITE MAG-GD ART&V CATH & RF E"},{"ServiceGroup":"12918","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"74925","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"9889","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"68846","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0990","CodeVersion":"2020","CustomName":"Patient Convenience Items - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0263","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Drug\/Supply Delivery"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"478","CodeVersion":"2020","CustomName":"Other vascular procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"150","CodeVersion":"2020","CustomName":"Peritoneal adhesiolysis with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3382F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107034","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113855","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6680","CodeVersion":"2020","CustomName":"UP EXTREM ADD TST SOCKT WRST DISARTIC\/BELW ELB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9342","CodeVersion":"2020","CustomName":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4146","CodeVersion":"2020","CustomName":"TENSIX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5171","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9939","CodeVersion":"2020","CustomName":"PATHOLOGISTS\/DERMATOPATH SAME CLINICIAN PRFRM BX"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4193","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 52-73 GMS PROT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3850","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR SICKLE CELL ANEMIA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0602","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0413","CodeVersion":"2020","CustomName":"PERQ SKEL FIX POST PELV BONE FX&\/DISLOC UNI\/BIL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8001","CodeVersion":"2020","CustomName":"BREAST PROS MASTECT BRA W\/INTEG BREAST FORM UNI"},{"ServiceGroup":"53987","CodeType":"HCPCS","Code":"E0202","CodeVersion":"2020","CustomName":"PHOTOTHERAPY LIGHT WITH PHOTOMETER"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2149","CodeVersion":"2020","CustomName":"DOCUMENT MEDICAL REASON NOT USNG MULTIMODAL PAIN"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9602","CodeVersion":"2020","CustomName":"PC TL COR ATHERECT W\/RX ELUT IC STENT; 1 MCA\/BR"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2425","CodeVersion":"2020","CustomName":"ADD KNEE JNT DISC\/DIAL LOCK ADJ KNEE FLX EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3440","CodeVersion":"2020","CustomName":"HEEL COUNTER LEATHER REINFORCED"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4212","CodeVersion":"2020","CustomName":"ALLOGEN PER CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0050","CodeVersion":"2020","CustomName":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4039","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2180","CodeVersion":"2020","CustomName":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3570F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3378F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2036","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLULAVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0074","CodeVersion":"2020","CustomName":"INJECTION CEFOTETAN DISODIUM 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9336","CodeVersion":"2020","CustomName":"HOME INFUS TX CONT ANTICOAGULANT INFUS TX DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9744","CodeVersion":"2020","CustomName":"PATIENT NOT ELIGIBLE D\/T ACTIVE DX HYPERTENSION"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0814","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD PORT CAPT CHAIR PT TO 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5982","CodeVersion":"2020","CustomName":"SURGICAL STENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0565","CodeVersion":"2020","CustomName":"INJECTION BEZLOTOXUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3315","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN PAMOATE 3.75 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0621","CodeVersion":"2020","CustomName":"ROUTINE OPHTH EXAM INCL REFRACTION; EST PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4428","CodeVersion":"2020","CustomName":"OST POUCH URIN EXT BARR W\/FAUCET TAP W\/VALVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9308","CodeVersion":"2020","CustomName":"UNPLAN RTN OP ROOM FOR PROC W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7195","CodeVersion":"2020","CustomName":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9554","CodeVersion":"2020","CustomName":"FINAL RPT CT CTA MRI\/MRA CHST\/NCK F\/U IMAG RECOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4465","CodeVersion":"2020","CustomName":"NONELASTIC BINDER FOR EXTREMITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6252","CodeVersion":"2020","CustomName":"PONTIC RESIN W\/NOBLE METAL"},{"ServiceGroup":"60057","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"14197","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0650","CodeVersion":"2020","CustomName":"Hospice Service - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"026","CodeVersion":"2020","CustomName":"Seizure and headache, age 0-17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111858","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35734","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0203T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107059","CodeType":"CPT","Code":"42120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98687","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2632","CodeVersion":"2020","CustomName":"WC ACCESS ADD MOBIL ARM SUPP OFFSET\/LAT RCKR ARM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0278","CodeVersion":"2020","CustomName":"INJECTION AMIKACIN SULFATE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8712","CodeVersion":"2020","CustomName":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7326","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV GEL-ONE INTRA-ARTIC INJ PER DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0364","CodeVersion":"2020","CustomName":"INJECTION APOMORPHINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1652","CodeVersion":"2020","CustomName":"HIP ORTHOS BIL THI CUFF ADLT SZ PRFAB ANY TYPE"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0223","CodeVersion":"2020","CustomName":"INJECTION GIVOSIRAN 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4932","CodeVersion":"2020","CustomName":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3390","CodeVersion":"2020","CustomName":"OUTFLARE WEDGE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9371","CodeVersion":"2020","CustomName":"INJECTION VINCRISTINE SULFATE LIPOSOME 1 MG"},{"ServiceGroup":"65","CodeType":"ICD10P","Code":"10A00ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION OPEN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4117","CodeVersion":"2020","CustomName":"HYALOMATRIX PER SQ CM"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0952","CodeVersion":"2020","CustomName":"TOE LOOP\/HOLDER ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4241","CodeVersion":"2020","CustomName":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"104840","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6905","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE MX FNGR REMAIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2152","CodeVersion":"2020","CustomName":"RA CHNG RES SC NCK IMPR SUC CALC&SC =TO 0\/>0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9542","CodeVersion":"2020","CustomName":"HOME INJ TX NOC W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1116","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0637","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2070","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPLANT INSRT; WEEKLY BUNDLE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8452","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED ELBOW"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"36144","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"10904","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"170","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0859","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Other Outpatient CCPD"},{"ServiceGroup":"9947","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"47250","CodeType":"DRG","Code":"881","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV 96+ HRS -NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0269T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0058U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110042","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44303","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0299U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82808","CodeType":"CPT","Code":"92995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113674","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0514T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.64","CodeVersion":"2017","CustomName":"REMOVAL OF EXTERNAL HEART ASSIST SYSTEMS\/DEVICES"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0181T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0303U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3218F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0015M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7047","CodeVersion":"2020","CustomName":"ORAL INTERFACE USED RESPIRATORY SUCTION PUMP EA"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0998","CodeVersion":"2020","CustomName":"AMBULANCE RESPONSE AND TREATMENT NO TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6648","CodeVersion":"2020","CustomName":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2340","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1108","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8910","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST CHEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5697","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE\/KNEE DISARTIC PELV BAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3924","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS WITHOUT JOINTS PREFAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7188","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0959","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4387","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED W\/BARR BUILT-IN CONVEXITY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2940","CodeVersion":"2020","CustomName":"INJECTION SOMATREM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0601","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING LOW RISK"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0270","CodeVersion":"2020","CustomName":"PHYSICIAN MGT PT HOME CARE STD MONTHLY CASE RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8917","CodeVersion":"2020","CustomName":"PT PREOP ORD IV ABX SSI PROPH NOT INITIATED TIME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6640","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4253","CodeVersion":"2020","CustomName":"ZENITH AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3225","CodeVersion":"2020","CustomName":"ORTHOPED FOOTWEAR MAN SHOE OXFRD PART BRACE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46028","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5072","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0475","CodeVersion":"2020","CustomName":"HIV ANTIGEN\/ANTIBODY COMBINATION ASSAY SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0618","CodeVersion":"2020","CustomName":"AUDIOMETRY FOR HEARING AID EVALUATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3931","CodeVersion":"2020","CustomName":"WHFO PREFABRICATED INCL FITTING & ADJUSTMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0447","CodeVersion":"2020","CustomName":"PRTB O C LQD 1 MO SPL=1 U PRSC AMT R\/N EXCD 4LPM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0277","CodeVersion":"2020","CustomName":"VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8850","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESS TX NOT PRSC RSN NOT GIVEN"},{"ServiceGroup":"76528","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"14174","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62295","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93017","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.7","CodeVersion":"2017","CustomName":"MANUAL EXPLORATION OF UTERINE CAVITY POSTPARTUM"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104118","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98459","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13739","CodeType":"ICD9P","Code":"20.97","CodeVersion":"2017","CustomName":"IMPL\/REPLCMT COCHLEAR PROSTH DEVICE 1 CHANNEL"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113680","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0082A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115364","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29830","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0035U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0553T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2630","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAM - 3\/MORE SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7994","CodeVersion":"2020","CustomName":"SURGICAL PLACEMENT: ZYGOMATIC IMPLANT"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"27830","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0170","CodeVersion":"2020","CustomName":"CERVICAL COLLAR MOLDED TO PATIENT MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2500","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR GLUTL\/ISCH WT BEAR RING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0910","CodeVersion":"2020","CustomName":"TRAPEZ BAR KNOWN AS PT HLPR ATTCH BED W\/GRAB BAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0530","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0870","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4422","CodeVersion":"2020","CustomName":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2327","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0105","CodeVersion":"2020","CustomName":"CANE QUAD\/3-PRONG ALL MATL ADJUSTBL\/FIX W\/TIPS"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2910","CodeVersion":"2020","CustomName":"INJECTION AUROTHIOGLUCOSE UP TO 50 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0027","CodeVersion":"2020","CustomName":"SEMEN ANALY; PRES\/MOT EXCLD HUHNER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0250","CodeVersion":"2020","CustomName":"PHYS REV INTEPR & PT MGMT HOME INR MON; 1 A WEEK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1625","CodeVersion":"2020","CustomName":"WATER SOFTENING SYSTEM FOR HEMODIALYSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1022","CodeVersion":"2020","CustomName":"CLIN DECN SUP MECH INTERMTN CLIN DECN SUP MECH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5260","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9806","CodeVersion":"2020","CustomName":"PATIENTS WHO RECEIVED CERVICAL CYTOLOGY\/HPV TEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2760","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0048","CodeVersion":"2020","CustomName":"ALC &\/OTH RX TST: CLCT&HNDLING ONLY OTH THAN BLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9212","CodeVersion":"2020","CustomName":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"58459","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"90356","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"70440","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"68190","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0293","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Purchase of Used DME"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"280","CodeVersion":"2020","CustomName":"Trauma to the skin, subcutaneous tissue, and breast, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59353","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1205F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27347","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0218U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0242T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25688","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0017M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0077U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29353","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2521","CodeVersion":"2020","CustomName":"CNTC LENS HYDROPHIL TORIC\/PRISM BALLST PER LENS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7211","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII KOVALTRY 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8474","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB TX NOT PRSC RSNS DOC BY CLIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2041","CodeVersion":"2020","CustomName":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2011","CodeVersion":"2020","CustomName":"PASRR LEVEL II EVALUATION PER EVALUATION"},{"ServiceGroup":"90854","CodeType":"HCPCS","Code":"H0008","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9136","CodeVersion":"2020","CustomName":"ONC;DZ STS;NHL TRNSFRM ORIG CELLR 2ND CELLR CLSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9720","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2126","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS THERMOPLSTC CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1125","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIBL PT SELF DISCHARGE EARLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2384","CodeVersion":"2020","CustomName":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6386","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/EARLY FIT EA ADD CAST CHG&REALIGN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7631","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3320","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY PREMOLAR TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5700","CodeVersion":"2020","CustomName":"REPLACEMENT SOCKET BELOW KNEE MOLDED PT MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1620","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2260","CodeVersion":"2020","CustomName":"INJECTION MILRINONE LACTATE 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2148","CodeVersion":"2020","CustomName":"MULTIMODAL PAIN MANAGEMENT WAS USED"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0181","CodeVersion":"2020","CustomName":"PWR PRESSURE REDUCING MATTRESS OVERLY\/PAD PUMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1325","CodeVersion":"2020","CustomName":"INJECTION EPOPROSTENOL 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7720","CodeVersion":"2020","CustomName":"MAXILLA CLOSED REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7945","CodeVersion":"2020","CustomName":"OSTEOTOMY-BODY OF MANDIBLE"},{"ServiceGroup":"12122","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"22408","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"18007","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"13168","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"12591","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"147","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4172F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91014","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115583","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0721T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1116F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0061A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON VALVES OF HEART"},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0160","CodeVersion":"2020","CustomName":"SERVICES OT HOME HEALTH EST\/DEL OT MP EA 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8704","CodeVersion":"2020","CustomName":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9225","CodeVersion":"2020","CustomName":"FOOT EXAM WAS NOT PERFORMED REASON NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2028","CodeVersion":"2020","CustomName":"INJECTION SCULPTRA 0.5 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0154","CodeVersion":"2020","CustomName":"PLATFORM ATTACHMENT WALKER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9890","CodeVersion":"2020","CustomName":"BRDG PMT:1ST MDPP CS C\/OM S SPL BNF MO 1-24 EM"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0072","CodeVersion":"2020","CustomName":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9976","CodeVersion":"2020","CustomName":"DOC PT RSN FOR NOT PRFRM A DILATED MACULAR EXAM"},{"ServiceGroup":"88978","CodeType":"ICD10P","Code":"10D07Z7","CodeVersion":"2020","CustomName":"EXTRACTION POC INTERNAL VERSION NAT\/ART OPENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1368","CodeVersion":"2020","CustomName":"ON-Q PAIN MGT SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2796","CodeVersion":"2020","CustomName":"INJECTION ROMIPLOSTIM 10 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8694","CodeVersion":"2020","CustomName":"AUD OSSEOINTEG DEVC TRANSDUCER\/ACTR REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5272","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVICE TDD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6677","CodeVersion":"2020","CustomName":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC&ELB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1850","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0740","CodeVersion":"2020","CustomName":"INJECTION CIDOFOVIR 375 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0795","CodeVersion":"2020","CustomName":"INJ CORTICORELIN OVINE TRIFLUTATE 1 MICROGM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9552","CodeVersion":"2020","CustomName":"INCIDENTAL THYROID NODULE < 1.0 CM NOTED REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8400","CodeVersion":"2020","CustomName":"PATIENT W\/CENTRAL DXA RESULTS NOT DOCUMENTED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0171","CodeVersion":"2020","CustomName":"INJECTION ADRENALIN EPINEPHRINE 0.1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0490","CodeVersion":"2020","CustomName":"INJECTION BELIMUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1944","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1787","CodeVersion":"2020","CustomName":"PATIENT PROGPATIENT PROGRAMMER NEUROSTIMULATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0882","CodeVersion":"2020","CustomName":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6446","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN STERL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0027","CodeVersion":"2020","CustomName":"SEMEN ANALY; PRES\/MOT EXCLD HUHNER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7190","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7611","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5565","CodeVersion":"2020","CustomName":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 150 U"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"33268","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"68187","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"57222","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"75495","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"084","CodeVersion":"2020","CustomName":"Major chest trauma without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"066","CodeVersion":"2020","CustomName":"Epistaxis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"686","CodeVersion":"2020","CustomName":"Kidney and Urinary Tract Neoplasms with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"515","CodeVersion":"2020","CustomName":"Cardiac defibrillator implant without cardiac catheterization"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"189","CodeVersion":"2020","CustomName":"Other digestive system diagnoses, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0094A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105257","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0669T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0581F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1110","CodeVersion":"2020","CustomName":"PROPHYLAXIS - ADULT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5030","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3901","CodeVersion":"2020","CustomName":"WHFO DYN FLEXOR HINGE CABLE DRIVEN CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0178","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6602","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST HIGH NOBLE METAL 2 SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4481","CodeVersion":"2020","CustomName":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0744","CodeVersion":"2020","CustomName":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0856","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO &=300 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0427","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1750","CodeVersion":"2020","CustomName":"INJECTION IRON DEXTRAN 50 MG"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3455F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3572F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0323T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69688","CodeType":"CPT","Code":"93631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8521","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 500 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4026","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2547","CodeVersion":"2020","CustomName":"INJECTION PERAMIVIR 1 MG"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7522","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE STNLESS STEEL\/EQUAL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3030","CodeVersion":"2020","CustomName":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2002","CodeVersion":"2020","CustomName":"LIMITED 30 MINUTES IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8515","CodeVersion":"2020","CustomName":"CABERGOLINE ORAL 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0056","CodeVersion":"2020","CustomName":"OPTIMIZING CHRONIC DISEASE MGMNT MIPS VALUE PTHW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8911","CodeVersion":"2020","CustomName":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4004","CodeVersion":"2020","CustomName":"ENDOCRINOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4035","CodeVersion":"2020","CustomName":"THORACIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0435","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q3014","CodeVersion":"2020","CustomName":"TELEHEALTH ORIGINATING SITE FACILITY FEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2940","CodeVersion":"2020","CustomName":"SEDATIVE FILLING"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4053F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2530","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THIGH\/WEIGHT BEAR LACER NONMOLDED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9150","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME"},{"ServiceGroup":"84721","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6533","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1390","CodeVersion":"2020","CustomName":"O2 CONC 1 DEL PORT 85%\/>02 CONC AT PRSC FLW RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0608","CodeVersion":"2020","CustomName":"REPLACEMENT GARMENT USE W\/AUTO EXTERNAL DEFIB EA"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0821","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO &=300 LBS"},{"ServiceGroup":"40222","CodeType":"REV","Code":"690","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"24703","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"11659","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"30165","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"15","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0637","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Self-Administrable Drugs"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0548","CodeVersion":"2020","CustomName":"Ambulance - EKG Transmission"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.36","CodeVersion":"2017","CustomName":"CORRECTION OF FETAL DEFECT"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89983","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41337","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0243T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71340","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.7","CodeVersion":"2017","CustomName":"INSRT REV REPL&REM PM LEAD;INSRT TEMP;REV POCKET"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0330T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0335U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97468","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0588T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.5","CodeVersion":"2017","CustomName":"LIGATION AND STRIPPING OF VARICOSE VEINS"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9096","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA;T1-T3 N0-N1\/NX NO PROGRSSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9130","CodeVersion":"2020","CustomName":"TMJ DYSFUNCTION - NON-INVASIVE PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1006","CodeVersion":"2020","CustomName":"ALCOHOL &OR SUBSTANCE ABS SRVC FAM\/COUPLE CNSL"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2792","CodeVersion":"2020","CustomName":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8498","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG RECTAL\/SUPPOSITORY NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9602","CodeVersion":"2020","CustomName":"FLUORODOPA F-18 DIAGNOSTIC PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9330","CodeVersion":"2020","CustomName":"INJECTION TEMSIROLIMUS 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9217","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE 7.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9210","CodeVersion":"2020","CustomName":"INJECTION EMAPALUMAB-LZSG 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1050","CodeVersion":"2020","CustomName":"ADDITION TO CTLSO\/SCOLIOSIS ORTHOSIS STERNAL PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8942","CodeVersion":"2020","CustomName":"FNC OUTCM ASMT TOOL DOC PREV 30 DA & CARE PLN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0720","CodeVersion":"2020","CustomName":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9067","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7193","CodeVersion":"2020","CustomName":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0036","CodeVersion":"2020","CustomName":"CMTY PSYC SUPPORTIVE TX FCE-TO-FCE PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6450","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH >\/= 5 IN PER YARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4082","CodeVersion":"2020","CustomName":"DRUG OR BIOLOGICAL NOC PART B DRUG CAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5650","CodeVersion":"2020","CustomName":"ADD LW EXT TOTAL CONTACT ABVE KNEE\/KNEE DISARTC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9897","CodeVersion":"2020","CustomName":"PTS NOT RX\/ADM AD TX COM EBRT PROS RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0291","CodeVersion":"2020","CustomName":"INJECTION PLAZOMICIN 5 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"34872","CodeType":"ICD10P","Code":"08RK3JZ","CodeVersion":"2020","CustomName":"REPLACEMENT LEFT LENS SYNTH SUBST PERCUTANEOUS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7660","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH-CLOSED REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4723","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>2999<\/=3999CC PERITON DIALYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7211","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII KOVALTRY 1 I.U."},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52943","CodeType":"CPT","Code":"90801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1223","CodeVersion":"2020","CustomName":"WHEELCHAIR WITH DETACHABLE ARMS FOOTRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1505","CodeVersion":"2020","CustomName":"ELECTRONIC MEDICATION COMPLIANCE MANAGE DEVC NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0049","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SCREENING"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5007","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV LONG TERM CARE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0638","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS ONE POSITION ANY SZ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9738","CodeVersion":"2020","CustomName":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3241","CodeVersion":"2020","CustomName":"INJECTION TEPROTUMUMAB-TRBW 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2360","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8070","CodeVersion":"2020","CustomName":"COMP ORTHODONT TX TRNSITNL DENTITN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5243","CodeVersion":"2020","CustomName":"HEARING AID ANALOG MONAURAL ITC"},{"ServiceGroup":"48003","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"22409","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0260","CodeVersion":"2020","CustomName":"IV Therapy - General Classification"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"22403","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"432","CodeVersion":"2020","CustomName":"Other mental disorder diagnoses"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53702","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0330T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0427T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44142","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0236T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0681T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0232T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100660","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0165U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0565T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0011M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85683","CodeType":"CPT","Code":"95782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9339","CodeVersion":"2020","CustomName":"HOME THERAPY; PERITONEAL DIALYSIS PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9854","CodeVersion":"2020","CustomName":"PATIENT WAS NOT ADM TO ICU IN LAST 30 DA OF LIFE"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9756","CodeVersion":"2020","CustomName":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5694","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD&LN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1635","CodeVersion":"2020","CustomName":"COMPACT TRAVEL HEMODIALYZER SYSTEM"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7025","CodeVersion":"2020","CustomName":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0888","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"68263","CodeType":"HCPCS","Code":"G0237","CodeVersion":"2020","CustomName":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8654","CodeVersion":"2020","CustomName":"RISK-ADJ FS HIP IMPAIR NOT MEAS RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8655","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STAT LOW LEG FT ANK SCORE =0 \/ >0"},{"ServiceGroup":"80284","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4210","CodeVersion":"2020","CustomName":"AXOLOTL GRAFT OR AXOLOTL DUALGRAFT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9046","CodeVersion":"2020","CustomName":"COCAINE HYDROCHLORIDE NASAL SOL TOP ADMN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8465","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER UPPER LIMB EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9209","CodeVersion":"2020","CustomName":"INJECTION MESNA 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9506","CodeVersion":"2020","CustomName":"BIOLOGIC IMMUNE RESPONSE MODIFIER PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8416","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG FOOTWEAR EVALUATION MEASURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1015","CodeVersion":"2020","CustomName":"CLINIC VISIT\/ENCOUNTER ALL-INCLUSIVE"},{"ServiceGroup":"106931","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1008","CodeVersion":"2020","CustomName":"<50% OF TOT NUMBER OF A PT O\/P RA ENC ASSESSED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9285","CodeVersion":"2020","CustomName":"INJECTION OLARATUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0170","CodeVersion":"2020","CustomName":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5116","CodeVersion":"2020","CustomName":"HOME CARE TRAINING NON-FAMILY; PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2501","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA TORIC\/PRISM BALLAST PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4387","CodeVersion":"2020","CustomName":"WALKING BOOT NON-PNEUMATIC PREFAB OFF THE SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5630","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5274","CodeVersion":"2020","CustomName":"ASSISTIVE LEARNING DEVICE NOS"},{"ServiceGroup":"76847","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1121F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0995","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CALF REST\/PAD REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6411","CodeVersion":"2020","CustomName":"EYE PAD NON-STERILE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8851","CodeVersion":"2020","CustomName":"OBJECTIVE MEASURE ADHERENCE PAP TX DOCUMENTED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1898","CodeVersion":"2020","CustomName":"LEAD PACEMKR OTH THAN TRNS VDD SINGLE PASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0030","CodeVersion":"2020","CustomName":"PT SCR TOBACCO USE RECV TOB CESS INTRV W\/IN 12MO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9771","CodeVersion":"2020","CustomName":"AT LEAST 1 BODY TEMPERATURE MSR =\/>35.5 DEG CELS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9214","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2080","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB"},{"ServiceGroup":"10582","CodeType":"HCPCS","Code":"S9542","CodeVersion":"2020","CustomName":"HOME INJ TX NOC W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0122","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; BARIUM ENEMA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3472","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - PREMOLAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7524","CodeVersion":"2020","CustomName":"TRACHEOSTOMA STENT\/STUD\/BUTTON EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1134","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C 1-2 VST D\/T SPC MD EVT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8932","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY W\/O CONTRST SPINAL CANAL CONTENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5011","CodeVersion":"2020","CustomName":"FITTING\/ORIENTATION\/CHECKING OF HEARING AID"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H1011","CodeVersion":"2020","CustomName":"FAM ASSESS LIC BHVAL HLTH PROF STATE DEFINED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4354","CodeVersion":"2020","CustomName":"INSERTION TRAY W\/DRAIN BAG BUT WITHOUT CATHETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7508","CodeVersion":"2020","CustomName":"HOUS&INTGR ADHES TRACHEOSTOMA EXCHG SYS &\/ VALV"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5290","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE"},{"ServiceGroup":"82096","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0241","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - Basic"},{"ServiceGroup":"33262","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"9875","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"28221","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"12401","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0372","CodeVersion":"2020","CustomName":"Anesthesia - Anesthesia Incident to Other DX Services"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"10708","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"43525","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"63058","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"659","CodeVersion":"2020","CustomName":"Kidney and Ureter Procedures for Non-neoplasm with MCC"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"183","CodeVersion":"2020","CustomName":"Esophagitis, gastroenteritis and miscellaneous digestive disorders, age greater than 17, without CC"},{"ServiceGroup":"31007","CodeType":"DRG","Code":"795","CodeVersion":"2020","CustomName":"LUNG TRANSPLANT-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"068","CodeVersion":"2020","CustomName":"Otitis media and upper respiratory infection (URI), age greater than 17 with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"297","CodeVersion":"2020","CustomName":"Nutritional and miscellaneous metabolic disorders, age greater than 17, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"934","CodeVersion":"2020","CustomName":"Full Thickness Burn without Skin Graft or Inhalation Injury"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"789","CodeVersion":"2020","CustomName":"MAJOR JOINT \"&\" LIMB REATTACH PROC LOW EXT, EXC HIP, FOR COMP-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93602","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111552","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0107U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0733T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.95","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTRIC RESTRICTIVE PROCEDURE"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0354T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3757F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0674T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3341F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7340","CodeVersion":"2020","CustomName":"VESTIBULOPLASTY-RIDGE EXT 2ND EPITH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2544","CodeVersion":"2020","CustomName":"ONLAY METALLIC FOUR OR MORE SURF"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2400","CodeVersion":"2020","CustomName":"INJECTION CHLOROPROCAINE HCL PER 30 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5981","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM\/EQUAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4723","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>2999<\/=3999CC PERITON DIALYS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7120","CodeVersion":"2020","CustomName":"RINGERS LACTATE INFUSION UP TO 1000 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9607","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL CA CA BR\/CABG; 1 VES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2783","CodeVersion":"2020","CustomName":"INJECTION RASBURICASE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0432","CodeVersion":"2020","CustomName":"INF ANTIBODY ELISA TECH ANTIBODY HIV-1\/HIV-2 SCR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5840","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN 4-BAR LINK\/MX-AXIAL PNEUMAT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0593","CodeVersion":"2020","CustomName":"INJECTION LANADELUMAB-FLYO 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4168","CodeVersion":"2020","CustomName":"AMNIOBAND 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3486","CodeVersion":"2020","CustomName":"INJECTION ZIPRASIDONE MESYLATE 10 MG"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4802","CodeVersion":"2020","CustomName":"PROTAMINE SULFATE FOR HEMODIALYSIS PER 50 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4169","CodeVersion":"2020","CustomName":"ARTACENT WOUND PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0419","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8431","CodeVersion":"2020","CustomName":"SCR CLIN DEPR DOC POS & F\/U PLAN IS DOCUMENTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0429","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9761","CodeVersion":"2020","CustomName":"CS URS&\/PYELOSCPY LITH & VAC ASPIR K COLL SYS&U"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1880","CodeVersion":"2020","CustomName":"VENA CAVA FILTER"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2795","CodeVersion":"2020","CustomName":"INJECTION ROPIVACAINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0546","CodeVersion":"2020","CustomName":"Ambulance - Neonatal Ambulance Services"},{"ServiceGroup":"25346","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"11000","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"3418","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"10427","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"453","CodeVersion":"2020","CustomName":"Complications of treatment without CC"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"896","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy with MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93751","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0123T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3370F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3072F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3288F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3292F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100921","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0732T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63465","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0498T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0324U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0698T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0425T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0036U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72041","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61556","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.70","CodeVersion":"2017","CustomName":"OTHER&UNSPEC REPAIR UNSPEC SEPTAL DEFECT HEART"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107274","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2036","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC DOUBLE UPRIGHT CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0369","CodeVersion":"2020","CustomName":"MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1552","CodeVersion":"2020","CustomName":"RE-CEMENT\/RE-BOND BIL SPACE MAINTAINER - MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8957","CodeVersion":"2020","CustomName":"IV INFUS TX\/DX; INIT PROLNG RQR PORT\/IMPL PUMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4353","CodeVersion":"2020","CustomName":"INTERMIT URINARY CATHETER W\/INSERTION SUPPLIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"U0003","CodeVersion":"2020","CustomName":"INF AGT DET DNA\/RNA;SARS-COV-2 COVID-19 AMP P T"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2941","CodeVersion":"2020","CustomName":"INJECTION SOMATROPIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1111","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4393","CodeVersion":"2020","CustomName":"OST POUCH URIN W\/EXT WEAR BARRIER W\/CONVXITY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9995","CodeVersion":"2020","CustomName":"PT WHO USE PALLIATIVE CARE SERVICES DUR MEAS PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2002","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; PER DIEM"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5120","CodeVersion":"2020","CustomName":"BINAURAL BODY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6233","CodeVersion":"2020","CustomName":"GAUZE IMPREG HYDROGEL DIR WND CNTC STERL>48 SQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0463","CodeVersion":"2020","CustomName":"HOSPITAL OUTPATIENT CLIN VISIT ASSESS & MGMT PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9680","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES W\/CHF BILLD SID-BENEF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1750","CodeVersion":"2020","CustomName":"INJECTION IRON DEXTRAN 50 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9307","CodeVersion":"2020","CustomName":"NO RETURN OP ROOM FOR PROC W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2625","CodeVersion":"2020","CustomName":"SKIN PROTECT & POSITIONING WC CUSH WIDTH 22 IN\/>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0155","CodeVersion":"2020","CustomName":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6095","CodeVersion":"2020","CustomName":"REPAIR IMPLANT ABUTMENT BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0309","CodeVersion":"2020","CustomName":"RMVL IMPL INT GLU SNSR INS 180 D IMPL SNSR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0239","CodeVersion":"2020","CustomName":"HYDROCOLLATOR UNIT PORTABLE"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4238","CodeVersion":"2020","CustomName":"DERM-MAXX PER SQ CM"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1444","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE PWD 0.1 MG IRON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9711","CodeVersion":"2020","CustomName":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY\/CRC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5110","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM-AAFI BIOSIMILAR 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4931","CodeVersion":"2020","CustomName":"ORAL THERMOMETER REUSABLE ANY TYPE EACH"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0224","CodeVersion":"2020","CustomName":"INJECTION LUMASIRAN 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3000","CodeVersion":"2020","CustomName":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2018","CodeVersion":"2020","CustomName":"HABILITATION SUPP EMPLOYMENT WAIVER; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1110","CodeVersion":"2020","CustomName":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1095","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE 9% INTRAOCULAR 1 MCG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7513","CodeVersion":"2020","CustomName":"DACLIZUMAB PARENTERAL 25 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9035","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB 10 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"32978","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0200","CodeVersion":"2020","CustomName":"CERV MX POST COLLR OCCIP\/MAND ADJ CERV&THOR EXT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2116","CodeVersion":"2020","CustomName":"PT 66-80 Y 1 CLM FRLTY&1 IP ADV ILL DR\/YR PRI MP"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86606","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2040","CodeVersion":"2020","CustomName":"FINANCIAL MGMT SELF-DIRECTED WAIVER; PER 15 MIN"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8599","CodeVersion":"2020","CustomName":"ASPIRIN\/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9035","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0740","CodeVersion":"2020","CustomName":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6965","CodeVersion":"2020","CustomName":"SHLDR DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0672","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOSIS REMV SOFT INTERFACE REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5814","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0143","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG MNL SCR&RSCR UND PHYS"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8734","CodeVersion":"2020","CustomName":"ELDER MALTREATMENT SCREENING DOC NEG NO F\/U REQ"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5643","CodeVersion":"2020","CustomName":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2331","CodeVersion":"2020","CustomName":"RESIN COMPOS - 2 SURFACES ANTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1726","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1310","CodeVersion":"2020","CustomName":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2404","CodeVersion":"2020","CustomName":"REPAIR MYELOMENINGOCELE FETUS PROC PRFRM UTERO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2710","CodeVersion":"2020","CustomName":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1599","CodeVersion":"2020","CustomName":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9922","CodeVersion":"2020","CustomName":"SAFETY CNCRNS SCR PROV & IF POS THEN DOC MIT REC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5611","CodeVersion":"2020","CustomName":"REPAIR RESIN PARTIAL DENTURE BASE MANDIBULAR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4253","CodeVersion":"2020","CustomName":"ZENITH AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"33265","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"13217","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0835","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"73488","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"48005","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"84721","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"33823","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0515","CodeVersion":"2020","CustomName":"Clinic - Pediatric Clinic"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"089","CodeVersion":"2020","CustomName":"Simple pneumonia and pleurisy, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0601T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86577","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0647T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93087","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"52.86","CodeVersion":"2017","CustomName":"TRANSPLANTATION CELLS ISLETS LANGERHANS NOS"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2628","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC RECLINING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9607","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PERF IO CYSTO\/IN CASE PT DEATH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9148","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 1 MEDICAL HOME"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2017","CodeVersion":"2020","CustomName":"PERMEADERM GLOVE EACH"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8424","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE READY MADE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9697","CodeVersion":"2020","CustomName":"DOC OF PT RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0342","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; 4TH QTR\/STAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7323","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE EUFLEXXA IA INJ PER DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0495","CodeVersion":"2020","CustomName":"BATT CHRGR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4322","CodeVersion":"2020","CustomName":"IRRIGATION SYRINGE BULB OR PISTON EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2026","CodeVersion":"2020","CustomName":"INJECTION RADIESSE 0.1ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0870","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1510","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - FIXED UNILATERAL - PER QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1011","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH QUAL TOOL NOS DFIND MCR AUC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4261","CodeVersion":"2020","CustomName":"TAG PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7100","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 40500 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2060","CodeVersion":"2020","CustomName":"INJECTION LORAZEPAM 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8962","CodeVersion":"2020","CustomName":"CARDIAC STRESS IMAGING TEST PERFORMED ANY REASON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0058","CodeVersion":"2020","CustomName":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6055","CodeVersion":"2020","CustomName":"DENTAL IMPLANT SUPP CONNECTING BAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2610","CodeVersion":"2020","CustomName":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3476F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9361","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY DIURETIC IV TX; PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2950","CodeVersion":"2020","CustomName":"INJECTION PROMAZINE HCL UP TO 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0112","CodeVersion":"2020","CustomName":"CRTCHES UNDARM WOOD PAIR W\/PADS TIPS&HNDGRIPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7287","CodeVersion":"2020","CustomName":"EXFOLIATIVE CYTOLOG SAMPLE CLCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1755","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4022","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"28622","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0943","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Cardiac Rehabilitation"},{"ServiceGroup":"38002","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"73605","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"21359","CodeType":"DRG","Code":"460","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29","CodeType":"ICD9P","Code":"37.26","CodeVersion":"2017","CustomName":"CARD EP STIMULATION&RECORDING STUDIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0343U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.41","CodeVersion":"2017","CustomName":"IMPL PROSETHETIC CARDIAC SUPP DEVC AROUND HEART"},{"ServiceGroup":"91588","CodeType":"CPT","Code":"93654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91866","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33985","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35683","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0318U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29334","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3775F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0572T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0611T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0072U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84309","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0275T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16746","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11090","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0319U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1029","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2209","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; 2 ART GFT&1 VENUS GFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7856","CodeVersion":"2020","CustomName":"MYOTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3425","CodeVersion":"2020","CustomName":"APICOECTOMY - MOLAR FIRST ROOT"},{"ServiceGroup":"11788","CodeType":"HCPCS","Code":"S9501","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q12 HRS DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8961","CodeVersion":"2020","CustomName":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0141","CodeVersion":"2020","CustomName":"WALKER RIGID WHEELED ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"78377","CodeType":"HCPCS","Code":"H0011","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG IP"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9000","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0706","CodeVersion":"2020","CustomName":"INTRAORAL - OCCLUSAL RAD IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1012","CodeVersion":"2020","CustomName":"ALCOHOL&\/SUBSTANCE ABS SERVICES SKILLS DVLP"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9542","CodeVersion":"2020","CustomName":"HOME INJ TX NOC W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9605","CodeVersion":"2020","CustomName":"PATIENT SURV SCRE DID NOT IMPRV FROM BASE FLW TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5287","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVC PERS FM\/DM RECEIVER NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9494","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL THERAPY; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5978","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK\/FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2077","CodeVersion":"2020","CustomName":"PA;ASSESS PRD Q PERS DET MOST APPR COMB SRVC&TX"},{"ServiceGroup":"80260","CodeType":"HCPCS","Code":"H0011","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG IP"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4606","CodeVersion":"2020","CustomName":"OXYGEN PROBE USE W\/OXIMETER DEVICE REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2619","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7971","CodeVersion":"2020","CustomName":"EXCISION OF PERICORONAL GINGIVA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8400","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH BELOW KNEE EACH"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6960","CodeVersion":"2020","CustomName":"SHLDR DISARTIC OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1700","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7181","CodeVersion":"2020","CustomName":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB&TERM DEVC"},{"ServiceGroup":"88421","CodeType":"HCPCS","Code":"C1816","CodeVersion":"2020","CustomName":"RECEIVER AND\/OR TRANSMITTER NEUROSTIMULATOR"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4028","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4116","CodeVersion":"2020","CustomName":"ALLODERM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9590","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1033","CodeVersion":"2020","CustomName":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27906","CodeType":"ICD9P","Code":"92.32","CodeVersion":"2017","CustomName":"MULTI-SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6925","CodeVersion":"2020","CustomName":"WRST DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1119","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C EARLY D\/T MED EVNT DOC"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8838","CodeVersion":"2020","CustomName":"PATIENT NOT D\/C TO HOME BY POSTOP DAY #2 FLW CEA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9227","CodeVersion":"2020","CustomName":"FUNC O\/C ASMT CARE PLN NOT DOC PT NOT ELG AT ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5640","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8876","CodeVersion":"2020","CustomName":"DOC RSN NO MIN INVASIVE BX DIAGNOSE BR CA PREOP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1752","CodeVersion":"2020","CustomName":"CATHETER HEMODIALYSIS SHORT-TERM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4051","CodeVersion":"2020","CustomName":"SPLINT SUPPLIES MISCELLANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0041","CodeVersion":"2020","CustomName":"PATIENT AND\/OR CARE PARTNER DECLINE REFERRAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0315","CodeVersion":"2020","CustomName":"IM CNSL PHYS\/OTH Q HCP COVID-19 AGE <21 5-15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7440","CodeVersion":"2020","CustomName":"EXC MALIG TUMR - UP 1.25 CM SEE CPT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5560","CodeVersion":"2020","CustomName":"INSULIN DELIVERY DEVICE REUSABLE PEN; 1.5 ML SZ"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9446","CodeVersion":"2020","CustomName":"PT ED NOC NON-PHYSICIAN PROVIDER GROUP SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9517","CodeVersion":"2020","CustomName":"PT NOT ACHV IMPRV VA PRE LVL 90 D SUR NO RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5830","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN PNEUMAT\/SWING PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1160","CodeVersion":"2020","CustomName":"INJECTION DIGOXIN UP TO 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0106","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR;ALT G0104 SIGMOIDSCPY BA ENEMA"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9325","CodeVersion":"2020","CustomName":"INJ TALIMOGENE LAHERPAREPVEC PER 1 M PLAQUE F U"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"473","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"33261","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9732","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2373","CodeVersion":"2020","CustomName":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0163","CodeVersion":"2020","CustomName":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE"},{"ServiceGroup":"97506","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4150","CodeVersion":"2020","CustomName":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER"},{"ServiceGroup":"96104","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0897","CodeVersion":"2020","CustomName":"INJECTION DENOSUMAB 1 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1406","CodeVersion":"2020","CustomName":"OXYGEN&WATR VAPOR ENRICHING SYS W\/O HEATED DELIV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5824","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4011","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1840","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9246","CodeVersion":"2020","CustomName":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"3140","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"33829","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0604","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Port Add-on"},{"ServiceGroup":"12214","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"24090","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"61577","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"19661","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.0","CodeVersion":"2017","CustomName":"LOW FORCEPS OPERATION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4009F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0089U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"944","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90424","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0018U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0201U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0304U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0478T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0615T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105031","CodeType":"CPT","Code":"28820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2110","CodeVersion":"2020","CustomName":"PT 66 &>1 CLM FRLTY&1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8422","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT"},{"ServiceGroup":"74469","CodeType":"HCPCS","Code":"Q0085","CodeVersion":"2020","CustomName":"CHEMOTHAPY ADMN BOTH INFUS TECH&OTH TECHIQUE-VST"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3010","CodeVersion":"2020","CustomName":"INJECTION FENTANYL CITRATE 0.1 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0999","CodeVersion":"2020","CustomName":"ADDITION TO SPINAL ORTHOSIS NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9450","CodeVersion":"2020","CustomName":"CASE PRSATION DTL&EXT TX PLANNING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1270","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ABDOMINAL PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9003","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9007","CodeVersion":"2020","CustomName":"HANDLING CHARGE FOR PURCHASE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4170","CodeVersion":"2020","CustomName":"CYGNUS PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1703","CodeVersion":"2020","CustomName":"MODERNA COVID-19 VACCINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4118","CodeVersion":"2020","CustomName":"MATRISTEM MICROMATRIX 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1851","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1940","CodeVersion":"2020","CustomName":"INJECTION FUROSEMIDE UP TO 20 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4145","CodeVersion":"2020","CustomName":"EPIFIX INJECTABLE 1 MG"},{"ServiceGroup":"76847","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4162","CodeVersion":"2020","CustomName":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0317","CodeVersion":"2020","CustomName":"DISEASE MANAGEMENT PROGRAM; PER DIEM"},{"ServiceGroup":"98721","CodeType":"HCPCS","Code":"V2632","CodeVersion":"2020","CustomName":"POSTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7622","CodeVersion":"2020","CustomName":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2792","CodeVersion":"2020","CustomName":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8840","CodeVersion":"2020","CustomName":"DOC REASON NOT DOCUMENTING ASMT SLEEP SYMPTOMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"14414","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"110","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"70049","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"73606","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"12693","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"44105","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0500","CodeVersion":"2020","CustomName":"Outpatient Services - General Classification"},{"ServiceGroup":"51322","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"80258","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"3081","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"341","CodeVersion":"2020","CustomName":"Penis procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"178","CodeVersion":"2020","CustomName":"Uncomplicated peptic ulcer without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30133","CodeType":"ICD9P","Code":"14.34","CodeVersion":"2017","CustomName":"REPAIR OF RETINAL TEAR BY LASER PHOTOCOAGULATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106767","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0093U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0209T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1127F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82774","CodeType":"ICD9P","Code":"44.69","CodeVersion":"2017","CustomName":"OTHER REPAIR OF STOMACH"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107137","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113730","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4554F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0111U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91592","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89980","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.63","CodeVersion":"2017","CustomName":"LAP REMOVAL BOTH OVARIES&TUBES@SAME OP EPIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0059U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0187T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35558","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0840","CodeVersion":"2020","CustomName":"INJ CROTALIDAE POLYVALENT IMMUNE FAB UP TO 1 G"},{"ServiceGroup":"27856","CodeType":"HCPCS","Code":"G0129","CodeVersion":"2020","CustomName":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION"},{"ServiceGroup":"109732","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7300","CodeVersion":"2020","CustomName":"REMOVAL OF TEMPORARY ANCHORAGE DEVICE W\/O FLAP"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5115","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2191","CodeVersion":"2020","CustomName":"PATIENTS CLIN IND IMAG HEAD: POSIT HEADACHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q3001","CodeVersion":"2020","CustomName":"ADJUNCTIVE PROCEDURE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4135","CodeVersion":"2020","CustomName":"MEDISKIN PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2034","CodeVersion":"2020","CustomName":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4212","CodeVersion":"2020","CustomName":"NONCORING NEEDLE OR STYLET W\/WO CATHETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2675","CodeVersion":"2020","CustomName":"INJECTION PROGESTERONE PER 50 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6091","CodeVersion":"2020","CustomName":"REPL OF REPL PART ATT IMPL\/ABUT S PROS PER ATT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8936","CodeVersion":"2020","CustomName":"MR ANGIO W\/O CONTRST FOLLOWED W\/CONTRST UP EXT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5670","CodeVersion":"2020","CustomName":"REPL ALL TEETH&ACRYLC FRMEWRK MAX"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9216","CodeVersion":"2020","CustomName":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0180","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: LODGNG-RECIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2025","CodeVersion":"2020","CustomName":"WAIVER SERVICES; NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0583","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Assessment"},{"ServiceGroup":"8960","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"115","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"65284","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"12290","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0889","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Other Miscellaneous Dialysis"},{"ServiceGroup":"21356","CodeType":"DRG","Code":"254","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of upper arm and lower leg, except foot, age greater than 17, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"498","CodeVersion":"2020","CustomName":"Spinal fusion except cervical without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21803","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104259","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0571T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113712","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4178F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89861","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0172U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0193T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0073A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0331U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87968","CodeType":"ICD10P","Code":"0DB60Z3","CodeVersion":"2020","CustomName":"EXCISION \/ OF STOMACH \/ OPEN APPROACH \/ VERTICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1759","CodeVersion":"2020","CustomName":"CATHETER INTRACARDIAC ECHOCARDIOGRAPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7972","CodeVersion":"2020","CustomName":"SURGICAL RDUC FIBROUS TUBEROSITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8857","CodeVersion":"2020","CustomName":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0330","CodeVersion":"2020","CustomName":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2634","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRAND IODINE-125 >1.01 MCI PER SRC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9219","CodeVersion":"2020","CustomName":"EVAL FOR MOD\/DEEP SEDATION\/GENERAL ANESTHESIA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7318","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE DUROLANE FOR IA INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9986","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 40 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7700","CodeVersion":"2020","CustomName":"GASKET\/SEAL USE PROS SOCKET INSERT ANY TYPE EA"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3352","CodeVersion":"2020","CustomName":"APEXIFICATION\/RECALCIFICATN INTERIM MED REPLACE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9319","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9358","CodeVersion":"2020","CustomName":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8565","CodeVersion":"2020","CustomName":"VERIFICATION & DOC SUDDEN\/RAPIDLY PROG HEAR LOSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0249","CodeVersion":"2020","CustomName":"PAD WATER CIRCULATING HEAT UNIT REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9615","CodeVersion":"2020","CustomName":"CATHETERIZATION FOR COLLECTION OF SPECIMEN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9267","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL 1 MG"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2597","CodeVersion":"2020","CustomName":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0315","CodeVersion":"2020","CustomName":"DISEASE MANAGEMENT PROGM; INIT ASSESS&INIT PROGM"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1642","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3465","CodeVersion":"2020","CustomName":"HEEL THOMAS WITH WEDGE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0047","CodeVersion":"2020","CustomName":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2374","CodeVersion":"2020","CustomName":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1224","CodeVersion":"2020","CustomName":"WHEELCHAIR W\/DETACHABLE ARMS ELEVATING LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0408","CodeVersion":"2020","CustomName":"F\/U IP CNSLT CMPLX PHYS 35 MIN\/>PT VIA TELEHLTH"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"35054","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"24029","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0482","CodeVersion":"2020","CustomName":"Cardiology - Stress Test"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"33263","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.36","CodeVersion":"2017","CustomName":"CARDIAC RETRAINING"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3775F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88150","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106704","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84309","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113691","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7951","CodeVersion":"2020","CustomName":"SINUS AUGMENTATION BONE\/BONE SUBST LAT OPEN APPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8670","CodeVersion":"2020","CustomName":"PERIODIC ORTHODONTIC TREATMENT VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5514","CodeVersion":"2020","CustomName":"DIAB ONLY MX DEN INSRT DIRECT CARV CUSTOM FAB EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5421","CodeVersion":"2020","CustomName":"ADJUST PARTIAL DENTURE - MAXILLARY"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4431","CodeVersion":"2020","CustomName":"OST POUCH URIN; W\/BARR W\/FAUCET TAP W\/VALVE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0182","CodeVersion":"2020","CustomName":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2020","CodeVersion":"2020","CustomName":"THERAPEUTIC BEHAVIORAL SERVICES PER DIEM"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4016","CodeVersion":"2020","CustomName":"FROZEN IN VITRO FERTILIZATION CYCLE CASE RATE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1818","CodeVersion":"2020","CustomName":"INTEGRATED KERATOPROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0635","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9776","CodeVersion":"2020","CustomName":"IO NEAR-INFR FLUOR IMAG MAJ EXTRA-HEP BILE DUCT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0239","CodeVersion":"2020","CustomName":"TX PROC IMPRV RESP FUNCT\/INCR RESP MUSC 2\/> IND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5014","CodeVersion":"2020","CustomName":"5% DEXTROSE\/45% NL SALINE W\/KCL&MGSO4 1500 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2430","CodeVersion":"2020","CustomName":"VARIBL ASPHRCITY LENS BIFOCL FULL FIELD-LENS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1566","CodeVersion":"2020","CustomName":"INJ IG IV LYPHILIZED NOT OTHERWISE SPEC 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0161","CodeVersion":"2020","CustomName":"SERVICE SLP HH EST\/DEL SPCH-LANG PATH MP EA 15 M"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"11199","CodeType":"REV","Code":"0413","CodeVersion":"2020","CustomName":"Respiratory Services - Hyperbaric Oxygen Therapy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0305","CodeVersion":"2020","CustomName":"Laboratory - Hematology"},{"ServiceGroup":"36144","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"30063","CodeType":"REV","Code":"0344","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic Radiopharmaceuticals"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0064A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26350","CodeType":"CPT","Code":"90802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0158U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0055T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92194","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46029","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104970","CodeType":"CPT","Code":"99219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110766","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1018","CodeVersion":"2020","CustomName":"PATIENTS ACTV DX\/HX CA PT HVY TOB SMKR LC SCR PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9109","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NCK CA; T1-T2&N0 M0 NO PROGRSS"},{"ServiceGroup":"80919","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2222","CodeVersion":"2020","CustomName":"MNL WC AC SLD C TIRE I WHL SZ RPL E"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7070","CodeVersion":"2020","CustomName":"INFUSION D-5-W 1000 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0219","CodeVersion":"2020","CustomName":"INJECTION AVALGLUCOSIDASE ALFA-NGPT 4 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1769","CodeVersion":"2020","CustomName":"GUIDE WIRE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7900","CodeVersion":"2020","CustomName":"MALE VACUUM ERECTION SYSTEM"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6068","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN PORCELN\/CERAM FPD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8798","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4104","CodeVersion":"2020","CustomName":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83519","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"87965","CodeType":"ICD10P","Code":"0DB68Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH VIA NAT ART OPENING ENDO VERTCL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7530","CodeVersion":"2020","CustomName":"REMV FB MUCOS SKN\/SUBQ ALVEOL TISS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0466","CodeVersion":"2020","CustomName":"FEDERALLY QUALIFIED HEALTH CENTER VISIT NEW PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4617","CodeVersion":"2020","CustomName":"MOUTHPIECE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0090","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT-MILE-VEH PROV IND W\/VESTED INT"},{"ServiceGroup":"103731","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"12969","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"12512","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"14938","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"20900","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4131F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93020","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0095T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0089","CodeVersion":"2020","CustomName":"PROF SVC INI V ADM SUB IMT\/OTH INF RX H EA 15M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0150","CodeVersion":"2020","CustomName":"COMP ORAL EVALUATION - NEW\/EST PT"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9642","CodeVersion":"2020","CustomName":"CURRENT SMOKER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2211","CodeVersion":"2020","CustomName":"VISIT CPLX INHERENT E&M ASSOC WITH MED CARE SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9472","CodeVersion":"2020","CustomName":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5227","CodeVersion":"2020","CustomName":"IMMEDIATE MAXILLARY PARTIAL DENTURE - FLEX BASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0673","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0786","CodeVersion":"2020","CustomName":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1777","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL SINGLE COIL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9412","CodeVersion":"2020","CustomName":"PT ADM WI 180 D PST CIED W\/INF DVC RMV\/SURG REV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8924","CodeVersion":"2020","CustomName":"SP RSLT DEMST FEV1\/FVC <70% FEV <60% P & COPD SX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8610","CodeVersion":"2020","CustomName":"METHOTREXATE ORAL 2.5 MG"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5974","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK\/FOOT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0262","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Pharmacy Svcs"},{"ServiceGroup":"63","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"963","CodeVersion":"2020","CustomName":"Other Multiple Significant Trauma with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"301","CodeVersion":"2020","CustomName":"Endocrine disorders without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93019","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104744","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93014","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81567","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87967","CodeType":"ICD9P","Code":"43.89","CodeVersion":"2017","CustomName":"OPEN AND OTHER PARTIAL GASTRECTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0048U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"47133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0073T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115367","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0277","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5014","CodeVersion":"2020","CustomName":"5% DEXTROSE\/45% NL SALINE W\/KCL&MGSO4 1500 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9214","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF GESTATIONAL DIABETES; DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1025","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS ORTHOS KYPHOS PAD FLOATING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2007","CodeVersion":"2020","CustomName":"LIMITED 30 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2313","CodeVersion":"2020","CustomName":"TRIFOCL+\/-7.25-+\/-12.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0478","CodeVersion":"2020","CustomName":"IMMUNOHISTOCHEMICAL STAINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6205","CodeVersion":"2020","CustomName":"PONTIC INDIRECT RESIN BASED COMPOS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8330","CodeVersion":"2020","CustomName":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5286","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM\/DM RECEIVR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9745","CodeVersion":"2020","CustomName":"DOCUMENTED REASON FOR NOT SCREENING\/REC F\/U HBP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1766","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH GUID INTRACARD EP NOT PEEL-AWAY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2370","CodeVersion":"2020","CustomName":"INJECTION PHENYLEPHRINE HCL UP TO 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0073","CodeVersion":"2020","CustomName":"INJECTION AZTREONAM 500 MG"},{"ServiceGroup":"49109","CodeType":"HCPCS","Code":"V5130","CodeVersion":"2020","CustomName":"BINAURAL IN THE EAR"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8696","CodeVersion":"2020","CustomName":"ANTENNA FOR USE W\/IMPL DIA\/PN ST DEV REPL EA"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1085","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0114","CodeVersion":"2020","CustomName":"FERN TEST"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7635","CodeVersion":"2020","CustomName":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0456","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9000","CodeVersion":"2020","CustomName":"INJECTION DOXORUBICIN HCL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4190","CodeVersion":"2020","CustomName":"ARTACENT AC PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4213","CodeVersion":"2020","CustomName":"ASCENT 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4018","CodeVersion":"2020","CustomName":"FRZN EMB TRANS PROC CANCEL BEFR TRANS CASE RATE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7510","CodeVersion":"2020","CustomName":"PREDNISOLONE ORAL PER 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9730","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0974","CodeVersion":"2020","CustomName":"TLSO FULL CORSET"},{"ServiceGroup":"95360","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"2741","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"58460","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"64202","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"68189","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"81620","CodeType":"DRG","Code":"806","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4255F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.38","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTROENTEROSTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107124","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1205F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12523","CodeType":"ICD9P","Code":"92.30","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY NOS"},{"ServiceGroup":"77260","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0266U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1121","CodeType":"ICD9P","Code":"36.07","CodeVersion":"2017","CustomName":"INSERTION OF DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0021U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0563T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4133F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.31","CodeVersion":"2017","CustomName":"RESECTION OF INTRACRANIAL VESSELS W\/ANASTOMOSIS"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64377","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.98","CodeVersion":"2017","CustomName":"OTHER PUNCTURE OF ARTERY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7362","CodeVersion":"2020","CustomName":"BATTERY CHARGER 6 VOLT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6090","CodeVersion":"2020","CustomName":"REPAIR IMPL SUPP PROSTH BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2012","CodeVersion":"2020","CustomName":"BRIEF COMMUNICATION TBS; 5-10 MIN MED DISCUSSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5937","CodeVersion":"2020","CustomName":"TRISMUS APPLIANCE NOT TMD TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7510","CodeVersion":"2020","CustomName":"REPR PROSTHETIC DEVICE REPR\/REPLACE MINOR PARTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4408","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/BUILT-IN CONVXITY > 4X4 IN EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4353","CodeVersion":"2020","CustomName":"INTERMIT URINARY CATHETER W\/INSERTION SUPPLIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2513","CodeVersion":"2020","CustomName":"INJECTION PENTASTARCH 10% SOLUTION 100 ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8540","CodeVersion":"2020","CustomName":"DEXAMETHASONE ORAL 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0131","CodeVersion":"2020","CustomName":"INJECTION ACETAMINOPHEN 10 MG"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4105","CodeVersion":"2020","CustomName":"INTEGRA DRT\/INTEGRA OMNIGR DRML RGN MTX P SQ CM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105756","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9990","CodeVersion":"2020","CustomName":"SERVICES PROVIDED AS PART PHASE II CLIN TRIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1016","CodeVersion":"2020","CustomName":"FEMALE PATIENTS UNABLE TO BEAR CHILDREN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4930","CodeVersion":"2020","CustomName":"GLOVES STERILE PER PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0245","CodeVersion":"2020","CustomName":"INITIAL PHYS E&M DIABETIC NEUROPATHY W\/LOPS"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5247","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL BTE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5702","CodeVersion":"2020","CustomName":"REPLCMT SOCKT HIP DISARTIC W\/HIP JNT MOLD PT MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2008","CodeVersion":"2020","CustomName":"THERAGENESIS PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4017","CodeVersion":"2020","CustomName":"INCPL CYCLE TX CANCELED PRIOR TO STIM CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0746","CodeVersion":"2020","CustomName":"ABSORB WND DRSG HOM MDL PRTBLE PAD SZ > 48 SQ IN"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0973","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - THERAPEUTIC"},{"ServiceGroup":"13268","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"19595","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"78377","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"24639","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"53542","CodeType":"DRG","Code":"897","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy without MCC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"481","CodeVersion":"2020","CustomName":"Bone marrow transplant"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96559","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3420","CodeType":"ICD9P","Code":"51.24","CodeVersion":"2017","CustomName":"LAPAROSCOPIC PARTIAL CHOLECYSTECTOMY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0342U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3343F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33764","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"41.05","CodeVersion":"2017","CustomName":"ALLO HEMATOPO STEM CELL TRANSPLT W\/O PURG"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48385","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0176","CodeVersion":"2020","CustomName":"HYDROXYUREA ORAL 500 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2780","CodeVersion":"2020","CustomName":"INJECTION RANITIDINE HYDROCHLORIDE 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9893","CodeVersion":"2020","CustomName":"DILATED MACULAR EX WAS NOT PERFORMED REASON NOS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8090","CodeVersion":"2020","CustomName":"COMP ORTHODONTIC TX ADULT DENTITION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3762","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS RIGID W\/O JOINT PREFAB OFF SHELF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3973","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5961","CodeVersion":"2020","CustomName":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2039","CodeVersion":"2020","CustomName":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5140","CodeVersion":"2020","CustomName":"BINAURAL BEHIND THE EAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0198","CodeVersion":"2020","CustomName":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4189","CodeVersion":"2020","CustomName":"ARTACENT AC 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9089","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9661","CodeVersion":"2020","CustomName":"PT >\/=86 YOA WHO RECEIVED COLONOSCOPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9517","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0295","CodeVersion":"2020","CustomName":"ELECMAGNET TX 1\/>AREA WND CARE NOT G0329\/OTH USE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7186","CodeVersion":"2020","CustomName":"ELEC ELB CHILD VRITY VILLAGE\/EQUAL SWITCH CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0974","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1114","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C EARL DT ME DOC MED REC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4376","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/FACEPLATE ATTCH RUBR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7680","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6008","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:6-10 MEV"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1020","CodeVersion":"2020","CustomName":"CLINICAL DECN SUP MECH CURBSIDE CLIN AUGMNTD WF"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0510","CodeVersion":"2020","CustomName":"PHARM SPL FEE INIT IMS DRUG 1ST MO FLW TRANSPLNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2762","CodeVersion":"2020","CustomName":"POLARIZATION ANY LENS MATERIAL PER LENS"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0232","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - OB"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"11108","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"70042","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"14566","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"73656","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"53150","CodeType":"DRG","Code":"065","CodeVersion":"2020","CustomName":"Dysequilibrium"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"946","CodeVersion":"2020","CustomName":"Rehabilitation without CC\/MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52949","CodeType":"CPT","Code":"90812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107639","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0246U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.62","CodeVersion":"2017","CustomName":"HYPOTHERMIA INCIDENTAL TO OPEN HEART SURGERY"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107188","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0185U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3331F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82289","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1504F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0346U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0599T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0619T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0196U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1137F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0272U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0313T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41406","CodeType":"ICD9P","Code":"37.21","CodeVersion":"2017","CustomName":"RIGHT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"107180","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0273T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.31","CodeVersion":"2017","CustomName":"HIGH FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83960","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"104838","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6245","CodeVersion":"2020","CustomName":"PONTIC - PORCELAIN\/CERAMIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3356","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - INTERIM MEDICATION REPLACE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0765","CodeVersion":"2020","CustomName":"FDA APPRVD NRV STIM W\/REPL BATTRY TX NAUSA&VOMIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0311","CodeVersion":"2020","CustomName":"COMP MGMT & CARE COORD ADVANCED ILL PER CAL MO"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8623","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY OTH THAN EAR LEVEL REPL EA"},{"ServiceGroup":"10534","CodeType":"HCPCS","Code":"T1030","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5679","CodeVersion":"2020","CustomName":"ADD LW EXT BK\/AK CSTM MOLD\/PRFAB NOT W\/LOCK MECH"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0434","CodeVersion":"2020","CustomName":"PRTBLE LQD O2 SYS RENT; RESRVOR HUMIDFR FLWMTR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9359","CodeVersion":"2020","CustomName":"HIT ANTI-TUMOR NECROS FACTOR IV TX; PER DIEM"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9268","CodeVersion":"2020","CustomName":"INJECTION PENTOSTATIN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7503","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2664","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-4\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2007","CodeVersion":"2020","CustomName":"TRNSPRT WAIT TIME AIR AMB&NON-EMERG VEH 1\/2 HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0401","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE EXTENDED RELEASE 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9738","CodeVersion":"2020","CustomName":"ADJUNCTIVE BLUE LIGHT CYSTOSCOPY FLUO IMAG AGT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0484","CodeVersion":"2020","CustomName":"CONSULTATION SLIDES PREPARED ELSW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9283","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPRT DOC CLASS H TYP\/NSCLC-NOS W\/E"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9367","CodeVersion":"2020","CustomName":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8667","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC STS ELB WRST HND IMPAIR SC =0 \/ >0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1568","CodeVersion":"2020","CustomName":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1635","CodeVersion":"2020","CustomName":"COMPACT TRAVEL HEMODIALYZER SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2530","CodeVersion":"2020","CustomName":"CONTACT LENS SCLERAL GAS IMPERMEABLE PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9699","CodeVersion":"2020","CustomName":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0812","CodeVersion":"2020","CustomName":"PHOTOTHERAPEUTIC KERATECTOMY"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106712","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22407","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"3077","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0911","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Rehabilitation"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"33264","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"147","CodeType":"REV","Code":"0662","CodeVersion":"2020","CustomName":"Respite Care - Hourly Charge\/Aide\/Homemaker\/Companion"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"245","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies without CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"548","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28919","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4190F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89942","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.5","CodeVersion":"2017","CustomName":"MANUALLY ASSISTED DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"37.52","CodeVersion":"2017","CustomName":"IMPLNT TOTAL INT BIVENTRICULAR HEART REPLCMT SYS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64517","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62259","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9272","CodeVersion":"2020","CustomName":"INJECTION, DOSTARLIMAB-GXLY 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0412","CodeVersion":"2020","CustomName":"BLOOD GLUCOSE LEVEL TEST IN-OFFICE GLUCOSE METER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2501","CodeVersion":"2020","CustomName":"INJECTION PARICALCITOL 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5648","CodeVersion":"2020","CustomName":"ADD LOW EXT ABOVE KNEE AIR FL GEL\/= CUSHN SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9659","CodeVersion":"2020","CustomName":"PT>\/=86 YO UNDWNT SC&NO HX CC\/MED RSN COLNOSCOPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6615","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5665","CodeVersion":"2020","CustomName":"ADD LW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1017","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM HEALTHHELP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5503","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD ROLLER\/ROCKR BOTTOM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8684","CodeVersion":"2020","CustomName":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0419","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9944","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - HARD APPLIANCE, FULL ARCH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0171","CodeVersion":"2020","CustomName":"INJECTION ADRENALIN EPINEPHRINE 0.1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4003","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHOULDER CAST ADULT PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4035","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6092","CodeVersion":"2020","CustomName":"RECEMENT IMPLANT\/ABUTMENT SUPPORTED CROWN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5571","CodeVersion":"2020","CustomName":"INSULIN DELIV DEVICE DISPOSABLE PEN; 3 ML SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2420","CodeVersion":"2020","CustomName":"GOLD FOIL - TWO SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9906","CodeVersion":"2020","CustomName":"PT ID TOBAC USER RECV TOB CESSATION INTERVENTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7189","CodeVersion":"2020","CustomName":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9845","CodeVersion":"2020","CustomName":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX"},{"ServiceGroup":"115169","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1551","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2187","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: HEAD TRAUMA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9882","CodeVersion":"2020","CustomName":"2 MDPP ONGOING MS ATD BNF MO 13-15 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9305","CodeVersion":"2020","CustomName":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4706","CodeVersion":"2020","CustomName":"BICARBONATE CONCENTRATE SOL HEMODIAL PER GALLON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1031","CodeVersion":"2020","CustomName":"NONPNEU CPRSN CTR W\/O CALIBRATED GRADIENT PRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0285","CodeVersion":"2020","CustomName":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3253","CodeVersion":"2020","CustomName":"FOOT MOLDED SHOE PLASTAZOTE CUSTOM FITTED EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0455","CodeVersion":"2020","CustomName":"OXYGEN TENT EXCLUDING CROUP OR PEDIATRIC TENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5954","CodeVersion":"2020","CustomName":"PALATAL AUGMENTATION PROSTHESIS"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6093","CodeVersion":"2020","CustomName":"RECEMENT IMPL\/ABUTMNT SUPPORTED FIX PART DENTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1020","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9485","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 60 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0510","CodeVersion":"2020","CustomName":"NON-PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2003","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER\/TRIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6212","CodeVersion":"2020","CustomName":"PONTIC - CAST NOBLE METAL"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1778","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6615","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2500","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA SPHERICAL PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5818","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FRICT SWING&STANCE CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2633","CodeVersion":"2020","CustomName":"WC ACCESS ADD MOBILE ARM SUPPORT SUPINATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7414","CodeVersion":"2020","CustomName":"EXCISION MALIGNANT LESION > 1.25 CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5697","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE\/KNEE DISARTIC PELV BAND"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2041","CodeVersion":"2020","CustomName":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5950","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1956","CodeVersion":"2020","CustomName":"INJECTION LEVOFLOXACIN 250 MG"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4054F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3317F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0649T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0657T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0010U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4149F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0159U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105259","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93017","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84933","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2200","CodeVersion":"2020","CustomName":"PATIENT IDENTIFIED UH ALC USER RCV BRIEF CNSLG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2140","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 3 MNT PO<=3.0 DEM CHNG 5 PNT\/>"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0250","CodeVersion":"2020","CustomName":"COMP GERIATRIC ASSESS&TX PLAN PRFRM ASSESS TEAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2633","CodeVersion":"2020","CustomName":"WC ACCESS ADD MOBILE ARM SUPPORT SUPINATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1092","CodeVersion":"2020","CustomName":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3110","CodeVersion":"2020","CustomName":"INJECTION TERIPARATIDE 10 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3473","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5256","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITE"},{"ServiceGroup":"14654","CodeType":"ICD10P","Code":"0SWB4JZ","CodeVersion":"2020","CustomName":"REVISION SYNTH SUBST LT HIP JOINT PERQ ENDO APPR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3652","CodeVersion":"2020","CustomName":"SALIVA TST HORMONE LEVL; ASSESS PRTERM LABR RISK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6009","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:11-19 MEV"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0191","CodeVersion":"2020","CustomName":"HEEL OR ELBOW PROTECTOR EACH"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1759","CodeVersion":"2020","CustomName":"CATHETER INTRACARDIAC ECHOCARDIOGRAPHY"},{"ServiceGroup":"98721","CodeType":"HCPCS","Code":"C1783","CodeVersion":"2020","CustomName":"OCULAR IMPLANT AQUEOUS DRAINAGE ASSIST DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5502","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE IMPL ACCESS DEVC DIEM"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9036","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3370","CodeVersion":"2020","CustomName":"INJECTION VANCOMYCIN HCL 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1018","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM INFINX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0881","CodeVersion":"2020","CustomName":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9903","CodeVersion":"2020","CustomName":"PATIENT SCR TOBACCO USE & ID AS TOB NON-USER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4055","CodeVersion":"2020","CustomName":"REPLACE NONMOLD CALF LACER CSTM FAB ORTHOS ONLY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9047","CodeVersion":"2020","CustomName":"INJECTION CARFILZOMIB 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4005","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1743","CodeVersion":"2020","CustomName":"INJECTION IDURSULFASE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4672","CodeVersion":"2020","CustomName":"DRAINAGE EXTENSION LINE STERILE DIALYSIS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0199","CodeVersion":"2020","CustomName":"DRY PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2230","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0158","CodeVersion":"2020","CustomName":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84279","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40147","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"33236","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"75522","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0951","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Extension of 94X - Athletic Training"},{"ServiceGroup":"70049","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"008","CodeVersion":"2020","CustomName":"Peripheral and cranial nerve and other nervous system procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"885","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE -NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9702","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5704","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER BELOW KNEE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0947","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Complex Medical Equipment - Ancillary"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"61577","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"68188","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"17861","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"68846","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"14532","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"977","CodeType":"REV","Code":"0330","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - General Classification"},{"ServiceGroup":"12290","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"33312","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"4020","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"3138","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"73948","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"68820","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"26205","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0335","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - IV"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"513","CodeVersion":"2020","CustomName":"Pancreas transplant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"716","CodeVersion":"2020","CustomName":"HIV W\/O OTHER RELATED DIAGNOSES-NYDRG"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"585","CodeVersion":"2020","CustomName":"MAJ STOMACH, ESOP, DUOD, SMALL \"&\" LRG BOWEL PROC W MAJOR CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87943","CodeType":"ICD9P","Code":"36.07","CodeVersion":"2017","CustomName":"INSERTION OF DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92551","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16679","CodeType":"ICD9P","Code":"53.9","CodeVersion":"2017","CustomName":"OTHER HERNIA REPAIR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102521","CodeType":"CPT","Code":"54410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92597","CodeType":"CPT","Code":"91110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39652","CodeType":"CPT","Code":"94002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4176F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107077","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44132","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3376F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3452F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92189","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90383","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0021A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110761","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90437","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.30","CodeVersion":"2017","CustomName":"RESECTION VESSEL W\/ANASTOMOSIS UNSPECIFIED SITE"},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49","CodeType":"ICD9P","Code":"81.52","CodeVersion":"2017","CustomName":"PARTIAL HIP REPLACEMENT"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0172","CodeVersion":"2020","CustomName":"INJECTION, ADUCANUMAB-AVWA 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8961","CodeVersion":"2020","CustomName":"CARD STRESS IMAG LW RSK PT PREOP EVAL 30 D SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8498","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG RECTAL\/SUPPOSITORY NOS"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7033","CodeVersion":"2020","CustomName":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6235","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS >16 BUT <\/=48 SQ W\/O ADHES EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0150","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7292","CodeVersion":"2020","CustomName":"PLCMT TEMP ANCH DEVC SCREW RETN PLATE RQR FLAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2207","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 0.12-2.00D CYL-EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9144","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG & HYALURONIDASE-FIHJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4108","CodeVersion":"2020","CustomName":"INTEGRA MATRIX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1245","CodeVersion":"2020","CustomName":"INJECTION DIPYRIDAMOLE PER 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8185","CodeVersion":"2020","CustomName":"FLUTTER DEVICE"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4765","CodeVersion":"2020","CustomName":"DIALYSATE CONC POWDER ADD PERITON DIALYSIS-PCKET"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5595","CodeVersion":"2020","CustomName":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC\/=MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0173","CodeVersion":"2020","CustomName":"TRIMETHOBENZAMIDE HCL 250 MG ORL NOT>48 HR DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9354","CodeVersion":"2020","CustomName":"1 CT SCAN\/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0800","CodeVersion":"2020","CustomName":"INJECTION CORTICOTROPIN UP TO 40 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9812","CodeVersion":"2020","CustomName":"PATIENT DIED INCL ALL DEATHS OCC DUR HOS OP PER"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2248","CodeVersion":"2020","CustomName":"INJECTION MICAFUNGIN SODIUM 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4046","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8841","CodeVersion":"2020","CustomName":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1999","CodeVersion":"2020","CustomName":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT"},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7627","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4629","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2210","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0638","CodeVersion":"2020","CustomName":"INJECTION CANAKINUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5666","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42785","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"101501","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"68140","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"17019","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"710","CodeVersion":"2020","CustomName":"HIV W MAJOR RELATED DIAG W MULT MAJ OR SIGN DIAG W\/O TB-NYDRG"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107063","CodeType":"CPT","Code":"42220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0573T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0734T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77450","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0202T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0078T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91593","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3759F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0263T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106707","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87526","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9355","CodeVersion":"2020","CustomName":"COLLAGEN NERVE CUFF PER 0.5 CENTIMETER LENGTH"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2623","CodeVersion":"2020","CustomName":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN\/> ANY DEPTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0203","CodeVersion":"2020","CustomName":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2492","CodeVersion":"2020","CustomName":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5974","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK\/FOOT"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0475","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4230","CodeVersion":"2020","CustomName":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1790","CodeVersion":"2020","CustomName":"INJECTION DROPERIDOL UP TO 5 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6999","CodeVersion":"2020","CustomName":"UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0203","CodeVersion":"2020","CustomName":"THERAPEUTIC LGHTBOX MINI 10000 LUX TABL TOP MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1980","CodeVersion":"2020","CustomName":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB"},{"ServiceGroup":"45469","CodeType":"ICD10P","Code":"8E09XBZ","CodeVersion":"2020","CustomName":"COMPUTER ASSISTED PROCEDURE HEAD & NECK REGION"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3060","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL\/MT EA"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5512","CodeVersion":"2020","CustomName":"REPAIR BROKEN COMPLETE DENTURE BASE MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0565","CodeVersion":"2020","CustomName":"INJECTION BEZLOTOXUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4524","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD BRF\/DIAPER X-LG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2313","CodeVersion":"2020","CustomName":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1844","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4360","CodeVersion":"2020","CustomName":"WALKING BOOT PNEUMATC &\/ VACUUM PREFAB CUSTM FIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2209","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 4.25-6.00D CYL-EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6384","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1729","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5600","CodeVersion":"2020","CustomName":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6509","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5863","CodeVersion":"2020","CustomName":"OVERDENTURE - COMPLETE MAXILLARY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81571","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7627","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9010","CodeVersion":"2020","CustomName":"BLOOD FOR TRANSFUSION PER UNIT"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2102","CodeVersion":"2020","CustomName":"ADJUNCTIVE CONTINUOUS GLUCOSE MONITOR\/RECEIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7641","CodeVersion":"2020","CustomName":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2715","CodeVersion":"2020","CustomName":"PRISM PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0954","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9994","CodeVersion":"2020","CustomName":"LODGNG COSTS CLINICAL TRIAL PRTCP&ONE CAREGIVR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2415","CodeVersion":"2020","CustomName":"ADD KNEE LOCK W\/INTEGRATED RLSE MECH MATL EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4023","CodeVersion":"2020","CustomName":"DONOR EGG CYCLE INCOMPLETE CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9633","CodeVersion":"2020","CustomName":"PT NOT SUSTN URETER INJ SX\/DISC 30D POST SRG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5060","CodeVersion":"2020","CustomName":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7641","CodeVersion":"2020","CustomName":"FLUNISOLIDE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5826","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5071","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6197","CodeVersion":"2020","CustomName":"ALGINATE\/OTH FIBER GELL DRESS PAD >16<\/=48 SQ EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7611","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4026","CodeVersion":"2020","CustomName":"PROCUREMENT OF DONOR SPERM FROM SPERM BANK"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"22406","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"350","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"105282","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"9984","CodeType":"REV","Code":"0456","CodeVersion":"2020","CustomName":"Emergency Room - Urgent Care"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"48183","CodeType":"REV","Code":"0323","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Arteriography"},{"ServiceGroup":"113705","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"21594","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"32595","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"3178","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0987","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - HOSPITAL VISIT"},{"ServiceGroup":"3069","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0222","CodeVersion":"2020","CustomName":"Special Charges - Technical Support Charge"},{"ServiceGroup":"82498","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"80285","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"34557","CodeType":"DRG","Code":"894","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence, Left Against Medical Advice"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"095","CodeVersion":"2020","CustomName":"Pneumothorax without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"711","CodeVersion":"2020","CustomName":"HIV W MAJOR RELAT DIAG W\/O MULT MAJOR OR SIGNIF DIAG W TB-NYDRG"},{"ServiceGroup":"32539","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"642","CodeVersion":"2020","CustomName":"Inborn and Other Disorders of Metabolism"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104954","CodeType":"CPT","Code":"99218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6102F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21459","CodeType":"DRG","Code":"806","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.97","CodeVersion":"2017","CustomName":"DECOMPRESSION CHAMBER"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107084","CodeType":"CPT","Code":"21465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76207","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74.2","CodeVersion":"2017","CustomName":"EXTRAPERITONEAL CESAREAN SECTION"},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0594T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48631","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79758","CodeType":"CPT","Code":"00170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106064","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104948","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75326","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44303","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.32","CodeVersion":"2017","CustomName":"OTHER TRANSMYOCARDIAL REVASCULARIZATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57204","CodeType":"HCPCS","Code":"G0339","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P2038","CodeVersion":"2020","CustomName":"MUCOPROTEIN BLOOD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0602","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING MOD RISK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9550","CodeVersion":"2020","CustomName":"FINAL REPORTS IMAG STS W\/F\/U IMAG REC\/FINAL RPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4224","CodeVersion":"2020","CustomName":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5982","CodeVersion":"2020","CustomName":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2645","CodeVersion":"2020","CustomName":"BRACHYTHERAPY PLANAR SRC PALLADIUM-103 PER SQ ML"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5256","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6192","CodeVersion":"2020","CustomName":"SEMI-PRECISION ATTACHMENT - PLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2019","CodeVersion":"2020","CustomName":"THERAPEUTIC BEHAVIORAL SERVICES PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2402","CodeVersion":"2020","CustomName":"NEG PRESS WOUND THERAPY ELEC PUMP STATION\/PRTBLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4653","CodeVersion":"2020","CustomName":"PERITON DIALYSIS CATHETER ANCHR DEVICE BELT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0955","CodeVersion":"2020","CustomName":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2995","CodeVersion":"2020","CustomName":"INJECTION STREPTOKINASE PER 250000 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0807","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2331","CodeVersion":"2020","CustomName":"RESIN COMPOS - 2 SURFACES ANTERIOR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1840","CodeVersion":"2020","CustomName":"LENS INTRAOCULAR TELESCOPIC"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"V2790","CodeVersion":"2020","CustomName":"AMNIOTIC MEMBRANE SURGICAL RECONSTRUCT PER PROC"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9841","CodeVersion":"2020","CustomName":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6130","CodeVersion":"2020","CustomName":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4029","CodeVersion":"2020","CustomName":"PREVENTIVE MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2312","CodeVersion":"2020","CustomName":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9480","CodeVersion":"2020","CustomName":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.98","CodeVersion":"2017","CustomName":"(LAP) ADJ SIZE ADJUSTABL GASTRIC RESTRICT DEVC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36812","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0852","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"51786","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"33824","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"197","CodeVersion":"2020","CustomName":"Cholecystectomy except by laparoscope without common duct exploration with CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"465","CodeVersion":"2020","CustomName":"Aftercare with history of malignancy as secondary diagnosis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90356","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100288","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10985","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0214T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0277T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0333T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"ICD9P","Code":"74.91","CodeVersion":"2017","CustomName":"HYSTEROTOMY TO TERMINATE PREGNANCY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0025U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36","CodeVersion":"2017","CustomName":"OPERATIONS ON VESSELS OF HEART"},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0810","CodeVersion":"2020","CustomName":"PHOTOREFRACTIVE KERATECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9246","CodeVersion":"2020","CustomName":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1107","CodeVersion":"2020","CustomName":"DOC STAT PT DX DEG NEURO COND DX TM BFOR\/DUR EOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0246","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION BAMLANIVIMAB & ETESEVIMAB;"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0185","CodeVersion":"2020","CustomName":"INJECTION APREPITANT 1 MG"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"68382","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1721","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR DUAL CHAMBER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7840","CodeVersion":"2020","CustomName":"CONDYLECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2097","CodeVersion":"2020","CustomName":"EP PT HAD COMPETING DX W\/IN 3 DAYS AFTER EP DATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2002","CodeVersion":"2020","CustomName":"LIMITED 30 MINUTES IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"46605","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2393","CodeVersion":"2020","CustomName":"RESIN COMPOS - 3 SURFACES POSTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1840","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0081","CodeVersion":"2020","CustomName":"BRIEF CARE MANAGEMENT HOME VISIT FOR EXISTING PT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2783","CodeVersion":"2020","CustomName":"INJECTION RASBURICASE 0.5 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7345","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMIN 10% GEL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8417","CodeVersion":"2020","CustomName":"BMI DOC ABOVE NORMAL PARAM & F\/U PLAN DOCUMENTED"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7177","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9831","CodeVersion":"2020","CustomName":"AJCC STAGE AT BREAST CANCER DIAGNOSIS = II \/ III"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0303","CodeVersion":"2020","CustomName":"PRE-OP PULM SURG SRVC PREP LVRS 10-15 DA SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5631","CodeVersion":"2020","CustomName":"ADD LW EXT ABVE KNEE\/KNEE DISARTIC ACRYLC SOCKT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4139","CodeVersion":"2020","CustomName":"AMNIOMATRIX OR BIODMATRIX INJECTABLE 1 CC"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5705","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3385","CodeVersion":"2020","CustomName":"INJECTION VELAGLUCERASE ALFA 100 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2116","CodeVersion":"2020","CustomName":"PT 66-80 Y 1 CLM FRLTY&1 IP ADV ILL DR\/YR PRI MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7188","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER I.U."},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0676","CodeVersion":"2020","CustomName":"INTERMITTENT LIMB COMPRESSION DEVICE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0478","CodeVersion":"2020","CustomName":"POWER ADAPTER ELECTRIC\/PNEUMAT VAD VEHICLE TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2007","CodeVersion":"2020","CustomName":"RESTRATA PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6112","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E05016","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C PERIPHERL ARTERY OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8700","CodeVersion":"2020","CustomName":"TEMOZOLOMIDE ORAL 5 MG"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"9006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10365","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3285F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4180","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; CARBS > 50% - HOME MIX"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2037","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC SINGLE UPRIGHT CUSTOM FAB"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0428","CodeVersion":"2020","CustomName":"COLL MENISCUS IMPL PROC FILLING MENISCAL DEFECTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8880","CodeVersion":"2020","CustomName":"DOCUMENT RSN SENTINEL LYMPH NODE BX NOT PRFRM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0207","CodeVersion":"2020","CustomName":"INJECTION AMIFOSTINE 500 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0612","CodeVersion":"2020","CustomName":"ANNUAL GYNECOLOGICAL EXAMINATION EST PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2506","CodeVersion":"2020","CustomName":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C5278","CodeVersion":"2020","CustomName":"APP SG F\/N\/HF\/G A >\/=100 CM;EA ADD 100 CM\/1% CHL"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9099","CodeVersion":"2020","CustomName":"BLOOD COMPONENT OR PRODUCT NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2026","CodeVersion":"2020","CustomName":"INJECTION RADIESSE 0.1ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9306","CodeVersion":"2020","CustomName":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2311","CodeVersion":"2020","CustomName":"TRIFOCL +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL E"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0190","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-RECIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7183","CodeVersion":"2020","CustomName":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0423","CodeVersion":"2020","CustomName":"GENETIC TEST SUSCEPTIBILITY DISEASES-SPEC ANALY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0952","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Extension of 94X - Kinesiotherapy"},{"ServiceGroup":"64323","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"104295","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"39742","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"70939","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"37016","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3650F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0079U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13620","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74.99","CodeVersion":"2017","CustomName":"OTHER CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65622","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106267","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0485","CodeVersion":"2020","CustomName":"ORL DEVC\/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6985","CodeVersion":"2020","CustomName":"PEDIATRIC PARTIAL DENTURE FIXED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5020","CodeVersion":"2020","CustomName":"CONFORMITY EVALUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0086","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME CARE PLAN OVERSIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5520","CodeVersion":"2020","CustomName":"REPL MISS\/BROKEN TEETH-CMPL DENTUR"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5968","CodeVersion":"2020","CustomName":"ADD LW LIMB PROSTH MX-AXIAL ANK W\/SWING PHASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6506","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0834","CodeVersion":"2020","CustomName":"INJECTION COSYNTROPIN 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0884","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD MX PWR SLNG SEAT PT TO &=300 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6703","CodeVersion":"2020","CustomName":"TERMINAL DEVICE PASSIVE HND\/MITT ANY MATERIAL SZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2019","CodeVersion":"2020","CustomName":"HABILITATION SUPP EMPLOYMENT WAIVER; PER 15 MIN"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0843","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0879","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HD 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4189F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9445","CodeVersion":"2020","CustomName":"PT ED NOC NON-PHYSICIAN PPT ED NOC NON-PHYSICIAN"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7509","CodeVersion":"2020","CustomName":"METHYLPREDNISOLONE ORAL PER 4 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2320","CodeVersion":"2020","CustomName":"INJECTION NANDROLONE DECANOATE UP TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9060","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINE; MGMT DIFFER PT COMORBID ILL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0181","CodeVersion":"2020","CustomName":"PHYS\/ALW PRAC SUP PT RCV MCR-COV SVCS PROV P HHA"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0215","CodeVersion":"2020","CustomName":"ELECTRIC HEAT PAD MOIST"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"22410","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"70043","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"25535","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0290","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - General Classification"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"51783","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"673","CodeVersion":"2020","CustomName":"Other Kidney and Urinary Tract Procedures with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"512","CodeVersion":"2020","CustomName":"Simultaneous pancreas\/kidney transplant"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4086F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4069F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0111A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.81","CodeVersion":"2017","CustomName":"IMPLANT\/REPLACE CAROTID SINUS STIM DEV TOTAL SYS"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90375","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70062","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0111U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4186F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0566T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91592","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33764","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0167T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0428T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0077U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0029","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG PREVENTION ALTERNATIVES SERVICE"},{"ServiceGroup":"51123","CodeType":"HCPCS","Code":"H0036","CodeVersion":"2020","CustomName":"CMTY PSYC SUPPORTIVE TX FCE-TO-FCE PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0416","CodeVersion":"2020","CustomName":"VIRAL CULTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2000","CodeVersion":"2020","CustomName":"BLINDED ADMINISTRATION OF CONVULSIVE TX PROC"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1310","CodeVersion":"2020","CustomName":"WHIRLPOOL NONPORTABLE"},{"ServiceGroup":"89337","CodeType":"HCPCS","Code":"H0008","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0092","CodeVersion":"2020","CustomName":"SET-UP PORTABLE X-RAY EQUIPMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0430","CodeVersion":"2020","CustomName":"PRTBLE GASEOUS O2 SYS PURCH; FLWMTR HUMIDFR&MASK"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5050","CodeVersion":"2020","CustomName":"ANKLE SYMES MOLDED SOCKET SACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9320","CodeVersion":"2020","CustomName":"INJECTION STREPTOZOCIN 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4238","CodeVersion":"2020","CustomName":"SPL ALW ADJ CGM SPL & ACCESS 1 MO SPL=1 U SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2610","CodeVersion":"2020","CustomName":"WHEELCHAIR SEAT CUSHION POWERED"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0382","CodeVersion":"2020","CustomName":"Blood and Blood Components - Whole Blood"},{"ServiceGroup":"17073","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"142","CodeVersion":"2020","CustomName":"Syncope and collapse without CC"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4190F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4178F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3496F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0210T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0232T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.93","CodeVersion":"2017","CustomName":"CREATION OF CONDUIT BETWEEN LEFT VENTRICLE&AORTA"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0092U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82571","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0100","CodeVersion":"2020","CustomName":"INTRAGASTRIC HYPOTHERMIA USING GASTRIC FREEZING"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9606","CodeVersion":"2020","CustomName":"PERQ TL REV AC TOTAL\/SUBTOTAL OCCLUSION 1 VES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3861","CodeVersion":"2020","CustomName":"GENETIC TESTING SCN5A & VARIANTS FOR SUSPCTED BS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9911","CodeVersion":"2020","CustomName":"APPLIC DESENZT RSN CERV&\/ROOT-TOOTH"},{"ServiceGroup":"61516","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1012","CodeVersion":"2020","CustomName":"WC ACCSS PWR SEAT SYS CNTR MNT PWR ELEV LEG EA"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1052","CodeVersion":"2020","CustomName":"LEG PAIN WAS NOT MSR VAS AT 1 YEAR POSTOP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6117","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXD DENTURE PART EDENT ARCH-MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5110","CodeVersion":"2020","CustomName":"COMPLETE DENTURE - MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4249","CodeVersion":"2020","CustomName":"CLINICAL CROWN LENGTHENING - HARD TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2212","CodeVersion":"2020","CustomName":"PROLONG OFC\/OP E&M BYND REQ TIME; EA ADD 15 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8681","CodeVersion":"2020","CustomName":"REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5299","CodeVersion":"2020","CustomName":"HEARING SERVICE MISCELLANEOUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8030","CodeVersion":"2020","CustomName":"LTD ORTHODONTIC TX ADOLES DENTITION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7657","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4137","CodeVersion":"2020","CustomName":"AMNIOEXCEL AMNIOEXCEL PLUS\/BIODEXCEL PER SQ CM"},{"ServiceGroup":"69747","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0523","CodeVersion":"2020","CustomName":"Free-Standing Clinic - Family Practice Clinic"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"183","CodeVersion":"2020","CustomName":"Esophagitis, gastroenteritis and miscellaneous digestive disorders, age greater than 17, without CC"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87817","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0121U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0202U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0068U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0149U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0652T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0034A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5505","CodeVersion":"2020","CustomName":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3105","CodeVersion":"2020","CustomName":"INJECTION TERBUTALINE SULFATE UP TO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0620","CodeVersion":"2020","CustomName":"INJ CALCM GLYCEROPHOSPHATE&CALCM LACTAT-10 ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6400","CodeVersion":"2020","CustomName":"BE MOLD SCKT ENDOSKEL SYS W\/SFT PROSTH TISS SHAP"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2525","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2004","CodeVersion":"2020","CustomName":"XCELLISTEM PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5245","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1850","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 75 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0277","CodeVersion":"2020","CustomName":"VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2205","CodeVersion":"2020","CustomName":"MANUAL WC ACCESS HANDRIM W\/O PROJ REPL ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6665","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION TEFLON\/EQUAL CABLE LINING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8478","CodeVersion":"2020","CustomName":"BLOOD PRESSURE MSR NOT PERF\/DOC REASON NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"U0003","CodeVersion":"2020","CustomName":"INF AGT DET DNA\/RNA;SARS-COV-2 COVID-19 AMP P T"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5000","CodeVersion":"2020","CustomName":"PART FT SHOE INSERT W\/LONGTUDNL ARCH TOE FILLER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2606","CodeVersion":"2020","CustomName":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9054","CodeVersion":"2020","CustomName":"WB\/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA"},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1300","CodeVersion":"2020","CustomName":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"V2788","CodeVersion":"2020","CustomName":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9308","CodeVersion":"2020","CustomName":"UNPLAN RTN OP ROOM FOR PROC W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0431","CodeVersion":"2020","CustomName":"ADJUNCT PREDX TST NO CYTOL\/BX PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9460","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM NURSE VISIT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9179","CodeVersion":"2020","CustomName":"INJECTION ERIBULIN MESYLATE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0458","CodeVersion":"2020","CustomName":"LOW DOSE RATE PROSTATE BRACHYTX SRVC COMPOS RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6059","CodeVersion":"2020","CustomName":"ABUT PORCLN TO MTL CRWN HI NOBL MTL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9360","CodeVersion":"2020","CustomName":"INJECTION VINBLASTINE SULFATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1725","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2043","CodeVersion":"2020","CustomName":"SIPULEUCEL-T AUTO CD54+"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7680","CodeVersion":"2020","CustomName":"FCE BNS-COMP RDUC FIX&MX APPRCH"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0801","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Hemodialysis"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"87684","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"33236","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"70045","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0948","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Pulmonary Rehabilitation"},{"ServiceGroup":"61817","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"289","CodeVersion":"2020","CustomName":"Parathyroid procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74661","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0054A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3216F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0130U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107049","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0661T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111946","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0122U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90434","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91866","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90778","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0051A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"843","CodeType":"ICD10P","Code":"079T4ZZ","CodeVersion":"2020","CustomName":"DRAINAGE \/ BONE MARROW \/ PERCUTANEOUS ENDOSCOPIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1233","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W\/O SEAT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6234","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL 16 SQ\/< NO ADHES BORDR"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1899","CodeVersion":"2020","CustomName":"LEAD PACEMAKER\/CARDIOVERT-DEFIB COMBINATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1840","CodeVersion":"2020","CustomName":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0738","CodeVersion":"2020","CustomName":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8692","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0604","CodeVersion":"2020","CustomName":"CINACALCET ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1830","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1B 0.25 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7194","CodeVersion":"2020","CustomName":"FACTOR IX COMPLEX PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9549","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON THAT F\/U IMAGING IS INDICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9037","CodeVersion":"2020","CustomName":"SRVC PROV BY REHABILITATION TEACHER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5121","CodeVersion":"2020","CustomName":"INJ INFLIXIMAB-AXXQ BIOSIMILAR AVSOLA 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7291","CodeVersion":"2020","CustomName":"TRNSSEPTL\/SUPRA CRESTAL FIBEROT RPT"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J2791","CodeVersion":"2020","CustomName":"INJ RHO D IG HUMAN RHOPHYLAC IM\/IV 10 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4500","CodeVersion":"2020","CustomName":"SURGICAL STOCKING BELOW KNEE LENGTH EACH"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9150","CodeVersion":"2020","CustomName":"INJECTION DAUNORUBICIN 10 MG"},{"ServiceGroup":"11793","CodeType":"HCPCS","Code":"S9331","CodeVersion":"2020","CustomName":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1932","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6534","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 30-40 MMHG EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98600","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4253","CodeVersion":"2020","CustomName":"BLD GLU TEST\/REAGT STRIPS HOME BLD GLU MON-50"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5630","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0470","CodeVersion":"2020","CustomName":"DIAGNOSTIC CASTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9490","CodeVersion":"2020","CustomName":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9330","CodeVersion":"2020","CustomName":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4018","CodeVersion":"2020","CustomName":"OBSTETRICS\/GYNECOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0656","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLIANCE USE W\/PNEUMAT COMPRS TRUNK"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8684","CodeVersion":"2020","CustomName":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3844","CodeVersion":"2020","CustomName":"DNA ANALY CONNEXIN 26 GENE CONGN PFND DEAFNESS"},{"ServiceGroup":"104845","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"359","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0658","CodeVersion":"2020","CustomName":"Hospice Service - Hospice Room and Board - Nursing Facility"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0332","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - Oral"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0381","CodeVersion":"2020","CustomName":"Blood and Blood Components - Packed Red Cells"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"28074","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0604","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Port Add-on"},{"ServiceGroup":"12772","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"880","CodeVersion":"2020","CustomName":"ACUTE ISCHEMIC STOKE W USE OF THROMBOLYTIC AGENT -NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1152F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"16036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42551","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"16030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0080T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0055U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0433T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58515","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"411","CodeType":"ICD9P","Code":"37.23","CodeVersion":"2017","CustomName":"COMBINED RIGHT&LEFT HEART CARD CATHETERIZATION"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93068","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99176","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107022","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9920","CodeVersion":"2020","CustomName":"SCREENING PERFORMED AND NEGATIVE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2080","CodeVersion":"2020","CustomName":"LASER-ASSISTED UVULOPALATOPLASTY"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5120","CodeVersion":"2020","CustomName":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8562","CodeVersion":"2020","CustomName":"FLUDARABINE PHOSPHATE ORAL 10 MG"},{"ServiceGroup":"17754","CodeType":"HCPCS","Code":"A6550","CodeVersion":"2020","CustomName":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0223","CodeVersion":"2020","CustomName":"IV INJ BEBTELOVIMAB INC INJ & PA MON HOME\/RES;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0174","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0162","CodeVersion":"2020","CustomName":"SITZ BATH CHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2799","CodeVersion":"2020","CustomName":"INTERIM CR - FUR TX\/COMPL DX NES PRI FINAL IMP"},{"ServiceGroup":"81058","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1786","CodeVersion":"2020","CustomName":"INJECTION IMIGLUCERASE 10 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0162","CodeVersion":"2020","CustomName":"SKILLED SERVICE RN M&E PLAN OF CARE; EA 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4223","CodeVersion":"2020","CustomName":"INFUS SPL NOT USED W\/EXT INFUS PUMP CASSETTE\/BAG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4523","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER LG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1410","CodeVersion":"2020","CustomName":"INJECTION ESTROGEN CONJUGATED PER 25 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2060","CodeVersion":"2020","CustomName":"INJECTION LORAZEPAM 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1752","CodeVersion":"2020","CustomName":"CATHETER HEMODIALYSIS SHORT-TERM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4285","CodeVersion":"2020","CustomName":"NON-AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5224","CodeVersion":"2020","CustomName":"IMMEDIATE MAND PRTL DENTURE - CAST MTL FRAMEWORK"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105220","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0442","CodeVersion":"2020","CustomName":"STATIONARY O2 CONTENTS LQD 1 MO SUPPLY = 1 UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6970","CodeVersion":"2020","CustomName":"INTERSCAP-THOR OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9034","CodeVersion":"2020","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY GALL STONES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7875","CodeVersion":"2020","CustomName":"ARTHROSCOPY: SYNOVECTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5508","CodeVersion":"2020","CustomName":"DIAB ONLY DELUXE FEATURE SHOE\/CSTM MOLD SHOE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9665","CodeVersion":"2020","CustomName":"PT NOT CURR STATIN TX USERS\/NO ORDER STATIN TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6010","CodeVersion":"2020","CustomName":"SURG PLCMT IMPL BODY: ENDOSTEAL"},{"ServiceGroup":"46350","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9932","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV CMPL DENTUR MAXILLARY"},{"ServiceGroup":"37015","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"30063","CodeType":"REV","Code":"0343","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic Radiopharmaceuticals"},{"ServiceGroup":"6","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"533","CodeVersion":"2020","CustomName":"Extracranial Vascular Procedures with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0109T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104971","CodeType":"CPT","Code":"99220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86460","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0445T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.67","CodeVersion":"2017","CustomName":"OTHER EXCISION OF ABDOMINAL VEINS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0148U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3397","CodeVersion":"2020","CustomName":"INJECTION VESTRONIDASE ALFA-VJBK 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4437","CodeVersion":"2020","CustomName":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9858","CodeVersion":"2020","CustomName":"PATIENT ENROLLED IN HOSPICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2265","CodeVersion":"2020","CustomName":"INDUCED ABORTION 25 TO 28 WEEKS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5063","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; USE BARRIER W\/FLANGE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7685","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2079","CodeVersion":"2020","CustomName":"LAP ESOPHAGOMYOTOMY HELLER TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8867","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VAC NOT ADM\/PREV RECV RSN NOT GVN"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4100","CodeVersion":"2020","CustomName":"FOOD THICKENER ADMINISTERED ORALLY PER OUNCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1354","CodeVersion":"2020","CustomName":"O2 ACCESS WHEELED CART PRTBLE CYL\/CONC REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0861","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO &=300 LB"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0599","CodeVersion":"2020","CustomName":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1014","CodeVersion":"2020","CustomName":"ADD ENDOSK KN-SHIN SYS 4 BAR LINK\/MXAXIAL FL SW"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2930","CodeVersion":"2020","CustomName":"PRFABR STAINLESS STEEL CROWN-PRIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9981","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 45 M"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4188F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3221","CodeVersion":"2020","CustomName":"PULPAL DEBRID PRIMARY&PERM TEETH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2250","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0240","CodeVersion":"2020","CustomName":"INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7259","CodeVersion":"2020","CustomName":"ELECTRONIC WRIST ROTATOR ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9985","CodeVersion":"2020","CustomName":"SALES TAX"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0543","CodeVersion":"2020","CustomName":"Ambulance - Heart Mobile"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0829","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Other OP Hemodialysis"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"59426","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"15488","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"65284","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"35560","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"746","CodeVersion":"2020","CustomName":"COCAINE OR OTHER DRUG ABUSE OR DEPENDENCE LEFT AMA-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4248F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91023","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90564","CodeType":"CPT","Code":"67101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47593","CodeType":"ICD9P","Code":"74.4","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF OTHER SPECIFIED TYPE"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59395","CodeType":"CPT","Code":"90960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104098","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0072A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0604T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109120","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"75.51","CodeVersion":"2017","CustomName":"REPAIR OF CURRENT OBSTETRIC LACERATION OF CERVIX"},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7294","CodeVersion":"2020","CustomName":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG\/24H YR VAG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5985","CodeVersion":"2020","CustomName":"RADIATION CONE LOCATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4770","CodeVersion":"2020","CustomName":"BLOOD COLLECTION TUBE VACUUM FOR DIALYSIS PER 50"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9264","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0513","CodeVersion":"2020","CustomName":"PHRM DISPENSING FEE INHALATION RX; PER 30 DAYS"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2062","CodeVersion":"2020","CustomName":"LOXAPINE FOR INHALATION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2920","CodeVersion":"2020","CustomName":"RECEMENT CROWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4014","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9869","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMOTE ASYNC IMAGES 10-20 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5269","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVICE ALERTING ANY TYPE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9043","CodeVersion":"2020","CustomName":"INJECTION CABAZITAXEL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0105","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4245","CodeVersion":"2020","CustomName":"ALCOHOL WIPES PER BOX"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5652","CodeVersion":"2020","CustomName":"ADD LW EXT SUCTN SUSP ABVE KNEE\/KNEE DISARTIC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9351","CodeVersion":"2020","CustomName":"INJECTION TOPOTECAN 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6113","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9564","CodeVersion":"2020","CustomName":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83846","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4197","CodeVersion":"2020","CustomName":"PURAPLY XT PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7209","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0622","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9941","CodeVersion":"2020","CustomName":"FABRICATION OF ATHLETIC MOUTHGUARD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0113","CodeVersion":"2020","CustomName":"PINWORM EXAMINATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0435","CodeVersion":"2020","CustomName":"PRTBLE LQD O2 SYS PURCH; RESRVOR FLWMTR HUMIDFR"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0573","CodeVersion":"2020","CustomName":"BUPRENORPHNE\/NALOXONE ORAL >3 MG BUT <\/=6 MG BPN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1026","CodeVersion":"2020","CustomName":"NUM ADULT MO DEN HD CATH 3 EXPOSURES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6930","CodeVersion":"2020","CustomName":"RECEMENT FIXED PARTIAL DENTURE"},{"ServiceGroup":"105524","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4542","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPBL UNDPAD SMALL SIZE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5656","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9907","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV TOBACCO CESSNT INTERVENTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1767","CodeVersion":"2020","CustomName":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5703","CodeVersion":"2020","CustomName":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5301","CodeVersion":"2020","CustomName":"BELW KNEE MOLD SOCKT SHIN SACH FT ENDOSKEL SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2248","CodeVersion":"2020","CustomName":"INJECTION MICAFUNGIN SODIUM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9053","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9427","CodeVersion":"2020","CustomName":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1030","CodeVersion":"2020","CustomName":"EXT RCHG SYS BAT USE IM CARD CCM GEN REPLC ONLY"},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10A03ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERCUTANEOUS"},{"ServiceGroup":"13903","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"64201","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"13188","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"90559","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0321","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Angiocardiography"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"29146","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"57222","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"874","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Infusion of Modified Cells"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"65284","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"778","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"007","CodeVersion":"2020","CustomName":"Peripheral and cranial nerve and other nervous system procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42722","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46592","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37873","CodeType":"ICD9P","Code":"81.52","CodeVersion":"2017","CustomName":"PARTIAL HIP REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4245F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.63","CodeVersion":"2017","CustomName":"OSTEOPATHIC MANIP TX W\/LOW-VELOCITY-HI-AMPLITUDE"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0308T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0082U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74.3","CodeVersion":"2017","CustomName":"REMOVAL OF EXTRATUBAL ECTOPIC PREGNANCY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107043","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3291F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0317T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19594","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"30165","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"76928","CodeType":"REV","Code":"0260","CodeVersion":"2020","CustomName":"IV Therapy - General Classification"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"22812","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0739","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - Other EKG\/ECG"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"70047","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"36204","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"082","CodeVersion":"2020","CustomName":"Respiratory neoplasms"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"917","CodeVersion":"2020","CustomName":"Poisoning and Toxic Effects of Drugs with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115846","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65404","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4196F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0326T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0061A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.25","CodeVersion":"2017","CustomName":"OPEN & OTH REPLACEMENT PULM VALVE W\/TISSUE GRAFT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0010U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81418","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98461","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3344F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0416","CodeVersion":"2020","CustomName":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1002","CodeVersion":"2020","CustomName":"RN SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0047","CodeVersion":"2020","CustomName":"PED PT W\/MIN BLUNT HD TRAUMA & PECARN NOT ASSESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1060","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS THORACIC PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9461","CodeVersion":"2020","CustomName":"MEDCR_RVU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9717","CodeVersion":"2020","CustomName":"DOC STATING PT HAD DX DEPR\/HAD DX BIPOLAR D\/O"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1352","CodeVersion":"2020","CustomName":"PREV RSN REST MOD HIGH CARIES RISK PT-PERM TOOTH"},{"ServiceGroup":"111931","CodeType":"HCPCS","Code":"U0001","CodeVersion":"2020","CustomName":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9399","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS OR BIOLOGICALS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0340","CodeVersion":"2020","CustomName":"2D CEPHALOMETRIC X-RAY - ACQUISITION MSR & ANALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1848","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5242","CodeVersion":"2020","CustomName":"HEARING AID ANALOG MONAURAL CIC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6935","CodeVersion":"2020","CustomName":"BELW ELB OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0475","CodeVersion":"2020","CustomName":"DECALCIFICATION PROCEDURE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3030","CodeVersion":"2020","CustomName":"INJECTION SUMATRIPTAN SUCCINATE 6 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7203","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX GLYCOPEGYLATED 1 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6410","CodeVersion":"2020","CustomName":"EYE PAD STERILE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5795","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"102261","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9520","CodeVersion":"2020","CustomName":"PT NO F REFR +\/- 1.0 DIO REFR W\/I 90 D SURG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2230","CodeVersion":"2020","CustomName":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS & PLATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9655","CodeVersion":"2020","CustomName":"A TRANSFER OF CARE PROTOCOL\/H\/O TOOL\/CHECKLIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1230","CodeVersion":"2020","CustomName":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9556","CodeVersion":"2020","CustomName":"FNL RPT CT CTA MRI\/MRA CHST\/NCK F\/U IMAG NOT RCM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7190","CodeVersion":"2020","CustomName":"ELEC ELB ADOLES VRITY VILLAGE\/= MYOELEC CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6713","CodeVersion":"2020","CustomName":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0160","CodeVersion":"2020","CustomName":"DTL&EXT ORAL EVAL - PROB FOCUS RPT"},{"ServiceGroup":"33486","CodeType":"ICD10P","Code":"GZB1ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY UNILAT-MULTIPL SEIZURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9098","CodeVersion":"2020","CustomName":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1260","CodeVersion":"2020","CustomName":"INJECTION DOLASETRON MESYLATE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6209","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD 16 SQ\/< NO ADHES BORDR EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3188","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"61818","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"13651","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0822","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"33311","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"51786","CodeType":"REV","Code":"0390","CodeVersion":"2020","CustomName":"ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND COMPONENTS-GENERAL CLASS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65623","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0095T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0483T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91008","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91460","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8625","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATT CI\/AO DEVC REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5115","CodeVersion":"2020","CustomName":"HOME CARE TRAINING NON-FAMILY; PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0878","CodeVersion":"2020","CustomName":"INJECTION DAPTOMYCIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1088","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6638","CodeVersion":"2020","CustomName":"UP EXT ADD PROS ELEC LOCK ONLY W\/MNL PWR ELB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5810","CodeVersion":"2020","CustomName":"INTERIM COMPLETE DENTURE"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8501","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SPEAKING VALVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9017","CodeVersion":"2020","CustomName":"FRESH FRZN PLASMA FRZN WITHIN 8 HRS CLCT EA UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7031","CodeVersion":"2020","CustomName":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3842","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8807","CodeVersion":"2020","CustomName":"TRANSABD\/TRANSVAG U\/S NOT PERF RSN DOC CLINICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B9002","CodeVersion":"2020","CustomName":"ENTERAL NUTRITION INFUSION PUMP ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0455","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3842","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR VON HIPPEL-LINDAU DISEASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8658","CodeVersion":"2020","CustomName":"RSK-A FXN STS CH RSD SC FT\/ANK IMPR NO MSR N RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1200","CodeVersion":"2020","CustomName":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4380","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY W\/FACEPLATE ATTCH RUBBER EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7944","CodeVersion":"2020","CustomName":"OSTEOTOMY SEGMENTED OR SUBAPICAL"},{"ServiceGroup":"113115","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4128","CodeVersion":"2020","CustomName":"FLEXHD OR ALLOPATCHHD PER SQ CM"},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106322","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0385","CodeVersion":"2020","CustomName":"MAXILLOFACIAL MRI IMAGE CAPTURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1701","CodeVersion":"2020","CustomName":"PFIZER-BIONTECH COVID-19"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0651","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS\/PANELS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0880","CodeVersion":"2020","CustomName":"PWR WC GRP 4 V HD 1 PWR SLING SEAT PT 451-600 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4147","CodeVersion":"2020","CustomName":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113728","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37016","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"33625","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0834","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"20297","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"865","CodeVersion":"2020","CustomName":"CERVICAL SPINAL FUSION W\/O CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50204","CodeType":"CPT","Code":"99212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.75","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REIMPLANTATION OF OVARY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108260","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0015M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37591","CodeType":"ICD9P","Code":"41.07","CodeVersion":"2017","CustomName":"AUTOL HEMATOPOIETIC STEM CELL TPLNT W\/PURGING"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.64","CodeVersion":"2017","CustomName":"INTRAOPERATIVE CARDIAC PACEMAKER"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0135U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4011","CodeVersion":"2020","CustomName":"IN VITRO FERTILIZATION;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5520","CodeVersion":"2020","CustomName":"HOME INFUSION TX ALL SPL NECES PICC LINE INSERT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4384","CodeVersion":"2020","CustomName":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1810","CodeVersion":"2020","CustomName":"DYN ADJUSTBL KNEE EXT\/FLX DEVC W\/INTERFCE MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2325","CodeVersion":"2020","CustomName":"INJECTION NESIRITIDE 0.1 MG"},{"ServiceGroup":"15385","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7179","CodeVersion":"2020","CustomName":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5726","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1719","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED NON-HD IRIDIUM-192 PER SRC"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1729","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE NOS 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3240","CodeVersion":"2020","CustomName":"PULPAL THERAPY - POST PRIMARY TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8911","CodeVersion":"2020","CustomName":"PT DOC NOT HAVE EXPER FALL IN AMB SURG CENTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7210","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII AFSTYLA 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7320","CodeVersion":"2020","CustomName":"ALVEOPLASTY NOT W\/EXTRACTIONS-QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9192","CodeVersion":"2020","CustomName":"DOCUMENTATION SYSTEM RSN NOT PRSC BETA-BLOCKR TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0182","CodeVersion":"2020","CustomName":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG"},{"ServiceGroup":"103949","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5109","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-QBTX BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4132","CodeVersion":"2020","CustomName":"GRAFIX CORE AND GRAFIXPL CORE PER SQUARE CM"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3500","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION INSOLE LEATHER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7181","CodeVersion":"2020","CustomName":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB&TERM DEVC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4036","CodeVersion":"2020","CustomName":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"92540","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3284F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0332","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - Oral"},{"ServiceGroup":"44107","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"33793","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93012","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84912","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0236T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4164F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4245F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0736T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0063A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49064","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0086U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0031A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9905","CodeVersion":"2020","CustomName":"PATIENT NOT SCREENED FOR TOBACCO USE RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9793","CodeVersion":"2020","CustomName":"PATIENT IS CUR ON DAILY ASPIRIN\/OTH ANTIPLATELET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0550","CodeVersion":"2020","CustomName":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX\/O2 DEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9939","CodeVersion":"2020","CustomName":"PATHOLOGISTS\/DERMATOPATH SAME CLINICIAN PRFRM BX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4394","CodeVersion":"2020","CustomName":"OSTOMY DEODORANT W\/WO LUBRICANT POUCH PER FL OZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1782","CodeVersion":"2020","CustomName":"MORCELLATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1902","CodeVersion":"2020","CustomName":"ANKLE ORTH ANKLE GAUNT\/SIM PREFAB OFF-THE-SHELF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8684","CodeVersion":"2020","CustomName":"RF TRNSMT IMPL SCRL NEURO BOWEL BLADDR MGMT REPL"},{"ServiceGroup":"102261","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1097","CodeVersion":"2020","CustomName":"PHEN 10.16 & KET 2.88 MG\/ML OPHT IRR SOL 1 ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4247","CodeVersion":"2020","CustomName":"AMNIOTEXT PATCH PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0273","CodeVersion":"2020","CustomName":"PHYS VST MEMBER HOME OUTSIDE CAPITATION ARRNGMNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8936","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB\/ARB TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5650","CodeVersion":"2020","CustomName":"ADD TOOTH EXISTING PARTIAL DENTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6965","CodeVersion":"2020","CustomName":"SHLDR DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM"},{"ServiceGroup":"29092","CodeType":"HCPCS","Code":"A0433","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT LEVEL 2"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5703","CodeVersion":"2020","CustomName":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1896","CodeVersion":"2020","CustomName":"LEAD CARDIOVRT-DFIB NOT ENDOCARDIAL 1\/DUL COIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8878","CodeVersion":"2020","CustomName":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8039","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1670","CodeVersion":"2020","CustomName":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8511","CodeVersion":"2020","CustomName":"INSRT INDWLL TRACHEOESOPH PROS W\/WO VALV REPLCMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0422","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1402","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3214","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR JUNIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1165","CodeVersion":"2020","CustomName":"INJECTION PHENYTOIN SODIUM PER 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4154","CodeVersion":"2020","CustomName":"BIOVANCE PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5121","CodeVersion":"2020","CustomName":"CHORE SERVICES; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0190","CodeVersion":"2020","CustomName":"POSITIONING CUSH\/PILLOW\/WEDGE INCL ALL COMPONENT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6884","CodeVersion":"2020","CustomName":"REPL SOCKET ABOVE ELBOW\/ELBOW DISART MOLD TO PT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33252","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"90559","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"43502","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0583","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Assessment"},{"ServiceGroup":"35054","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0302","CodeVersion":"2020","CustomName":"Laboratory - Immunology"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"28170","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"43985","CodeType":"REV","Code":"0382","CodeVersion":"2020","CustomName":"Blood and Blood Components - Whole Blood"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"215","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3215F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79101","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113547","CodeType":"CPT","Code":"0240U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0266T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0092U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0700T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107885","CodeType":"CPT","Code":"37248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0028U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0538T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0676T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81563","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.03","CodeVersion":"2017","CustomName":"RENAL SCAN AND RADIOISOTOPE FUNCTION STUDY"},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0129","CodeVersion":"2020","CustomName":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0473","CodeVersion":"2020","CustomName":"ACCESS TISS-GROSS\/MICRO-PREP\/REPRT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1899","CodeVersion":"2020","CustomName":"LEAD PACEMAKER\/CARDIOVERT-DEFIB COMBINATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0460","CodeVersion":"2020","CustomName":"PULP VITALITY TESTS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8040","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6698","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB LOCK MECH EXCL SCKT INSRT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1754","CodeVersion":"2020","CustomName":"CATHETER INTRADISCAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7190","CodeVersion":"2020","CustomName":"ELEC ELB ADOLES VRITY VILLAGE\/= MYOELEC CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9156","CodeVersion":"2020","CustomName":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4360","CodeVersion":"2020","CustomName":"WALKING BOOT PNEUMATC &\/ VACUUM PREFAB CUSTM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2783","CodeVersion":"2020","CustomName":"LENS INDX >\/= 1.66 PLSTC\/>\/= 1.80 GLASS LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5420","CodeVersion":"2020","CustomName":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK\/KNEE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2783","CodeVersion":"2020","CustomName":"LENS INDX >\/= 1.66 PLSTC\/>\/= 1.80 GLASS LENS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2524","CodeVersion":"2020","CustomName":"CONTACT LENS HPI SPH PC ADDITIVE PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0113","CodeVersion":"2020","CustomName":"CRTCH UNDARM WOOD EA ADJSTBL\/FIX PAD TIP&HNDGRIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1726","CodeVersion":"2020","CustomName":"CATHETER BALLOON DILATATION NON-VASCULAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4240","CodeVersion":"2020","CustomName":"GINGL FLP PROC 4\/> CONTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2101","CodeVersion":"2020","CustomName":"PT 66&>1 CLM FRLTY&1 AC IP ADV ILL DR\/YR PRI MSR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2704","CodeVersion":"2020","CustomName":"INJECTION PROPOFOL 10 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113542","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75943","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"72782","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0640","CodeVersion":"2020","CustomName":"Home IV Therapy Services - General Classification"},{"ServiceGroup":"17739","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0920","CodeVersion":"2020","CustomName":"Other Diagnostic Services - General Classification"},{"ServiceGroup":"103730","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"185","CodeVersion":"2020","CustomName":"Dental and oral disease except extractions and restorations, age greater than 17"},{"ServiceGroup":"21459","CodeType":"DRG","Code":"805","CodeVersion":"2020","CustomName":"SIMULTANEOUS KIDNEY AND PANCREAS TRANSPLANT-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0628T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0648T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"16000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.16","CodeVersion":"2017","CustomName":"DOUBLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.21","CodeVersion":"2017","CustomName":"MID FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106176","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105754","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2189","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: ABN NEURO EXAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9060","CodeVersion":"2020","CustomName":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0500","CodeVersion":"2020","CustomName":"MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2365","CodeVersion":"2020","CustomName":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0884","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9375","CodeVersion":"2020","CustomName":"HIT HYDRATION TX; >1 LITER NO>2 LITERS DAY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1302","CodeVersion":"2020","CustomName":"INJECTION SUTIMLIMAB-JOME 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6255","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL >16 <\/= 48 SQ W\/ADHES"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1750","CodeVersion":"2020","CustomName":"CATHETER HEMODIAL\/PERITONEAL LONG-TERM"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2619","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9200","CodeVersion":"2020","CustomName":"INJECTION FLOXURIDINE 500 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1944","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4111","CodeVersion":"2020","CustomName":"GAMMAGRAFT PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9604","CodeVersion":"2020","CustomName":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI"},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0182","CodeVersion":"2020","CustomName":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0223","CodeVersion":"2020","CustomName":"IV INJ BEBTELOVIMAB INC INJ & PA MON HOME\/RES;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9279","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D\/C"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13085","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"12117","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"68287","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"111388","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"14727","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"34551","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"21826","CodeType":"DRG","Code":"251","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80283","CodeType":"CPT","Code":"61880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16679","CodeType":"ICD9P","Code":"51.23","CodeVersion":"2017","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY"},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113686","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107357","CodeType":"CPT","Code":"21685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0263T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0240T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93014","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.52","CodeVersion":"2017","CustomName":"LIG&STRIP VARICOSE VEINS OTH VESSELS HEAD&NECK"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4171F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69925","CodeType":"CPT","Code":"93654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.54","CodeVersion":"2017","CustomName":"OTHER TOTAL BREECH EXTRACTION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3384F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13294","CodeType":"ICD9P","Code":"88.91","CodeVersion":"2017","CustomName":"MR IMAGING OF BRAIN AND BRAIN STEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1130","CodeVersion":"2020","CustomName":"INJECTION DICLOFENAC SODIUM .5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8670","CodeVersion":"2020","CustomName":"RISK-ADJ FCN ST E WR HND IMPR NOT MSR RSN NOT GV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0636","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2102","CodeVersion":"2020","CustomName":"SPHERE SINGLE VISN +\/- 7.12 +\/- 20.00D PER LENS"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5257","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4631","CodeVersion":"2020","CustomName":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1100","CodeVersion":"2020","CustomName":"SEMI-RECLIN WHLCHAIR; FIX ARMS DTACHBLE LEGRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2099","CodeVersion":"2020","CustomName":"PT 66&>1 CLM FRLTY DUR MSR & DUR\/YR PRI MSR PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5213","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - CAST METAL FRAMEWORK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1090","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8511","CodeVersion":"2020","CustomName":"INSRT INDWLL TRACHEOESOPH PROS W\/WO VALV REPLCMT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9306","CodeVersion":"2020","CustomName":"INJECTION PERTUZUMAB 1 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9305","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED NOS10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8817","CodeVersion":"2020","CustomName":"STATIN THERAPY NOT PRESCRIBED D\/C RSN NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7948","CodeVersion":"2020","CustomName":"LEFORT II\/LEFORT III - W\/O BONE GRAFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8048","CodeVersion":"2020","CustomName":"UNS MAXILLOFCE PROSTH BR PROVIDED NON-PHYSICIAN"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4562","CodeVersion":"2020","CustomName":"PESSARY NON RUBBER ANY TYPE"},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3400","CodeVersion":"2020","CustomName":"METATARSAL BAR WEDGE ROCKER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4349","CodeVersion":"2020","CustomName":"MALE EXTERNAL CATHETER W\/WO ADHES DISPOSABLE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4332","CodeVersion":"2020","CustomName":"LUBRICANT INDIVIDUAL STERILE PACKET EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4018","CodeVersion":"2020","CustomName":"FRZN EMB TRANS PROC CANCEL BEFR TRANS CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0196","CodeVersion":"2020","CustomName":"GEL PRESSURE MATTRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2193","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: NEW ON HEADACHE <6 YOA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4538","CodeVersion":"2020","CustomName":"DIAPER SERVICE REUSABLE DIAPER EACH DIAPER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2780","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST HIGH NOBLE METAL"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0221","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB&CILGAVIMAB INC INJ&PA MONH\/RES;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0141","CodeVersion":"2020","CustomName":"WALKER RIGID WHEELED ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11212","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"26742","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"80284","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9539","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"436","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85684","CodeType":"CPT","Code":"95783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22819","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97463","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3215F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"958","CodeType":"ICD9P","Code":"96.7","CodeVersion":"2017","CustomName":"OTHER CONTINUOUS INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4191F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0183U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33967","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0018U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106705","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0252U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98005","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90431","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.93","CodeVersion":"2017","CustomName":"INSERTION OF VESSEL-TO-VESSEL CANNULA"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.37","CodeVersion":"2017","CustomName":"AMNIOINFUSION"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.8","CodeVersion":"2017","CustomName":"OBSTETRIC TAMPONADE OF UTERUS OR VAGINA"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9454","CodeVersion":"2020","CustomName":"1-TIME SCR HCV INF NOT RECV WI 12 MO RSN NOT GVN"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4113","CodeVersion":"2020","CustomName":"GRAFTJACKET XPRESS INJECTABLE 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5924","CodeVersion":"2020","CustomName":"CRANIAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2182","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0161","CodeVersion":"2020","CustomName":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1760","CodeVersion":"2020","CustomName":"CLOSURE DEVICE VASCULAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0008","CodeVersion":"2020","CustomName":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2300","CodeVersion":"2020","CustomName":"INJECTION NALBUPHINE HCL PER 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2077","CodeVersion":"2020","CustomName":"PA;ASSESS PRD Q PERS DET MOST APPR COMB SRVC&TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3320","CodeVersion":"2020","CustomName":"INJ SPECTINOMYCIN DIHYDROCHLORIDE UP TO 2 GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2300","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL PLANO OR +\/-4.00D PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9093","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0294","CodeVersion":"2020","CustomName":"HOSPITAL BED SEMI-ELEC W\/O SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4157","CodeVersion":"2020","CustomName":"REVITALON PER SQUARE CENTIMETER"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6955","CodeVersion":"2020","CustomName":"ABVE ELB OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0650","CodeVersion":"2020","CustomName":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6665","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION TEFLON\/EQUAL CABLE LINING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7990","CodeVersion":"2020","CustomName":"EMERGENCY TRACHEOTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9915","CodeVersion":"2020","CustomName":"NO RECORD OF HBV RESULTS DOCUMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2210","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER OVR 6.00D CYL-LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6613","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST PDMT BASE METAL 3\/MORE SURF"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0121","CodeVersion":"2020","CustomName":"INJECTION OMADACYCLINE 1 MG"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"114753","CodeType":"HCPCS","Code":"H2021","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0595","CodeVersion":"2020","CustomName":"DISPNSING NEW SPECTACLE LENSES PT SUPPLIED FRAME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7207","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1745","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90854","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"691","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - VISIT CHARGE"},{"ServiceGroup":"229","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"29334","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"44564","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"43787","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78666","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0323U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0420T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8869","CodeVersion":"2020","CustomName":"PATIENT HAS DOC IMMUN HEP B & INIT ANTI-TNF TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0748","CodeVersion":"2020","CustomName":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9981","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE ADMINISTRATIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1875","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6112","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAX"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0039","CodeVersion":"2020","CustomName":"ASSERTIVE COMMUNITY TX FACE-TO-FACE PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1765","CodeVersion":"2020","CustomName":"ADHESION BARRIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2376","CodeVersion":"2020","CustomName":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0006","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SERVICES; CASE MANAGEMENT"},{"ServiceGroup":"42974","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9950","CodeVersion":"2020","CustomName":"OCCLUSION ANALYSIS - MOUNTED CASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9257","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB 0.25 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7368","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2017","CodeVersion":"2020","CustomName":"PSYCHOSOCIAL REHAB SERVICES PER 15 MUNUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0580","CodeVersion":"2020","CustomName":"POLYCARBONATE LENS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5020","CodeVersion":"2020","CustomName":"CONFORMITY EVALUATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0083","CodeVersion":"2020","CustomName":"MODERATE CARE MANAGEMENT HOME VISIT FOR EXIST PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2260","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0604","CodeVersion":"2020","CustomName":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9753","CodeVersion":"2020","CustomName":"DOC MED RSN NOT C SRCH DICOM F IMAG W\/I P 12 MO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1083","CodeVersion":"2020","CustomName":"HEMI-W\/C; FIXED FULL-LEN ARMS DETACHBLE LEGREST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0776","CodeVersion":"2020","CustomName":"IV POLE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0172","CodeVersion":"2020","CustomName":"INJECTION, ADUCANUMAB-AVWA 2 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7191","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR PROCINE PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7367","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2615","CodeVersion":"2020","CustomName":"SEALANT PULMONARY LIQUID"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44106","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"73610","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"38002","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0696","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - PHYSICIAN SERVICES"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89888","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9603","CodeVersion":"2020","CustomName":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6096","CodeVersion":"2020","CustomName":"REMOVE BROKEN IMPLANT RETAINING SCREW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5120","CodeVersion":"2020","CustomName":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9212","CodeVersion":"2020","CustomName":"TRIGEMINAL DIVISION BLOCK ANES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0604","CodeVersion":"2020","CustomName":"CINACALCET ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1556","CodeVersion":"2020","CustomName":"REMOVAL OF FIXED UNI SPACE MAINTAINER - PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1740","CodeVersion":"2020","CustomName":"INJECTION IBANDRONATE SODIUM 1 MG"},{"ServiceGroup":"3646","CodeType":"ICD10P","Code":"3E053KZ","CodeVersion":"2020","CustomName":"INTRODUCTION OTH DX SUBSTANCE PERIPH ART PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1011","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0447","CodeVersion":"2020","CustomName":"FACE--FACE BEHAVIORAL COUNSELING OBESITY 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0327","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4175","CodeVersion":"2020","CustomName":"MIRODERM PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1002","CodeVersion":"2020","CustomName":"CUSTOMIZED ITEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2209","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; 2 ART GFT&1 VENUS GFT"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4164F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4417","CodeVersion":"2020","CustomName":"OST POUCH CLO W\/BARRIER ATTCH W\/BUILT-IN CONVXIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0497","CodeVersion":"2020","CustomName":"BATT CLPS FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"958","CodeType":"ICD10P","Code":"5A1945Z","CodeVersion":"2020","CustomName":"RESPIRATORY VENTILATION 24-96 CONSECUTIVE HOURS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9654","CodeVersion":"2020","CustomName":"MONITORED ANESTHESIA CARE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2410","CodeVersion":"2020","CustomName":"INJECTION OXYMORPHONE HCL UP TO 1 MG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9056","CodeVersion":"2020","CustomName":"COMA STIMULATION PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0390","CodeVersion":"2020","CustomName":"INJECTION CHLOROQUINE HCL UP TO 250 MG"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91589","CodeType":"CPT","Code":"36200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22948","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85677","CodeType":"CPT","Code":"95782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0592T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91588","CodeType":"CPT","Code":"93620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107182","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15478","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0264U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8919","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST PELVIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4100","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0655","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS HALF ARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5914","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5701","CodeVersion":"2020","CustomName":"REPL SOCKT ABVE KNEE\/KNEE DISARTIC W\/ATTCH PLAT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2954","CodeVersion":"2020","CustomName":"PREFABR POST&CORE ADDITION CROWN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0690","CodeVersion":"2020","CustomName":"INJECTION CEFAZOLIN SODIUM 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9377","CodeVersion":"2020","CustomName":"HOME INFUS THERAPY HYDRATION TX; >3 LITERS DAY"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0462","CodeVersion":"2020","CustomName":"TEMP REPL PT OWNED EQUIP BEING REPR ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2179","CodeVersion":"2020","CustomName":"CLIN DOC PT MED RSN NOT PRFM LW EXT NEURO EXAM"},{"ServiceGroup":"85159","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2110","CodeVersion":"2020","CustomName":"PT 66 &>1 CLM FRLTY&1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6628","CodeVersion":"2020","CustomName":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK\/="},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A8002","CodeVersion":"2020","CustomName":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8693","CodeVersion":"2020","CustomName":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J2430","CodeVersion":"2020","CustomName":"INJECTION PAMIDRONATE DISODIUM PER 30 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2180","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE&PROMETHAZINE HCL TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C5273","CodeVersion":"2020","CustomName":"APPL SG TRUNK ARM LEG AREA >\/=100 CM;1ST 100 CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5130","CodeVersion":"2020","CustomName":"HOMEMAKER SERVICE NOS; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0112","CodeVersion":"2020","CustomName":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM"},{"ServiceGroup":"104022","CodeType":"HCPCS","Code":"C9740","CodeVersion":"2020","CustomName":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 4\/> IMPL"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9591","CodeVersion":"2020","CustomName":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0791","CodeVersion":"2020","CustomName":"INJECTION CRIZANLIZUMAB-TMCA 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0839","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY 1 PWR SLING PT 451-600 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2650","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELV&THOR CONTROL GLUTEAL PAD EA"},{"ServiceGroup":"104195","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0243","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 2400 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2383","CodeVersion":"2020","CustomName":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1368","CodeVersion":"2020","CustomName":"ON-Q PAIN MGT SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9203","CodeVersion":"2020","CustomName":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0032","CodeVersion":"2020","CustomName":"2< ANTIPSY RX DX SCZ OR BP DIS 1\/1 YR RX ANTIPSY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8040","CodeVersion":"2020","CustomName":"LTD ORTHODONTIC TX ADULT DENTITION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2168","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY PT ASST HH SETTING EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8420","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE&GLOVE CUSTOM MADE"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"62333","CodeType":"REV","Code":"0644","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Non-Routine Nursing, Peripheral Line\""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"453","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"387","CodeVersion":"2020","CustomName":"Prematurity with major problems"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103972","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90604","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1123F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0233T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0610T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0626T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91583","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91588","CodeType":"CPT","Code":"93653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.8","CodeVersion":"2017","CustomName":"OPERATIONS ON FETUS TO FACILITATE DELIVERY"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0298U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46030","CodeType":"ICD9P","Code":"45.51","CodeVersion":"2017","CustomName":"ISOLATION OF SEGMENT OF SMALL INTESTINE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4001","CodeVersion":"2020","CustomName":"CASTING SPL BODY CAST ADULT W\/WO HEAD PLASTR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7313","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL ILUVIEN 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5123","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB-ARRX BIOSIMILAR 10 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0596","CodeVersion":"2020","CustomName":"PHAKIC INTRAOCULAR LENS CORRECT REFRACTIVE ERROR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1034","CodeVersion":"2020","CustomName":"ADULTS AL 180 D CONT PT MED PSCR OUD NO GAP >7 D"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0841","CodeVersion":"2020","CustomName":"PWR WC GRP 2 MX PWR SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8041","CodeVersion":"2020","CustomName":"MIDFACIAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6648","CodeVersion":"2020","CustomName":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9344","CodeVersion":"2020","CustomName":"SEARCH PRIOR CMPL DICOM IMAGES NOT CMPL SYS RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1560","CodeVersion":"2020","CustomName":"BLOOD LEAK DETECTOR HEMODIALYSIS EA REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0035","CodeVersion":"2020","CustomName":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9796","CodeVersion":"2020","CustomName":"PATIENT IS CURRENTLY ON A STATIN THERAPY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2860","CodeVersion":"2020","CustomName":"INJECTION SILTUXIMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9208","CodeVersion":"2020","CustomName":"INJECTION IFOSFAMIDE 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P3000","CodeVersion":"2020","CustomName":"SCR PAP SMEAR UP TO 3 SMEARS TECH UND PHYS SUPV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8709","CodeVersion":"2020","CustomName":"URI EP HAD COMPETING DX ON\/3 DAYS AFTER EP DATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9693","CodeVersion":"2020","CustomName":"PATIENT USE OF HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2599","CodeVersion":"2020","CustomName":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC"},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5826","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0490","CodeVersion":"2020","CustomName":"FACE-TO-FACE HH NSG VST RHC\/FQHC AREA SHTG HHA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2293","CodeVersion":"2020","CustomName":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8691","CodeVersion":"2020","CustomName":"AUD OI DEVC EXT SP EXCL TRNSDUCR\/ACTUATR REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3380","CodeVersion":"2020","CustomName":"CLUBFOOT WEDGE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9319","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8694","CodeVersion":"2020","CustomName":"AUD OSSEOINTEG DEVC TRANSDUCER\/ACTR REPL ONLY EA"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0825","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"61818","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0991","CodeVersion":"2020","CustomName":"Patient Convenience Items - Cafeteria\/Guest Tray"},{"ServiceGroup":"26228","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"9226","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0845","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"12597","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"101501","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"147","CodeType":"REV","Code":"0589","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Other Home Health Visit"},{"ServiceGroup":"14112","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"346","CodeVersion":"2020","CustomName":"Malignancy of male reproductive system with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"563","CodeVersion":"2020","CustomName":"Seizure, Age Greater than 17 without CC"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68641","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0030U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92196","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64298","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0650T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0248T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82808","CodeType":"CPT","Code":"92997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105031","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0718T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107274","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.01","CodeVersion":"2017","CustomName":"THYROID SCAN AND RADIOISOTOPE FUNCTION STUDIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9507","CodeVersion":"2020","CustomName":"FR FRZ P HT COVID-19 CONV FRZ WI 8 HRS COLL EA U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3357","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2293","CodeVersion":"2020","CustomName":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0657","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLIANCE USE W\/PNEUMAT COMPRS CHEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2047","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0487","CodeVersion":"2020","CustomName":"SPIROMETER ELECTRONIC INCLUDES ALL ACCESSORIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9267","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL 1 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0191","CodeVersion":"2020","CustomName":"MISOPROSTOL ORAL 200 MCG"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9230","CodeVersion":"2020","CustomName":"INJECTION MECHLORETHAMINE HCL 10 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0621","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"C1816","CodeVersion":"2020","CustomName":"RECEIVER AND\/OR TRANSMITTER NEUROSTIMULATOR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2010","CodeVersion":"2020","CustomName":"INJECTION LINCOMYCIN HCL UP TO 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0596","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR RUCONEST 10 U"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0959","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6220","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG >16 <\/= 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0170","CodeVersion":"2020","CustomName":"ANASTROZOLE ORAL 1 MG"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1012","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"17079","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"36663","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"12117","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0304","CodeVersion":"2020","CustomName":"Laboratory - Non-Routine Dialysis"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"42830","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"252","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age 0-17"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"257","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"136","CodeVersion":"2020","CustomName":"Cardiac congenital and valvular disorders, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62295","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0034U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29780","CodeType":"ICD9P","Code":"36.04","CodeVersion":"2017","CustomName":"INTRACORONARY ARTERY THROMBOLYTIC INFUSION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0678T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99148","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0656T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0539T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0702","CodeVersion":"2020","CustomName":"INJ BETAMETHASONE ACETATE & PHOSPHATE 3 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9925","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3465","CodeVersion":"2020","CustomName":"INJECTION VORICONAZOLE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1944","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9476","CodeVersion":"2020","CustomName":"VESTIBULAR REHAB PROGM NON-PHYSICIAN PROV-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2353","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2785","CodeVersion":"2020","CustomName":"INJECTION REGADENOSON 0.1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7204","CodeVersion":"2020","CustomName":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0160","CodeVersion":"2020","CustomName":"SERVICES OT HOME HEALTH EST\/DEL OT MP EA 15 MINS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4155","CodeVersion":"2020","CustomName":"NEOXFLO OR CLARIXFLO 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4255","CodeVersion":"2020","CustomName":"REGUARD FOR TOPICAL USE ONLY PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q1004","CodeVersion":"2020","CustomName":"NEW TECH IO LENS CATGY 4 DEFINED FEDERAL REG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7270","CodeVersion":"2020","CustomName":"TOOTH REIMPL&\/STBL ACC DISPLCD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2303","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0270","CodeVersion":"2020","CustomName":"MED NUT TX; REASSESS FLW 2 REF YR W\/PT EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6384","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4187","CodeVersion":"2020","CustomName":"EPICORD PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1724","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2033","CodeVersion":"2020","CustomName":"MULTISYSTEMIC THERAPY JUVENILES PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1888","CodeVersion":"2020","CustomName":"CATHETER ABLATION NON-CARDIAC ENDOVASCULAR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4231","CodeVersion":"2020","CustomName":"CORPLEX P PER CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5120","CodeVersion":"2020","CustomName":"BINAURAL BODY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8858","CodeVersion":"2020","CustomName":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4212","CodeVersion":"2020","CustomName":"ALLOGEN PER CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4402","CodeVersion":"2020","CustomName":"LUBRICANT PER OUNCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3206","CodeVersion":"2020","CustomName":"ORTHOPED SHOE HIGHTOP W\/SUPINATOR\/PRONATOR CHILD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4180","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SOL; CARBS > 50% - HOME MIX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8957","CodeVersion":"2020","CustomName":"IV INFUS TX\/DX; INIT PROLNG RQR PORT\/IMPL PUMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2515","CodeVersion":"2020","CustomName":"INJECTION PENTOBARBITAL SODIUM PER 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2037","CodeVersion":"2020","CustomName":"DVLPMENTL DLAY PREV ACTV DPND CHLD CLIENT 15 MIN"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"12674","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"70947","CodeType":"REV","Code":"0990","CodeVersion":"2020","CustomName":"Patient Convenience Items - General Classification"},{"ServiceGroup":"51323","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105030","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91035","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0042A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0132U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3092F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90063","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0018M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0318T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0432","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0945","CodeVersion":"2020","CustomName":"EXTREMITY BELT\/HARNESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4011","CodeVersion":"2020","CustomName":"IN VITRO FERTILIZATION;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4028","CodeVersion":"2020","CustomName":"PODIATRY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4328","CodeVersion":"2020","CustomName":"FE EXTERNAL URINARY COLLECTION DEVICE; POUCH EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9480","CodeVersion":"2020","CustomName":"ADMISSION TO MEDICARE CARE CHOICE MODEL PROGRAM"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9019","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE ERWINAZE 1000 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9070","CodeVersion":"2020","CustomName":"ONC; STATUS; SCLC SC&COMB SM\/NONSM; EXTENT UNKN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5000","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG GENERIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9165","CodeVersion":"2020","CustomName":"INJECTION DIETHYLSTILBESTROL DIPHOSPHATE 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9352","CodeVersion":"2020","CustomName":"INJECTION TRABECTEDIN 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8919","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST PELVIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8929","CodeVersion":"2020","CustomName":"TTE CMPL SPEC DOPPLER & COLOR FLOW DOPPLER ECHO"},{"ServiceGroup":"104911","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3400","CodeVersion":"2020","CustomName":"INJECTION TRIFLUPROMAZINE HCL UP TO 20 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9203","CodeVersion":"2020","CustomName":"INJECTION GEMTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0835","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD 1 PWR SLING SEAT PT TO 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1824","CodeVersion":"2020","CustomName":"GENERATOR CARDIAC CONTRACTILITY MODULATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7181","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII A-SUBUNIT PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5109","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-QBTX BIOSIMILAR 10 MG"},{"ServiceGroup":"49103","CodeType":"HCPCS","Code":"V5050","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL IN THE EAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5988","CodeVersion":"2020","CustomName":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2240","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ROUND CALIPER&PLATE ATTACHMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2361","CodeVersion":"2020","CustomName":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2109","CodeVersion":"2020","CustomName":"1 VISN+\/- 4.25-+\/- 7.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1141","CodeVersion":"2020","CustomName":"FUNC STATUS NOT MSR OKS\/ KOOS JR 1 YR POST OP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3677","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS JNT DSGN NO JNTS PREFAB CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9504","CodeVersion":"2020","CustomName":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1834","CodeVersion":"2020","CustomName":"PRESSURE SNSR SYS INTRAMUSC EXCLUD MOB SW APP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3250","CodeVersion":"2020","CustomName":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0442","CodeVersion":"2020","CustomName":"ANNUAL ALCOHOL MISUSE SCREENING 15 MINUTES"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7740","CodeVersion":"2020","CustomName":"MANDIBLE CLOSED REDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0142","CodeVersion":"2020","CustomName":"COLISTMTHATE SODIUM INHAL SOL CONC FORM-PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3500","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION INSOLE LEATHER"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0643","CodeVersion":"2020","CustomName":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0552","CodeVersion":"2020","CustomName":"SPL EXT NON-INS RX INFUS PMP SYR T CART STERL EA"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0484","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 PIECE W\/O INTERFCE LINER CSTM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6637","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9340","CodeVersion":"2020","CustomName":"INJECTION THIOTEPA 15 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0129","CodeVersion":"2020","CustomName":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5181","CodeVersion":"2020","CustomName":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2192","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH HIP JNT THI FLNGE&PELV BELT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2426","CodeVersion":"2020","CustomName":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2103","CodeVersion":"2020","CustomName":"ADRENAL TISSUE TRANSPLANT TO BRAIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9729","CodeVersion":"2020","CustomName":"PT UNABLE COMPLETE LEPF PROM INI EVAL &\/ D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1016","CodeVersion":"2020","CustomName":"TRANSCUT ELEC NERVE STIM FOR ELEC STIM TG NERVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9055","CodeVersion":"2020","CustomName":"PLT LEUKOCYTES RDUC CMV-NEG APHERES\/PHERES EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9487","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2335","CodeVersion":"2020","CustomName":"RSN COMPOS-4\/> SURF\/W\/INCISAL ANG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3410","CodeVersion":"2020","CustomName":"INJECTION HYDROXYZINE HCL UP TO 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9192","CodeVersion":"2020","CustomName":"DOCUMENTATION SYSTEM RSN NOT PRSC BETA-BLOCKR TX"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0963","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (MD)"},{"ServiceGroup":"17077","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"37263","CodeType":"REV","Code":"0603","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply >4 LPM"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"14609","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"84858","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"492","CodeVersion":"2020","CustomName":"Chemotherapy with acute leukemia as secondary diagnosis"},{"ServiceGroup":"20071","CodeType":"DRG","Code":"945","CodeVersion":"2020","CustomName":"Rehabilitation with CC\/MCC"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"456","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4174F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4562F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1121F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83901","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1123F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD9P","Code":"37.26","CodeVersion":"2017","CustomName":"CARD EP STIMULATION&RECORDING STUDIES"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3475F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3762F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0609T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93015","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0340T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0224T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"22114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3323F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4481F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0124T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0324U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0588T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0421T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0583F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0712T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"52.83","CodeVersion":"2017","CustomName":"HETEROTRANSPLANT OF PANCREAS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3471","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - ANTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1222","CodeVersion":"2020","CustomName":"WHEELCHAIR WITH FIXED ARM ELEVATING LEGRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9612","CodeVersion":"2020","CustomName":"PHOTODOCUM 2\/MORE CECAL LANDMARK EST COMPL EXAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9226","CodeVersion":"2020","CustomName":"FOOT EXAMINATION PERFORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6205","CodeVersion":"2020","CustomName":"COMPOS DRESS STERL PAD > 48 SQ W\/ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2953","CodeVersion":"2020","CustomName":"EACH ADDITIONAL INDIRECTLY FAB POST SAME TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4932","CodeVersion":"2020","CustomName":"RECTAL THERMOMETER REUSABLE ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7500","CodeVersion":"2020","CustomName":"AZATHIOPRINE ORAL 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1127","CodeVersion":"2020","CustomName":"DOC PT DX DEG NEURO COND DX TM BEFORE\/DUR EOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5925","CodeVersion":"2020","CustomName":"ADD ENDOSKEL AK-DISARTIC\/HIP DISARTIC MNL LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4340","CodeVersion":"2020","CustomName":"INDWELLING CATHETER; SPECIALTY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6616","CodeVersion":"2020","CustomName":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9530","CodeVersion":"2020","CustomName":"PT PRESNT W\/MIN BLUNT HEAD TRAUMA CT ORD BY ECP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2860","CodeVersion":"2020","CustomName":"INJECTION SILTUXIMAB 10 MG"},{"ServiceGroup":"90707","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1885","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY LASER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2295","CodeVersion":"2020","CustomName":"MNL WC ACCESS PED SIZE WC DYNAMIC SEATING FRAME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1850","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6505","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0890","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9999","CodeVersion":"2020","CustomName":"UNSPECIFIED ADJUNCTIVE PROCEDURE BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6905","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE MX FNGR REMAIN"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"32550","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"690","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"12886","CodeType":"REV","Code":"0650","CodeVersion":"2020","CustomName":"Hospice Service - General Classification"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"12118","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69700","CodeType":"ICD9P","Code":"86.98","CodeVersion":"2017","CustomName":"INS\/REPL MX ARRAY 2\/> RECHR NEURSTIM PULSE GEN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0239U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90385","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107778","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0189U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36873","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0330U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105244","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9286","CodeVersion":"2020","CustomName":"HYGIENIC ITEM\/DEVC DISPBL\/NON-DISPBL ANY TYPE EA"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4396","CodeVersion":"2020","CustomName":"STATIC\/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT"},{"ServiceGroup":"27579","CodeType":"HCPCS","Code":"S5180","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9345","CodeVersion":"2020","CustomName":"HOME INFUSION TX ANTI-HEMOPHILIC AGENT; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1448","CodeVersion":"2020","CustomName":"INJECTION TRILACICLIB 1MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4153","CodeVersion":"2020","CustomName":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9599","CodeVersion":"2020","CustomName":"AA 6.0 CM\/>MAX DIA CL FRMT CT\/MIN DIA AX FRMT CT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2500","CodeVersion":"2020","CustomName":"SPEECH GEN DEVC DIGITIZED <\/= 8 MINS REC TIME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2941","CodeVersion":"2020","CustomName":"INTERIM THERAPEUTIC RESTORATION-PRIMARY DENTITN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5280","CodeVersion":"2020","CustomName":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0483","CodeVersion":"2020","CustomName":"DRUG TST DEFINITV DR ID METH P DAY 22\/MORE DR CL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0467","CodeVersion":"2020","CustomName":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3346","CodeVersion":"2020","CustomName":"RETX PREVIOUS RC THERAPY - ANTERIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3660","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4424","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/BARRIER ATTCH W\/FLTR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0166","CodeVersion":"2020","CustomName":"GRANISETRON HCL 1 MG ORL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7982","CodeVersion":"2020","CustomName":"SIALODOCHOPLASTY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0088","CodeVersion":"2020","CustomName":"IMATINIB 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8702","CodeVersion":"2020","CustomName":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL\/DBL UPR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1461F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3382F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110768","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4040","CodeVersion":"2020","CustomName":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9301","CodeVersion":"2020","CustomName":"INJECTION OBINUTUZUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P3001","CodeVersion":"2020","CustomName":"SCR PAP SMER CERV\/VAG TO 3 SMERS RQR INTEPR PHYS"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0177","CodeVersion":"2020","CustomName":"HYDROXYZINE PAMOATE 25 MG ORAL NOT >48 HR DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1321","CodeVersion":"2020","CustomName":"PALATE\/BASE OF TONGUE ELECTR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1756","CodeVersion":"2020","CustomName":"CATHETER PACING TRANSESOPHAGEAL"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104736","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0013M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74.3","CodeVersion":"2017","CustomName":"REMOVAL OF EXTRATUBAL ECTOPIC PREGNANCY"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.83","CodeVersion":"2017","CustomName":"IMPLNT\/REPLACE CAROTID SINUS STIM PULSE GEN ONLY"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103613","CodeType":"CPT","Code":"97803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0250T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19921","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9789","CodeVersion":"2020","CustomName":"BLD PRESS RCD DUR INPT S ER V UC V & PT SR BP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0172","CodeVersion":"2020","CustomName":"SEAT LIFT MECH PLACED OVER\/TOP TOILET ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4991","CodeVersion":"2020","CustomName":"NICOTINE PATCHES NON-LEGEND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0310","CodeVersion":"2020","CustomName":"HOSPITALIST SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5969","CodeVersion":"2020","CustomName":"ADDITION ENDOSKELETAL ANKLE-FOOT\/ANK PWR ASSIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2189","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: ABN NEURO EXAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5724","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2101","CodeVersion":"2020","CustomName":"HUMAN BREAST MILK PROCESSING STORAGE&DSTRB ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3430","CodeVersion":"2020","CustomName":"HEEL COUNTER PLASTIC REINFORCED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2700","CodeVersion":"2020","CustomName":"INJECTION OXACILLIN SODIUM UP TO 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2350","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3702","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0468","CodeVersion":"2020","CustomName":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9971","CodeVersion":"2020","CustomName":"ODONTOPLASTY - PER TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7700","CodeVersion":"2020","CustomName":"GASKET\/SEAL USE PROS SOCKET INSERT ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8475","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB TX NOT PRESCRIBED RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0659","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9781","CodeVersion":"2020","CustomName":"DOC MED RSN NO CUR USER\/RCV AN ORDER STATIN TX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0287","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8512","CodeVersion":"2020","CustomName":"GELATIN CAPS\/EQUVALNT W\/TRACHEOESOPH VOICE PROS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2782","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST NOBLE METAL"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0120","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT: MINI-BUS MTN AREA\/OTH SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2225","CodeVersion":"2020","CustomName":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0486","CodeVersion":"2020","CustomName":"ORL DEVC\/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0691","CodeVersion":"2020","CustomName":"INJECTION LEFAMULIN 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1321","CodeVersion":"2020","CustomName":"CNSL ORAL BEHAV & SYS HLTH EFF HI-RISK SUBST USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1019","CodeVersion":"2020","CustomName":"REPLACEMNT SUP & ACC EXT UL TREMOR STIM PN WRIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3920","CodeVersion":"2020","CustomName":"HEMISECTION NOT INCL RC THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0693","CodeVersion":"2020","CustomName":"UV LT TX SYS PANL W\/BULBS\/LAMPS TIMER 6 FT PANEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5722","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0621","CodeVersion":"2020","CustomName":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3392","CodeType":"CPT","Code":"90806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104998","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0907","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Community Behavioral Health Program (Day Treatment)"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"74382","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"102","CodeVersion":"2020","CustomName":"Other respiratory system diagnoses without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"803","CodeVersion":"2020","CustomName":"ALLOGENIC BONE MARROW TRANSPLANT-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"284","CodeVersion":"2020","CustomName":"Minor skin disorders without CC"},{"ServiceGroup":"51263","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"584","CodeVersion":"2020","CustomName":"SEPTICEMIA W MAJOR CC-NYDRG"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90371","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69923","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0244T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0509F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0238U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0074A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90438","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0262T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0344U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.36","CodeVersion":"2017","CustomName":"RESECTION OF ABDOMINAL ARTERIES WITH ANASTOMOSIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7026","CodeVersion":"2020","CustomName":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5530","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC\/=MOLD MDL"},{"ServiceGroup":"45948","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7282","CodeVersion":"2020","CustomName":"MOBILZ ERUPT\/MALPSTN TOOTH AID ERUP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7730","CodeVersion":"2020","CustomName":"MANDIBLE-OPEN REDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9624","CodeVersion":"2020","CustomName":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7017","CodeVersion":"2020","CustomName":"NEB GLASS\/AUTOCLAV NOT USE W\/O2"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9070","CodeVersion":"2020","CustomName":"ONC; STATUS; SCLC SC&COMB SM\/NONSM; EXTENT UNKN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0047","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR OTHER DRUG ABUSE SERVICES NOS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"E0785","CodeVersion":"2020","CustomName":"IMPLANTABLE INTRASPINL CATHETER USED W\/PUMP-REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5497","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT NOC; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0042","CodeVersion":"2020","CustomName":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0184","CodeVersion":"2020","CustomName":"DRY PRESSURE MATTRESS"},{"ServiceGroup":"12868","CodeType":"HCPCS","Code":"A0431","CodeVersion":"2020","CustomName":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2310","CodeVersion":"2020","CustomName":"INJECTION NALOXONE HCL PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1811","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH KNEE DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9913","CodeVersion":"2020","CustomName":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2628","CodeVersion":"2020","CustomName":"FABRICATION AND FITTING OF OCULAR CONFORMER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4010","CodeVersion":"2020","CustomName":"INFECTIOUS DISEASE MIPS SPECIALTY SET"},{"ServiceGroup":"88268","CodeType":"HCPCS","Code":"C1763","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE NON-HUMAN"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8512","CodeVersion":"2020","CustomName":"GELATIN CAPS\/EQUVALNT W\/TRACHEOESOPH VOICE PROS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0489","CodeVersion":"2020","CustomName":"POWER PACK BASE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9501","CodeVersion":"2020","CustomName":"RAD EXP INDCS\/EXP TM & NO FLUORO IMG N DOC N RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1852","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103550","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"51322","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"1943","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"761","CodeVersion":"2020","CustomName":"TRAUMATIC STUPOR \"&\" COMA OVER 1 HR-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"176","CodeVersion":"2020","CustomName":"Complicated peptic ulcer"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61041","CodeType":"CPT","Code":"90867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91009","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44303","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2029F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93723","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5934","CodeVersion":"2020","CustomName":"MANDIB RESECT PROSTH W\/GUIDE FLANGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8921","CodeVersion":"2020","CustomName":"TTE W\/CONTRAST OR W\/O FLW W\/CONTRAST; COMPLETE"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4000","CodeVersion":"2020","CustomName":"REPLACE GIRDLE FOR SPINAL ORTHOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9928","CodeVersion":"2020","CustomName":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7640","CodeVersion":"2020","CustomName":"MANDIBLE-CLOSED REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4207","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 2 CC EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5230","CodeVersion":"2020","CustomName":"ABVE KNEE PROX FEM FOCAL DEFIC SACH FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5934","CodeVersion":"2020","CustomName":"MANDIB RESECT PROSTH W\/GUIDE FLANGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0600","CodeVersion":"2020","CustomName":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2503","CodeVersion":"2020","CustomName":"INJECTION PEGAPTANIB SODIUM 0.3 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7502","CodeVersion":"2020","CustomName":"REPL DIAPHRAGM\/FCEPLATE TRACHEOSTOMA VALVE EA"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6090","CodeVersion":"2020","CustomName":"REPAIR IMPL SUPP PROSTH BY REPORT"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7669","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG"},{"ServiceGroup":"88421","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6538","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 40-50 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4993","CodeVersion":"2020","CustomName":"CONTRACEPTIVE PILLS FOR BIRTH CONTROL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5114","CodeVersion":"2020","CustomName":"LEG STRAP; FOAM\/FABRIC REPLACEMENT ONLY PER SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1060","CodeVersion":"2020","CustomName":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8816","CodeVersion":"2020","CustomName":"STATIN MEDICATION PRESCRIBED AT DISCHARGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2526","CodeVersion":"2020","CustomName":"ADD LW EXTRM ISCH M-L BRIM CSTM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6790","CodeVersion":"2020","CustomName":"RETAINER CROWN - FULL CAST HIGH NOBLE METAL"},{"ServiceGroup":"111993","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4541","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA"},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.01","CodeVersion":"2017","CustomName":"INDUCTION LABOR ARTIFICIAL RUPTURE MEMBRANES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40147","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"3205","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"68987","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"16374","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"35560","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"25934","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"458","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.84","CodeVersion":"2017","CustomName":"MUSIC THERAPY"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30067","CodeType":"ICD9P","Code":"33.98","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON BRONCHUS"},{"ServiceGroup":"61356","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45582","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0016M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46890","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92418","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16778","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69687","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7525","CodeVersion":"2020","CustomName":"TRACHEOSTOMY MASK EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0180","CodeVersion":"2020","CustomName":"INJECTION AGALSIDASE BETA 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0190","CodeVersion":"2020","CustomName":"SCREENING OF A PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0159","CodeVersion":"2020","CustomName":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH"},{"ServiceGroup":"36137","CodeType":"ICD10P","Code":"3E0J8U0","CodeVersion":"2020","CustomName":"INTRO AUTO PANC IC BILI PAN NAT\/ART OPENING ENDO"},{"ServiceGroup":"86340","CodeType":"HCPCS","Code":"C1789","CodeVersion":"2020","CustomName":"PROSTHESIS BREAST"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4171","CodeVersion":"2020","CustomName":"INTERFYL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C5277","CodeVersion":"2020","CustomName":"APP SG F\/N\/HF\/G A >\/=100 CM;1ST 100 CM\/1% A CHLD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0879","CodeVersion":"2020","CustomName":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8877","CodeVersion":"2020","CustomName":"CLIN NOT DX BR CA PREOP MIN INVAS BX RSN NOT GVN"},{"ServiceGroup":"74588","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4005","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9774","CodeVersion":"2020","CustomName":"PATIENTS WHO HAVE HAD A HYSTERECTOMY"},{"ServiceGroup":"10544","CodeType":"HCPCS","Code":"S9474","CodeVersion":"2020","CustomName":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9150","CodeVersion":"2020","CustomName":"INJECTION DAUNORUBICIN 10 MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5282","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM SYS BINAURL ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7799","CodeVersion":"2020","CustomName":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1270","CodeVersion":"2020","CustomName":"INJECTION DOXERCALCIFEROL 1 MCG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7659","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0215","CodeVersion":"2020","CustomName":"ELECTRIC HEAT PAD MOIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2102","CodeVersion":"2020","CustomName":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6550","CodeVersion":"2020","CustomName":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9059","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9963","CodeVersion":"2020","CustomName":"EMB EPT NOT DOC SEP EMB VESS\/OA AG\/EMB NOT PERF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4736","CodeVersion":"2020","CustomName":"TOPICAL ANESTHETIC FOR DIALYSIS PER GRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0957","CodeVersion":"2020","CustomName":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.6","CodeVersion":"2017","CustomName":"EPISIOTOMY"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.68","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTROPLASTY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58763","CodeType":"REV","Code":"0631","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Single Source Drug"},{"ServiceGroup":"13249","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"13085","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0230","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - General Classification"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"477","CodeVersion":"2020","CustomName":"Non-extensive operating room procedure unrelated to principal diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"770","CodeVersion":"2020","CustomName":"RESPIRATORY INFECTIONS \"&\" INFLAMMATIONS AGE UNDER 18 W CC-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113175","CodeType":"CPT","Code":"0011A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59338","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4053F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104619","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0108T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0050U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0144U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.31","CodeVersion":"2017","CustomName":"SUTURE OF ARTERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99148","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98579","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107131","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107103","CodeType":"CPT","Code":"41820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105013","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9764","CodeVersion":"2020","CustomName":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4625","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0485","CodeVersion":"2020","CustomName":"INJECTION BELATACEPT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7191","CodeVersion":"2020","CustomName":"ELEC ELB CHLD VRITY VILL\/= MYOELECTRNICALY CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7186","CodeVersion":"2020","CustomName":"INJ AHF\/ VWF CMPLX PER FACTOR VIIII IU"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0072T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0267T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0066U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81058","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62296","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106655","CodeType":"HCPCS","Code":"J0606","CodeVersion":"2020","CustomName":"INJECTION ETELCALCETIDE 0.1 MG"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D1120","CodeVersion":"2020","CustomName":"PROPHYLAXIS - CHILD"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9034","CodeVersion":"2020","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY GALL STONES"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3031","CodeVersion":"2020","CustomName":"INJECTION FREMANEZUMAB-VFRM 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7121","CodeVersion":"2020","CustomName":"5% DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9440","CodeVersion":"2020","CustomName":"OV-AFTER REGULARLY SCHEDULED HOURS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9696","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9246","CodeVersion":"2020","CustomName":"PT NOT 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4537","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3031","CodeVersion":"2020","CustomName":"FOOT INSRT\/PLAT REMV ADD LW EXT ORTHOF HI STRGTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q3027","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 1 MCG IM USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1860","CodeVersion":"2020","CustomName":"KNEE ORTHOS MOD SUPRACONDYLR PROS SOCKT CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1834","CodeVersion":"2020","CustomName":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2330","CodeVersion":"2020","CustomName":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2001","CodeVersion":"2020","CustomName":"NON-EMERG TRANSPORTATION; PT ATTENDANT\/ESCORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4545","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4398","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SUPPLY; BAG EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1893","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH INTRCARD EP CURVE NOT PEEL-AWAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0592","CodeVersion":"2020","CustomName":"COMPREHENSIVE CONTACT LENS EVALUATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9954","CodeVersion":"2020","CustomName":"PATIENT EXHIBITS 2\/> RISK FAC POST-OP VOMITING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2230","CodeVersion":"2020","CustomName":"IMPL MAGNET CMPNT SEMI-IMPL HEARING DEVC MID EAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6940","CodeVersion":"2020","CustomName":"ELB DISARTIC OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1120","CodeVersion":"2020","CustomName":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1555","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0500","CodeVersion":"2020","CustomName":"FILTERS FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0627","CodeVersion":"2020","CustomName":"SEAT LIFT MECHANISM ELECTRIC ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0240","CodeVersion":"2020","CustomName":"IV INF\/SCI CASIRIV & IMDEVIMB& P\/ADM SUBQ RP DS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8101","CodeVersion":"2020","CustomName":"HOLDING CHAMB\/SPACR W\/AN INHAL\/NEBULIZR; W\/MASK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0220","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB & CILGAVIMAB INC INJ & PA MON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2308","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0467","CodeVersion":"2020","CustomName":"HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4101","CodeVersion":"2020","CustomName":"APLIGRAF PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0115","CodeVersion":"2020","CustomName":"POST-COITAL DIRECT QUAL EXAM VAGINAL\/CERV MUCOS"},{"ServiceGroup":"83519","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2393","CodeVersion":"2020","CustomName":"RESIN COMPOS - 3 SURFACES POSTERIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9354","CodeVersion":"2020","CustomName":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3924","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS WITHOUT JOINTS PREFAB"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104719","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0FF5XZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION RT HEPATIC DUCT EXTERNAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0837","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2088","CodeVersion":"2020","CustomName":"OFF-BASED TX OUD;EA ADD 30 MIN BYD 1ST 120 MIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2515","CodeVersion":"2020","CustomName":"INJECTION PENTOBARBITAL SODIUM PER 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4437","CodeVersion":"2020","CustomName":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0888","CodeVersion":"2020","CustomName":"NONCOVERED AMBULANCE MILEAGE PER MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2177","CodeVersion":"2020","CustomName":"AC BR EPIS PT NU\/REFILL RX ABX 30 D PRIOR EPS DT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3211","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH JUNIOR"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8670","CodeVersion":"2020","CustomName":"VASCULAR GRAFT MATERIAL SYNTHETIC IMPLANT"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0591","CodeVersion":"2020","CustomName":"INJECTION DEOXYCHOLIC ACID 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5265","CodeVersion":"2020","CustomName":"EAR MOLD\/INSERT DISPOSABLE ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0829","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY DUTY CAPT CHR PT 601 LBS\/>"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8510","CodeVersion":"2020","CustomName":"VOICE AMPLIFIER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1742","CodeVersion":"2020","CustomName":"INJ IBUTILIDE FUMARATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3806","CodeVersion":"2020","CustomName":"WHFO CUSTOM FABRICATED INCL FITTING & ADJUSTMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0181","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0109","CodeVersion":"2020","CustomName":"DIAB SELF-MGMT TRN SRVC GROUP SESSION PER 30 MIN"},{"ServiceGroup":"29893","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"9984","CodeType":"REV","Code":"0516","CodeVersion":"2020","CustomName":"Clinic - Urgent Care Clinic"},{"ServiceGroup":"977","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"33313","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"74585","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"36991","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"14532","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"70046","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"17077","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"31753","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"4020","CodeType":"REV","Code":"0689","CodeVersion":"2020","CustomName":"Trauma Response - Other Trauma Response"},{"ServiceGroup":"35054","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"22403","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"22401","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"9483","CodeType":"REV","Code":"0650","CodeVersion":"2020","CustomName":"Hospice Service - General Classification"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"913","CodeVersion":"2020","CustomName":"Traumatic Injury with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"023","CodeVersion":"2020","CustomName":"Nontraumatic stupor and coma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0155T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0313T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0060U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0725T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0505T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0165T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0230U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.97","CodeVersion":"2017","CustomName":"PERCUTANEOUS MITRAL VALVE REPAIR WITH IMPLANT"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63458","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104953","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91013","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38015","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74.91","CodeVersion":"2017","CustomName":"HYSTEROTOMY TO TERMINATE PREGNANCY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72602","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89945","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91593","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37591","CodeType":"ICD9P","Code":"41.00","CodeVersion":"2017","CustomName":"BONE MARROW TRANSPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93027","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78095","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0275T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93080","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9113","CodeVersion":"2020","CustomName":"INJECTION PANTOPRAZOLE SODIUM PER VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8417","CodeVersion":"2020","CustomName":"PROSTH SHEATH\/SOCK W\/GEL CUSHN LAY BK\/AK EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9688","CodeVersion":"2020","CustomName":"PATIENTS USING HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5110","CodeVersion":"2020","CustomName":"DISPENSING FEE BILATERAL"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8691","CodeVersion":"2020","CustomName":"AUD OI DEVC EXT SP EXCL TRNSDUCR\/ACTUATR REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9958","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECEIVE COMBINATION THERAPY"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5165","CodeVersion":"2020","CustomName":"HOME MODIFICATIONS; PER SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2207","CodeVersion":"2020","CustomName":"BIFOCL +\/-4.25-+\/-7.00D SPHER 0.12-2.00D CYL-EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2037","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLUVIRIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6452","CodeVersion":"2020","CustomName":"HI COMPRS BANDGE LOAD RESIST WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2664","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-4\/>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2785","CodeVersion":"2020","CustomName":"INJECTION REGADENOSON 0.1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0112","CodeVersion":"2020","CustomName":"ALL POTASSIUM HYDROXIDE PREPARATIONS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7199","CodeVersion":"2020","CustomName":"HEMOPHILIA CLOTTING FACTOR NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0411","CodeVersion":"2020","CustomName":"HBA1C IN-OFFICE POINT OF SERVICE TESTING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2001","CodeVersion":"2020","CustomName":"BRIEF 20 MINUTES IN-HOME VISIT NEW PT POST-D\/C."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0580","CodeVersion":"2020","CustomName":"NEBULIZR DURABLE GLASS\/AUTOCLAVABLE PLSTC BOTTLE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1306","CodeVersion":"2020","CustomName":"INJECTION INCLISIRAN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7451","CodeVersion":"2020","CustomName":"REMV BEN ODONTOGNIC TUMR >1.25 CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0328","CodeVersion":"2020","CustomName":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9364","CodeVersion":"2020","CustomName":"HIT TOTAL PARENTERAL NUTRITION; CARE COORD DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5095","CodeVersion":"2020","CustomName":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5172","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ICT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2072","CodeVersion":"2020","CustomName":"MAT BUPRENORPHINE IMPLANT I & R; WEEKLY BUNDLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1067","CodeVersion":"2020","CustomName":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1200","CodeVersion":"2020","CustomName":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2378","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9622","CodeVersion":"2020","CustomName":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0460","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6780","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 CAST HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7503","CodeVersion":"2020","CustomName":"FLTR HOLDER\/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4245","CodeVersion":"2020","CustomName":"APICALLY POSITIONED FLAP"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4157","CodeVersion":"2020","CustomName":"REVITALON PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2320","CodeVersion":"2020","CustomName":"TRIFOCAL ADD OVER 3.25D"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0271","CodeVersion":"2020","CustomName":"MATTRESS INNER SPRING"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9230","CodeVersion":"2020","CustomName":"INJECTION MECHLORETHAMINE HCL 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0244","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 1200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7180","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4004","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHOULDER CAST ADULT FIBERGLASS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1776","CodeVersion":"2020","CustomName":"JOINT DEVICE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2543","CodeVersion":"2020","CustomName":"INJ PIPERACILLIN SOD\/TAZOBACTAM SOD 1 G\/0.125 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0981","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2006","CodeVersion":"2020","CustomName":"BRIEF 20 MINUTES IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9020","CodeVersion":"2020","CustomName":"INJECTION ASPARAGINASE 10000 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8567","CodeVersion":"2020","CustomName":"PT NO VERIFICATION & DOC SUDDEN HEARING LOSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0624","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOTIC RIGD\/SEMI-RIGD PANELS CUSTOM"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1561","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0513","CodeVersion":"2020","CustomName":"PRLNG PREV SRVC OFC\/OTH O\/P RQR DIR CTC;1ST 30 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3302","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE DIACETATE PER 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2020","CodeVersion":"2020","CustomName":"SERVICES FOR HIGH INTENSITY CLINICAL SRVC ASSOC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6665","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION TEFLON\/EQUAL CABLE LINING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0053","CodeVersion":"2020","CustomName":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2320","CodeVersion":"2020","CustomName":"TRIFOCAL ADD OVER 3.25D"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1725","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9658","CodeVersion":"2020","CustomName":"A TRANSFER OF CARE PROT\/HANDOFF TOOL\/CHECKLIST"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5951","CodeVersion":"2020","CustomName":"FEEDING AID"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3110","CodeVersion":"2020","CustomName":"PULP CAP - DIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3040","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMV PREMOLDED LONGTUDNL EA"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8952","CodeVersion":"2020","CustomName":"ELVATD\/HTN BP DOC INDCD F\/U NOT DOC RSN NOT GIVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6195","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN - PORCLN FUSED TO TIT & TIT ALY"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8610","CodeVersion":"2020","CustomName":"METHOTREXATE ORAL 2.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4190","CodeVersion":"2020","CustomName":"ARTACENT AC PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4197","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 74-100 GM PROT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4046","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1821","CodeVersion":"2020","CustomName":"REPL SFT INTERFCE MATL\/CUFF BI-DIR STAT DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4046","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5243","CodeVersion":"2020","CustomName":"HEARING AID ANALOG MONAURAL ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1070","CodeVersion":"2020","CustomName":"FULLY RECLIN WHLCHAIR; DTACHBLE ARMS FOOTRESTS"},{"ServiceGroup":"61916","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"38223","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"68193","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"69048","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"58455","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"9539","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0918","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Testing"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"26775","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"51276","CodeType":"DRG","Code":"010","CodeVersion":"2020","CustomName":"Nervous system neoplasms with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"554","CodeVersion":"2020","CustomName":"OTHER VASCULAR PROCEDURES WITH CC WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90997","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91687","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106228","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70073","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113594","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0043U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94902","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84931","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92820","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"16035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3380F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3498F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0016U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0485T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0087U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.65","CodeVersion":"2017","CustomName":"OTHER EXCISION OF OTHER THORACIC VESSEL"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56522","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88490","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0257","CodeVersion":"2020","CustomName":"UNSCHD\/EMERG DIALYSIS TX ESRD PT HOS OP NOT CERT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0424","CodeVersion":"2020","CustomName":"STATION COMPRS GASOUS O2 SYS RENT;FLWMTR HUMIDFR"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0078","CodeVersion":"2020","CustomName":"MODERATE CARE MANAGEMENT HOME VISIT FOR NEW PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9923","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCREEN PROVIDED AND NEGATIVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5614","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO SYS AK-DISARTC 4-BAR W\/PNEUMAT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0570","CodeVersion":"2020","CustomName":"NEBULIZER WITH COMPRESSOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0434","CodeVersion":"2020","CustomName":"SPECIALTY CARE TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6792","CodeVersion":"2020","CustomName":"RETAINER CROWN - FULL CAST NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2016","CodeVersion":"2020","CustomName":"HABILITATION RESIDENTIAL WAIVER; PER DIEM"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8510","CodeVersion":"2020","CustomName":"SCREENING DEPRESSION DOC NEG A F\/U PLAN NOT RQR"},{"ServiceGroup":"46691","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7952","CodeVersion":"2020","CustomName":"SINUS AUGMENTATION VIA A VERTICAL APPROACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0668","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL ARM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1900","CodeVersion":"2020","CustomName":"AFO SPRNG WIRE DORSIFLX ASST CALF BAND CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2201","CodeVersion":"2020","CustomName":"SPHERE BIFOCAL +\/- 4.12 TO +\/- 7.00D PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1715","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NEEDLE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2626","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE TEMPORARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1892","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH INTRCARD EP FIX-CURVE PEEL-AWAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4616","CodeVersion":"2020","CustomName":"TUBING PER FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9838","CodeVersion":"2020","CustomName":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1951","CodeVersion":"2020","CustomName":"ANK FT ORTHOS SPIRAL PLSTC\/OTH MATL PRFAB W\/FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9089","CodeVersion":"2020","CustomName":"BUPIVACAINE COLLAGEN-MATRIX IMPLANT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9362","CodeVersion":"2020","CustomName":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7850","CodeVersion":"2020","CustomName":"SURGICAL DISCECTOMY W\/WO IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0849","CodeVersion":"2020","CustomName":"TRACTION EQP CERV FREESTAND STAND\/FRME PNEUMATIC"},{"ServiceGroup":"78180","CodeType":"HCPCS","Code":"H0018","CodeVersion":"2020","CustomName":"BHVAL HEALTH; SHORT-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1751","CodeVersion":"2020","CustomName":"CATHETER INFUS INSRT PERIPHERALLY CNTRLLY\/MIDLN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7177","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7350","CodeVersion":"2020","CustomName":"VESTBULPLSTY-RIDGE EXT SFT TISS GFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0432","CodeVersion":"2020","CustomName":"PARAMED INTRCPT RURL AMB NO BILL 3 PARTY PAYER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9152","CodeVersion":"2020","CustomName":"SINGLE VIT\/MINERAL\/TRACE ELEMENT ORAL-DOSE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6058","CodeVersion":"2020","CustomName":"ABUT SUPP PORCELN\/CERAMIC CROWN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6460","CodeVersion":"2020","CustomName":"SYN RSRB WND DRSG STER PAD 16 SI\/< NO ADH BO EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0625","CodeVersion":"2020","CustomName":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF"},{"ServiceGroup":"88421","CodeType":"HCPCS","Code":"C1778","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4017","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5991","CodeVersion":"2020","CustomName":"VESICULOBULLOUS DISEASE MEDICAMENT CARRIER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9779","CodeVersion":"2020","CustomName":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0625","CodeVersion":"2020","CustomName":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0544","CodeVersion":"2020","CustomName":"Ambulance - Oxygen"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"58432","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0546","CodeVersion":"2020","CustomName":"Ambulance - Neonatal Ambulance Services"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0976","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RESPIRATORY THERAPY"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"33267","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"33824","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0371","CodeVersion":"2020","CustomName":"Anesthesia - Anesthesia Incident to Radiology"},{"ServiceGroup":"14110","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"44264","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"538","CodeVersion":"2020","CustomName":"Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"574","CodeVersion":"2020","CustomName":"Major Hematologic\/Immunologic Diagnoses Except Sickle Cell Crisis and Coagulation Disorders"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.35","CodeVersion":"2017","CustomName":"OTHER DIAGNOSTIC PROCEDURES ON FETUS AND AMNION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28727","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106706","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4086F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93750","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0091U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62260","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4013F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0036U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3497F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0348U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0635T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11223","CodeType":"ICD9P","Code":"35.96","CodeVersion":"2017","CustomName":"PERCUTANEOUS VALVULOPLASTY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64580","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0011A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0300T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0557T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7192","CodeVersion":"2020","CustomName":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5922","CodeVersion":"2020","CustomName":"NASAL SEPTAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9140","CodeVersion":"2020","CustomName":"FRONTIER EXTENDED STAY CLIN DEM0; CMS DEMO PROJ"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7680","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4005","CodeVersion":"2020","CustomName":"INTERIM LABOR FACILITY GLOBAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1322","CodeVersion":"2020","CustomName":"INJECTION ELOSULFASE ALFA 1 MG"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7342","CodeVersion":"2020","CustomName":"INSTALLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5622","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC"},{"ServiceGroup":"44428","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4528","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR XTRA LG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3921","CodeVersion":"2020","CustomName":"DECORONATION\/SUBMG ERUPTED TOOTH"},{"ServiceGroup":"23132","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"12670","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"63381","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"583","CodeVersion":"2020","CustomName":"PROCS FOR INJURIES EXCEPT MULTIPLE TRAUMA W MAJOR CC-NYDRG"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"520","CodeVersion":"2020","CustomName":"Cervical fusion without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3343F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106709","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112148","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3759F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108094","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82749","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0696T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.61","CodeVersion":"2017","CustomName":"REPR CURRENT OBSTETRIC LACERATION BLADD&URETHRA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0673T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37122","CodeType":"ICD9P","Code":"81.54","CodeVersion":"2017","CustomName":"TOTAL KNEE REPLACEMENT"},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0172U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28557","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"74.91","CodeVersion":"2017","CustomName":"HYSTEROTOMY TO TERMINATE PREGNANCY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3929","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS 1\/> NONTORSN JNT PRFAB CSTM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4074","CodeVersion":"2020","CustomName":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG"},{"ServiceGroup":"86722","CodeType":"HCPCS","Code":"H0015","CodeVersion":"2020","CustomName":"ALCOHL&\/RX SRVC;INTENSV OP;CRISIS INTRVN&ACTV TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2248","CodeVersion":"2020","CustomName":"INJECTION MICAFUNGIN SODIUM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7207","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6549","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STOCKING\/SLEEVE NOS"},{"ServiceGroup":"24","CodeType":"ICD10P","Code":"4A023N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS LT HEART PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7168","CodeVersion":"2020","CustomName":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9996","CodeVersion":"2020","CustomName":"TELEDENTISTRY-ASYNC; INFO STD&FWD DENT SUBSQ REV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2354","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ\/IV INJ 25 MCG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4213","CodeVersion":"2020","CustomName":"ASCENT 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0023","CodeVersion":"2020","CustomName":"INJECTION CIMETIDINE HYDROCHLORIDE 300 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8521","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3140","CodeVersion":"2020","CustomName":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8610","CodeVersion":"2020","CustomName":"METHOTREXATE ORAL 2.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7510","CodeVersion":"2020","CustomName":"REPR PROSTHETIC DEVICE REPR\/REPLACE MINOR PARTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0574","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NLX ORAL >6 MG BUT <\/=TO 10 MG BPN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9901","CodeVersion":"2020","CustomName":"SERVICES BY A JOURNAL-LISTED CS NURSE PER HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2312","CodeVersion":"2020","CustomName":"TRIFOCL +\/-7.25-+\/-12.00D SPHER 2.25-4.00D CYL E"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4054F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4116","CodeVersion":"2020","CustomName":"ALLODERM PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7203","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX GLYCOPEGYLATED 1 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1640","CodeVersion":"2020","CustomName":"HIP ORTHOSIS-PELV BAND\/SPRDR BAR THI CUFFS FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0303","CodeVersion":"2020","CustomName":"HOS BED HEVY DUTY W\/WT CAP >350 PDS<\/=TO 600 PDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9973","CodeVersion":"2020","CustomName":"EXTERNAL BLEACHING - PER TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8506","CodeVersion":"2020","CustomName":"PATIENT RECEIVING ACE INHIBITOR\/ARB THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9105","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; R0 RESECT NO DZ PROGRESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3490","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1233","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W\/O SEAT"},{"ServiceGroup":"22092","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"58508","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0814","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unsuccessful Organ Search - Donor Bank Charges"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"786","CodeVersion":"2020","CustomName":"MAJOR HEAD \"&\" NECK PROCEDURES FOR MALIGNANCY-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"728","CodeVersion":"2020","CustomName":"Inflammation of the Male Reproductive System without MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3372F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0076T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81564","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70749","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.2","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF HEART VALVE"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0223T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78095","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2188","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: NEW\/CHG HA ABV 50 YOA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1940","CodeVersion":"2020","CustomName":"ANK FT ORTHOSIS PLASTIC\/OTH MATERIAL CUSTOM FAB"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1005","CodeVersion":"2020","CustomName":"TB SCREEN NOT PERF\/RSLT NOT INTEPR RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9645","CodeVersion":"2020","CustomName":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX\/PCR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0251","CodeVersion":"2020","CustomName":"EXTRA-ORAL POSTERIOR DENTAL RADIOGRAPHIC IMAGE"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9699","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL THERAPEUTIC NOC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6692","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION SILCON GEL INSERT\/EQUAL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1800","CodeVersion":"2020","CustomName":"INJECTION PROPRANOLOL HCL UP TO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4407","CodeVersion":"2020","CustomName":"OST SKN BARRIER W\/BUILT-IN CONVXITY 4X4 IN\/< EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9036","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5919","CodeVersion":"2020","CustomName":"FACIAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0050","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC BRF INTERVENTN PER 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8696","CodeVersion":"2020","CustomName":"REPAIR OF ORTHODONTIC APPLIANCE - MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0029","CodeVersion":"2020","CustomName":"TOB SCN NOT PERF OR TOB CES NOT PRV IN 12 MO NOS"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7186","CodeVersion":"2020","CustomName":"INJ AHF\/ VWF CMPLX PER FACTOR VIIII IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H1005","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHANCED SERVICE PACKAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6752","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN FUSED TO NOBLE METAL"},{"ServiceGroup":"68193","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50906","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"22409","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0562","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Hourly Charge"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3037","CodeType":"ICD9P","Code":"98.59","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OTHER SITES"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39608","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0140U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.12","CodeVersion":"2017","CustomName":"PERICARDIOTOMY"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89989","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87821","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0407","CodeVersion":"2020","CustomName":"F\/U IP CNSLT INTRMED PHYS 25 MIN PT VIA TELEHLTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1833","CodeVersion":"2020","CustomName":"INJECTION ISAVUCONAZONIUM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2038","CodeVersion":"2020","CustomName":"COMMUNITY TRANSITION WAIVER; PER SERVICE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7298","CodeVersion":"2020","CustomName":"REMOVAL OF TEMP ANCHORAGE DEVICE REQUIRING FLAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0609","CodeVersion":"2020","CustomName":"REPL ELEC W\/AUTO EXT DEFIB GARMNT TYPE ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1025","CodeVersion":"2020","CustomName":"PATIENT MONTH >1 MCP PROVIDER LISTED FOR MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1008","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT TILT&RECLINE W\/PWR SHEAR RDUC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3530","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SOLE HALF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8652","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STATUS HIP IMPAIRMENT SCORE < 0"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9218","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8858","CodeVersion":"2020","CustomName":"REF TO PHYS OTOLOGIC EVAL NOT PRFRM RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9278","CodeVersion":"2020","CustomName":"DOC PT NOT ON DAILY ASPIRIN\/ANTI-PLATELET REGIMN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9930","CodeVersion":"2020","CustomName":"TX COMPS - UNUSUL CIRCUMSTANCES RPT"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8842","CodeVersion":"2020","CustomName":"AHI\/RDI MEASURED AT TIME OF INITIAL DIAGNOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2025","CodeVersion":"2020","CustomName":"PAYMENT TH DSNT SITE SRVC FURN RHC\/FQHC ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4042","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4394","CodeVersion":"2020","CustomName":"REPLACE SOFT INTERFACE MATERIAL FOOT DROP SPLINT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7322","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE HYMOVIS IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1200","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRSTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2219","CodeVersion":"2020","CustomName":"BIFOCAL SEG WIDTH OVER 28MM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9069","CodeVersion":"2020","CustomName":"ONC; STATUS; SCLC SM CELL&COMB SM\/NONSM; EXT MET"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33830","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"68187","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"16025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113854","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105550","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.30","CodeVersion":"2017","CustomName":"SUTURE OF UNSPECIFIED BLOOD VESSEL"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0221U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93030","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0022A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.84","CodeVersion":"2017","CustomName":"TOTAL CORRECTION TRANSPOSITION GREAT VESSELS NEC"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0145U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0269U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0439T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0584T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49206","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98609","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.24","CodeVersion":"2017","CustomName":"LAPAROSCOPIC WEDGE RESECTION OF OVARY"},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44143","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67065","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99145","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8560","CodeVersion":"2020","CustomName":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7953","CodeVersion":"2020","CustomName":"BONE REPLCMT GRAFT RIDGE PRES -SITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7810","CodeVersion":"2020","CustomName":"OPEN REDUCTION OF DISLOCATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3415","CodeVersion":"2020","CustomName":"INJECTION PYRIDOXINE HCL 100 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4377","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9975","CodeVersion":"2020","CustomName":"TRANSPLANT REL LODG MEALS & TRNSPRT PER DIEM"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5J7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION LT LOWER LUNG LOBE NAT\/ART OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9432","CodeVersion":"2020","CustomName":"ASTHMA WELL-CNTRL ACT C-ACT ACQ\/ATAQ SC RSLT DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0840","CodeVersion":"2020","CustomName":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3489","CodeVersion":"2020","CustomName":"INJECTION ZOLEDRONIC ACID 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2146","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 1 YR PO>=3.0 DEM CHANG 5 PNT\/>"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2270","CodeVersion":"2020","CustomName":"INJECTION MORPHINE SULFATE UP TO 10 MG"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1820","CodeVersion":"2020","CustomName":"REPL SFT INTERFCE MATL DYN ADJUSTBL EXT\/FLX DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6590","CodeVersion":"2020","CustomName":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1777","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL SINGLE COIL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2080","CodeVersion":"2020","CustomName":"EA ADD 30 MIN CNSL WK MED ASSISTED TREATMENT;"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"65421","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9280","CodeVersion":"2020","CustomName":"INJECTION MITOMYCIN 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8186","CodeVersion":"2020","CustomName":"SWIVEL ADAPTOR"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5020","CodeVersion":"2020","CustomName":"CONFORMITY EVALUATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0174","CodeVersion":"2020","CustomName":"DOLASETRON MESYLATE ORAL 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0240","CodeVersion":"2020","CustomName":"INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33087","CodeType":"ICD9P","Code":"17.41","CodeVersion":"2017","CustomName":"OPEN ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9529","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"31213","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"36413","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"52.8","CodeVersion":"2017","CustomName":"TRANSPLANT OF PANCREAS"},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.81","CodeVersion":"2017","CustomName":"INIT INSRTION 1-CHAMB DEVC NOT RATE RESPONSIVE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82806","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.64","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REMOVAL OF REMAINING OVARY AND TUBE"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9282","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RPT HIST TYP\/NSCLC-NOS CLASS W\/E"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9404","CodeVersion":"2020","CustomName":"PT DID NOT RCV F\/U DATE D\/C\/WI 30 DAYS AFTER D\/C"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0390","CodeVersion":"2020","CustomName":"INJECTION CHLOROQUINE HCL UP TO 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6241","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2185","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM 100 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2342","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20\/21 IN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2540","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G POTASSIUM TO 600000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0460","CodeVersion":"2020","CustomName":"PULP VITALITY TESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2214","CodeVersion":"2020","CustomName":"BIFOCAL SPHERE OVER +\/-12.00D PER LENS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2407","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN ORBACTIV 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7677","CodeVersion":"2020","CustomName":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1847","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1430","CodeVersion":"2020","CustomName":"INJECTION ETHANOLAMINE OLEATE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0179","CodeVersion":"2020","CustomName":"INJECTION BROLUCIZUMAB-DBLL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1320","CodeVersion":"2020","CustomName":"TOBACCO CNSL CNTRL&PREVION ORL DZ"},{"ServiceGroup":"107353","CodeType":"HCPCS","Code":"A0225","CodeVersion":"2020","CustomName":"AMB SRVC NEONAT TRNSPRT BASE RATE EMERG 1 WAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4023","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A8000","CodeVersion":"2020","CustomName":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8662","CodeVersion":"2020","CustomName":"RISK-ADJ FCN STS CH RSD SC LB IMPAIR RSN NOT GVN"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9360","CodeVersion":"2020","CustomName":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0560","CodeVersion":"2020","CustomName":"HUMDIFIR DURABLE SUPLMNTL DUR IPPB TX\/O2 DEL"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"45569","CodeType":"HCPCS","Code":"L8039","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30401","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0657","CodeVersion":"2020","CustomName":"Hospice Service - Physician Services"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"33826","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"34168","CodeType":"DRG","Code":"929","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury without CC\/MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107038","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.98","CodeVersion":"2017","CustomName":"(LAP) ADJ SIZE ADJUSTABL GASTRIC RESTRICT DEVC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0592T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0078U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"52.80","CodeVersion":"2017","CustomName":"PANCREATIC TRANSPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97464","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6240","CodeVersion":"2020","CustomName":"PONTIC-PORCELN FUSED HI NOBLE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4639","CodeVersion":"2020","CustomName":"REPLACEMENT PAD INFRARED HEATING PAD SYSTEM EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9359","CodeVersion":"2020","CustomName":"DOC NEG\/MAN P TB SCR E TB NOT AC W\/I 1 Y PT VST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1121","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4623","CodeVersion":"2020","CustomName":"TRACHEOSTOMY INNER CANNULA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2502","CodeVersion":"2020","CustomName":"INJECTION PASIREOTIDE LONG ACTING 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9126","CodeVersion":"2020","CustomName":"ONC; CML HEMATOLOGIC CYTOGENIC\/MOLECULAR REMISS"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2993","CodeVersion":"2020","CustomName":"INJECTION RETEPLASE 18.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1118","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2975","CodeVersion":"2020","CustomName":"COPING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4014","CodeVersion":"2020","CustomName":"CMPL CYCLE ZYGOTE INTRAFALLOPIAN TRNSF CASE RATE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6402","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL 16 SQ\/< W\/O ADHES BORDR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8320","CodeVersion":"2020","CustomName":"TRUSS ADDITION TO STANDARD PAD WATER PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2332","CodeVersion":"2020","CustomName":"RESIN COMPOS - 3 SURFACES ANTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1702","CodeVersion":"2020","CustomName":"REPL MSR SCLS JAW MOTION REHAB SYSTEM PKG 200"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6582","CodeVersion":"2020","CustomName":"PREP WRST DISRTC\/BELW ELB 1 WALL SCKT DIR FORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4674","CodeVersion":"2020","CustomName":"CHEMS\/ANTISEPTICS SOL CLEAN\/STERILIZE DIALY 8OZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0268","CodeVersion":"2020","CustomName":"REMV IMP CERUMEN PHYS SAME DATE AUDIO FUNCT TST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0238","CodeVersion":"2020","CustomName":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11919","CodeType":"REV","Code":"0810","CodeVersion":"2020","CustomName":"Acquisition of Body Components - General Classification"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0855","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"9795","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"3660","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"10939","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"88420","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"701","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0951","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Extension of 94X - Athletic Training"},{"ServiceGroup":"48212","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"13085","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"21354","CodeType":"DRG","Code":"250","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, with CC"},{"ServiceGroup":"29702","CodeType":"DRG","Code":"262","CodeVersion":"2020","CustomName":"Breast biopsy and local excision for non-malignancy"},{"ServiceGroup":"33793","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"302","CodeVersion":"2020","CustomName":"Kidney transplant"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33764","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4179F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27310","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0501T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0653T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4177F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4185F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89942","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77580","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106180","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8656","CodeVersion":"2020","CustomName":"RISK-ADJ FXN STAT CH RSD SC FT\/ANK IMPAIR SC <0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1755","CodeVersion":"2020","CustomName":"CATHETER INTRASPINAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0034","CodeVersion":"2020","CustomName":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7410","CodeVersion":"2020","CustomName":"EXCISION BENIGN LESION UP TO 125 CM"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5107","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2971","CodeVersion":"2020","CustomName":"ADD PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P7001","CodeVersion":"2020","CustomName":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0265","CodeVersion":"2020","CustomName":"GENETIC COUNSELING PHYS SUPERVISION EA 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0716","CodeVersion":"2020","CustomName":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9341","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA GRAVITY; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2112","CodeVersion":"2020","CustomName":"1 VISN +\/- 7.25 +\/- 12.00D SPH 2.25D-400D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0782","CodeVersion":"2020","CustomName":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3956","CodeVersion":"2020","CustomName":"ADD JNT UPPER EXTREM ORTHOSIS ANY MATERIAL; JNT"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2200","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2780","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9027","CodeVersion":"2020","CustomName":"INJECTION CLOFARABINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0601","CodeVersion":"2020","CustomName":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9065","CodeVersion":"2020","CustomName":"INJECTION CLADRIBINE PER 1 MG"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2797","CodeVersion":"2020","CustomName":"VISN SPL ACSS &\/ SRVC CMPNT ANOTHER HCPCS CODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9601","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9139","CodeVersion":"2020","CustomName":"ONC;DZ STS;CML; EXTENT DZ UNKN STAG NOT LISTED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0328","CodeVersion":"2020","CustomName":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6192","CodeVersion":"2020","CustomName":"SEMI-PRECISION ATTACHMENT - PLACEMENT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5682","CodeVersion":"2020","CustomName":"ADD LW EXTRM BELW KNEE THI LACER GLUTL\/ISCH MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6441","CodeVersion":"2020","CustomName":"PADD BANDGE NON-ELAST NON-WOVEN\/NON-KNITTED WDTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5104","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG"},{"ServiceGroup":"30064","CodeType":"ICD10P","Code":"GZB3ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVETHERAPY BILAT-MULTIPLE SEIZURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0018","CodeVersion":"2020","CustomName":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3353","CodeVersion":"2020","CustomName":"APEXIFICAT\/RECALCIFICAT-FINAL VISIT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22816","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"12846","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"409","CodeType":"REV","Code":"0456","CodeVersion":"2020","CustomName":"Emergency Room - Urgent Care"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"11853","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"52742","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"58764","CodeType":"REV","Code":"0512","CodeVersion":"2020","CustomName":"Clinic - Dental Clinic"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"117","CodeVersion":"2020","CustomName":"Cardiac pacemaker revision except device replacement"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"331","CodeVersion":"2020","CustomName":"Other kidney and urinary tract diagnoses, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0321U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93962","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0597T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0419T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81403","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71219","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0186","CodeVersion":"2020","CustomName":"AIR PRESSURE MATTRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4007","CodeVersion":"2020","CustomName":"GENERAL SURGERY MIPSSPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1845","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4335","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9328","CodeVersion":"2020","CustomName":"INJECTION TEMOZOLOMIDE 1 MG"},{"ServiceGroup":"104838","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9046","CodeVersion":"2020","CustomName":"COCAINE HYDROCHLORIDE NASAL SOL TOP ADMN 1 MG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5980","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7642","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1810","CodeVersion":"2020","CustomName":"INJ DROPERIDOL&FENTANYL CITRATE UP TO 2 ML AMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3550","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION TOE TAP STANDARD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0129","CodeVersion":"2020","CustomName":"INJ ABATACEPT 10 MG USED MEDICARE ADM SUPV PHYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2206","CodeVersion":"2020","CustomName":"BIFOCL PLANO +\/- 4.00D SPHER OVR 6.00D CYL-EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0315","CodeVersion":"2020","CustomName":"BED ACCESS: BOARD TABLE\/SUPPORT DEVICE ANY TYPE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6695","CodeVersion":"2020","CustomName":"ADD UP EXT PROS BELW\/ABVE ELB CSTM W\/O LOCK MECH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6925","CodeVersion":"2020","CustomName":"WRST DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9929","CodeVersion":"2020","CustomName":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4322","CodeVersion":"2020","CustomName":"IRRIGATION SYRINGE BULB OR PISTON EACH"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1599","CodeVersion":"2020","CustomName":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9899","CodeVersion":"2020","CustomName":"SCR DX FILM DIGITAL\/DBT MAMMO RESULTS DOC & REV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4025","CodeVersion":"2020","CustomName":"PHYSICAL MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9796","CodeVersion":"2020","CustomName":"PATIENT IS CURRENTLY ON A STATIN THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6063","CodeVersion":"2020","CustomName":"ABUT SUPP CAST METL CROWN BASE METL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4423","CodeVersion":"2020","CustomName":"OST POUCH CLOS; BARRIER W\/LOCK FLNGE W\/FLTR EA"},{"ServiceGroup":"68899","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0625","CodeVersion":"2020","CustomName":"PATIENT LIFT BATHROOM OR TOILET NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2216","CodeVersion":"2020","CustomName":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9414","CodeVersion":"2020","CustomName":"PT HAD 1 DOSE MC VAC ON\/BETWN PT 11TH & 13TH BD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0859","CodeVersion":"2020","CustomName":"ADD HALO PROC MRI COMPAT SYS RINGS&PINS ANY MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3933","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"10518","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76501","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"11108","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"38650","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"84858","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"262","CodeVersion":"2020","CustomName":"Breast biopsy and local excision for non-malignancy"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107642","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31773","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0302T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109080","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3472F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0581T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90381","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93062","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104251","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113635","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86424","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15403","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2185","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM 100 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9301","CodeVersion":"2020","CustomName":"INJECTION OBINUTUZUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5083","CodeVersion":"2020","CustomName":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9769","CodeVersion":"2020","CustomName":"CYSTOURETHROSCOPY INS TEMP PROS IMPL\/STENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5102","CodeVersion":"2020","CustomName":"BEDSID DRAIN BOTTLE W\/WO TUBING RIGD\/XPNDABLE EA"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7639","CodeVersion":"2020","CustomName":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1580","CodeVersion":"2020","CustomName":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4627","CodeVersion":"2020","CustomName":"SPACR BAG\/RESRVOR W\/WO MASK W\/METRD DOSE INHAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7660","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH-CLOSED REDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4424","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/BARRIER ATTCH W\/FLTR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5135","CodeVersion":"2020","CustomName":"COMPANION CARE ADULT ; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0455","CodeVersion":"2020","CustomName":"INFUSION PUMP UNINTERRUPTED PARENTERAL ADMIN MED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1636","CodeVersion":"2020","CustomName":"SORBENT CARTRIDGES FOR HEMODIALYSIS PER 10"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0575","CodeVersion":"2020","CustomName":"NEBULIZER ULTRASONIC LARGE VOLUME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1820","CodeVersion":"2020","CustomName":"GEN NEUROSTIM W\/RECHRG BATTERY & CHARGING SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9477","CodeVersion":"2020","CustomName":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2631","CodeVersion":"2020","CustomName":"IRIS SUPPORTED INTRAOCULAR LENS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1943","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"43502","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"11659","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"24807","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"28165","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"455","CodeVersion":"2020","CustomName":"Other injury, poisoning, and toxic effect diagnosis without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3761F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0192U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0568T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106717","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD9P","Code":"35.96","CodeVersion":"2017","CustomName":"PERCUTANEOUS VALVULOPLASTY"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3420","CodeVersion":"2020","CustomName":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1210","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LATERAL THORACIC EXTENSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2523","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3678","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS JOINT DESIGN NO JOINT PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7345","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMIN 10% GEL 10 MG"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1117","CodeVersion":"2020","CustomName":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8041","CodeVersion":"2020","CustomName":"MIDFACIAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1200","CodeVersion":"2020","CustomName":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1945","CodeVersion":"2020","CustomName":"AFO MOLD PT MDL PLSTC RIGD ANT TIBL SECT CSTM"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7296","CodeVersion":"2020","CustomName":"CORTICOTOMY-ONE TO THREE TEETH\/TOOTH SP PER QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0981","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8035","CodeVersion":"2020","CustomName":"CSTM BREAST PROSTH POST MASTECT MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6780","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 CAST HIGH NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0742","CodeVersion":"2020","CustomName":"INJ IMP 4 MG CILASTATIN 4 MG & RELEBACTAM 2 MG"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0159","CodeVersion":"2020","CustomName":"SERVICES PT HOME HEALTH EST\/DEL PT MP EA 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9214","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2B RECOMBINANT 1 M U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1831","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH TOE DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0371","CodeVersion":"2020","CustomName":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN&WDTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2029","CodeVersion":"2020","CustomName":"SEXUAL OFFENDER TREATMENT SERVICE PER DIEM"},{"ServiceGroup":"48395","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"13715","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"147","CodeType":"REV","Code":"0603","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - Oxygen - Stat Equip\/Supply >4 LPM"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0383","CodeVersion":"2020","CustomName":"Blood and Blood Components - Plasma"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"471","CodeVersion":"2020","CustomName":"Bilateral or multiple major joint procedures of lower extremity"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"179","CodeVersion":"2020","CustomName":"Inflammatory bowel disease"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"029","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6250","CodeVersion":"2020","CustomName":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0784","CodeVersion":"2020","CustomName":"EXTERNAL AMBULATORY INFUSION PUMP INSULIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7503","CodeVersion":"2020","CustomName":"FLTR HOLDER\/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA"},{"ServiceGroup":"29092","CodeType":"HCPCS","Code":"A0425","CodeVersion":"2020","CustomName":"GROUND MILEAGE PER STATUTE MILE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0111","CodeVersion":"2020","CustomName":"WET MOUNTS INCL PREP VAGINAL CERV\/SKIN SPECIMENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4330","CodeVersion":"2020","CustomName":"PERIANAL FECAL COLLECTION POUCH W\/ADHESIVE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9254","CodeVersion":"2020","CustomName":"DOC PT D\/C HOME LATER THAN POST-OP DA 2 FLW CAS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0010","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG IP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0342","CodeVersion":"2020","CustomName":"LAP ISLET CELL TPLNT INCL PORTAL VEIN CATH&INFUS"},{"ServiceGroup":"12543","CodeType":"ICD9P","Code":"68.51","CodeVersion":"2017","CustomName":"LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3230","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2192","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: TEMP HA PT OVR 55 YOA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4010","CodeVersion":"2020","CustomName":"REPLACE TRILATERAL SOCKET BRIM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9687","CodeVersion":"2020","CustomName":"HOSPICE SRVC PROV TO PT ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0915","CodeVersion":"2020","CustomName":"IMPROV VISUAL FUNCT NOT ACHV 90 DAY FLW CAT SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5211","CodeVersion":"2020","CustomName":"MAXILLARY PARTIAL DENTURE - RESIN BASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1236","CodeVersion":"2020","CustomName":"WHLCHAIR PED SIZE FOLD ADJUSTBL W\/SEATING SYSTEM"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8020","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY FORM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1816","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0053","CodeVersion":"2020","CustomName":"ADVANC RHEUMATOLOGY PT CARE MIPS VALUE PATHWAYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7013","CodeVersion":"2020","CustomName":"FILTER DISPOSABL W\/AREOSOL COMPRESS\/US GENERATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8846","CodeVersion":"2020","CustomName":"MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2006","CodeVersion":"2020","CustomName":"NOVOSORB SYNPATH DERMAL MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9595","CodeVersion":"2020","CustomName":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7300","CodeVersion":"2020","CustomName":"INTRAUTERINE COPPER CONTRACEPTIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0248","CodeVersion":"2020","CustomName":"IV INF SOTROVIMAB INC INF & POST ADM MON H\/RES;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9311","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8597","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2370","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6050","CodeVersion":"2020","CustomName":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6750","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN FUSED HI NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3420","CodeVersion":"2020","CustomName":"INJECTION VIT B-12 CYANOCOBALAMIN TO 1000 MCG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2396","CodeVersion":"2020","CustomName":"PWR WC CASTER FORK REPLACEMENT ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5590","CodeVersion":"2020","CustomName":"PREP AK-DISARTIC NON-ALIGN LAMINATED SCKT MOLD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4195","CodeVersion":"2020","CustomName":"PURAPLY PER SQ CM"},{"ServiceGroup":"98721","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"36968","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0525","CodeVersion":"2020","CustomName":"FS CLINIC - VISIT BY RHC\/FQHC PRAC TO A MEMBER IN A SNF NOT IN A COVERED PART A STAY"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0643","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - IV Start\/Care, Peripheral Line\""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0220","CodeVersion":"2020","CustomName":"Special Charges - General Classification"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"472","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0344","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic Radiopharmaceuticals"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"3388","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0875","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Injection of Modified Cells"},{"ServiceGroup":"100983","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"45884","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"91657","CodeType":"DRG","Code":"788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31848","CodeType":"DRG","Code":"503","CodeVersion":"2020","CustomName":"Knee procedures without principal diagnosis of infection"},{"ServiceGroup":"33789","CodeType":"DRG","Code":"881","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV 96+ HRS -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"423","CodeVersion":"2020","CustomName":"Other infectious and parsitic diseases diagnoses"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"735","CodeVersion":"2020","CustomName":"Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy without CC\/MCC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"593","CodeVersion":"2020","CustomName":"Skin Ulcers with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"595","CodeVersion":"2020","CustomName":"Major Skin Disorders with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3760F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106228","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106669","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107176","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100661","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3352F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97460","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0278T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0392T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4174F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0279U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104856","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58993","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0237U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2797","CodeVersion":"2020","CustomName":"INJECTION ROLAPITANT 0.5 MG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0124","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG THIN LAY PREP INTEPR PHYS"},{"ServiceGroup":"27830","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9349","CodeVersion":"2020","CustomName":"INJECTION TAFASITAMAB-CXIX 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9767","CodeVersion":"2020","CustomName":"REV EVAR LE AA; IV LITHO&TL STNT PLCMT&ATHERECT"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9393","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC>9 RM 12 MO D 12 MO PHQ-9 SC <5"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9381","CodeVersion":"2020","CustomName":"DEL\/SRVC HI RISK REQ ESCORT\/EXTRA PROTECT VISIT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1620","CodeVersion":"2020","CustomName":"INJECTION GONADORELIN HYDROCHLORIDE PER 100 MCG"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1032","CodeVersion":"2020","CustomName":"ADULTS CURRENTLY TAKING PHARMACOTHERAPY FOR OUD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4618","CodeVersion":"2020","CustomName":"BREATHING CIRCUITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3865","CodeVersion":"2020","CustomName":"COMP GENE SEQ ANALY HYPERTROPHIC CARDIOMYOPATHY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0075","CodeVersion":"2020","CustomName":"CELLULAR THERAPY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9212","CodeVersion":"2020","CustomName":"HOME MANAGEMENT POSTPARTUM HYPERTENSION PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1146","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLIN INDC PT ND HOM PROG DOC MR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9442","CodeVersion":"2020","CustomName":"BIRTHING CLASSES NON-PHYSICIAN PROVIDER-SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8485","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6386","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/EARLY FIT EA ADD CAST CHG&REALIGN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9050","CodeVersion":"2020","CustomName":"INJECTION CARMUSTINE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9656","CodeVersion":"2020","CustomName":"PT TRANS DIRECT F ANES LOC TO PACE\/OTH N-ICU LOC"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8918","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST PELVIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0106","CodeVersion":"2020","CustomName":"BUPROPION HCI SUSTAINED RLSE TAB 150 MG 60 TABS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0409","CodeVersion":"2020","CustomName":"SOCL WRK & PSYCH SRVC EA 15 MIN FACE-TO-FACE IND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4426","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE; USE BARRIER W\/LOCK FLNGE EA"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7865","CodeVersion":"2020","CustomName":"ARTHROPLASTY"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"44008","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"23401","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"69801","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12523","CodeType":"ICD9P","Code":"92.39","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY NEC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68040","CodeType":"CPT","Code":"99199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91001","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.72","CodeVersion":"2017","CustomName":"INIT INSERTION TRNS LEADS INTO ATRIUM&VENTRICLE"},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1128F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0317T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0441T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0362T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1118","CodeVersion":"2020","CustomName":"ONGOING CARE NOT INDICATED PT ND HOME PROG ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9613","CodeVersion":"2020","CustomName":"INFILTRATION SUSTAINED RELEASE TX DRUG PER QUAD"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0181","CodeVersion":"2020","CustomName":"PWR PRESSURE REDUCING MATTRESS OVERLY\/PAD PUMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4210","CodeVersion":"2020","CustomName":"REPAIR ORTHOTIC DEVC REPAIR\/REPLACE MINOR PARTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9910","CodeVersion":"2020","CustomName":"APPLICATION DESENZT MEDICAMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4246","CodeVersion":"2020","CustomName":"BETADINE OR PHISOHEX SOLUTION PER PINT"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"290","CodeType":"ICD10P","Code":"0FT44ZZ","CodeVersion":"2020","CustomName":"RESECTION GALLBLADDER PERQ ENDOSCOPIC APPROACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1765","CodeVersion":"2020","CustomName":"ADHESION BARRIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0698","CodeVersion":"2020","CustomName":"CEFOTAXIME SODIUM PER G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1999","CodeVersion":"2020","CustomName":"MISC TX ITEMS & SUPPLIES RETAIL PURCHASESMISC TX"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1740","CodeVersion":"2020","CustomName":"INJECTION IBANDRONATE SODIUM 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5125","CodeVersion":"2020","CustomName":"ATTENDANT CARE SERVICES; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2510","CodeVersion":"2020","CustomName":"SPCH GEN DEVC SYNTHESIZD MX METH MESS&DEVC ACCSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3300","CodeVersion":"2020","CustomName":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9621","CodeVersion":"2020","CustomName":"PATIENT ID UNHLTHY ALCOHOL USER SCR & BRF COUNS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5670","CodeVersion":"2020","CustomName":"REPL ALL TEETH&ACRYLC FRMEWRK MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2395","CodeVersion":"2020","CustomName":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0395","CodeVersion":"2020","CustomName":"INJECTION ARBUTAMINE HCL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8610","CodeVersion":"2020","CustomName":"METHOTREXATE ORAL 2.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4432","CodeVersion":"2020","CustomName":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5636","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3460","CodeVersion":"2020","CustomName":"HEEL NEW RUBBER STANDARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6548","CodeVersion":"2020","CustomName":"RETN-PORCELN\/CERAM RSN BOND PROSTH"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9762","CodeVersion":"2020","CustomName":"CMRI MORPHOL & FUNC QUAN SEG DYSFUNC;STRAIN IMAG"},{"ServiceGroup":"28624","CodeType":"HCPCS","Code":"J7189","CodeVersion":"2020","CustomName":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6244","CodeVersion":"2020","CustomName":"HYDROGEL DRESS STERL PAD > 48 SQ NO ADHES BORDR"},{"ServiceGroup":"31009","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"13651","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"177","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"33830","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"319","CodeVersion":"2020","CustomName":"Kidney and urinary tract neoplasms without CC"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"042","CodeVersion":"2020","CustomName":"Intraocular procedures, except retina, iris and lens"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"871","CodeVersion":"2020","CustomName":"Septicemia or Severe Sepsis without Mechanical Ventilation 96+ Hours with MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.9","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ASSISTING DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3572F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74.99","CodeVersion":"2017","CustomName":"OTHER CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90739","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33486","CodeType":"ICD9P","Code":"94.27","CodeVersion":"2017","CustomName":"OTHER ELECTROSHOCK THERAPY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.07","CodeVersion":"2017","CustomName":"INCISION OF ABDOMINAL VEINS"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5520","CodeVersion":"2020","CustomName":"HOME INFUSION TX ALL SPL NECES PICC LINE INSERT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0446","CodeVersion":"2020","CustomName":"TOPICAL OXYGEN DELIVERY SYSTEM NOS INCL SUPPLIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0102","CodeVersion":"2020","CustomName":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0971","CodeVersion":"2020","CustomName":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1551","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN CUTAQUIG 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3410","CodeVersion":"2020","CustomName":"APICOECTOMY - ANTERIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2403","CodeVersion":"2020","CustomName":"REPR EXTRALOBAR PULM SEQUEST FETUS-UTERO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5966","CodeVersion":"2020","CustomName":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3670","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS ACROMIO\/CLAVICULAR PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0440","CodeVersion":"2020","CustomName":"STATION LQD O2 SYS PURCH;RESRVOR HUMIDFR NEBULZR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5112","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1932","CodeVersion":"2020","CustomName":"AFO RIGD ANT TIBL TOT CARB FIBER\/EQUL MATL PRFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0482","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/INTERFCE LINER CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1013","CodeVersion":"2020","CustomName":"EN TUBE W OR W\/O ADAPTER ANY TYPE REPLC ONLY EA"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107624","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90378","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9071","CodeVersion":"2020","CustomName":"PLASMA PATHOGEN REDUCED FROZEN EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4595","CodeVersion":"2020","CustomName":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7940","CodeVersion":"2020","CustomName":"OSTEOPLASTY - ORTHOGNATHIC DEFORM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3430","CodeVersion":"2020","CustomName":"INJECTION PHYTONADIONE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4104","CodeVersion":"2020","CustomName":"ADDITIVE FOR ENTERAL FORMULA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4427","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W\/FLTR EA"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0168","CodeVersion":"2020","CustomName":"WOUND CLOSURE UTILIZING TISSUE ADHESIVE ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2024","CodeVersion":"2020","CustomName":"SERVICE ASSESSMENT\/PLAN CARE DEVELOPMENT WAIVER"},{"ServiceGroup":"11306","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0333","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Radiation Therapy"},{"ServiceGroup":"58847","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"70440","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"42434","CodeType":"REV","Code":"0419","CodeVersion":"2020","CustomName":"Respiratory Services - Other Respiratory Services"},{"ServiceGroup":"12299","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"316","CodeVersion":"2020","CustomName":"Renal failure"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"584","CodeVersion":"2020","CustomName":"SEPTICEMIA W MAJOR CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11049","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0242U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0528F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0436T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109132","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6648","CodeVersion":"2020","CustomName":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2506","CodeVersion":"2020","CustomName":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8030","CodeVersion":"2020","CustomName":"LTD ORTHODONTIC TX ADOLES DENTITION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1039","CodeVersion":"2020","CustomName":"TRNSPRT CHAIR ADLT SZ HEVY DUTY PT WT CAP>300 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0639","CodeVersion":"2020","CustomName":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4995","CodeVersion":"2020","CustomName":"SMOKING CESSATION GUM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4107","CodeVersion":"2020","CustomName":"GRAFTJACKET PER SQ CM"},{"ServiceGroup":"104745","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1789","CodeVersion":"2020","CustomName":"PROSTHESIS BREAST"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2248","CodeVersion":"2020","CustomName":"INJECTION MICAFUNGIN SODIUM 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0673","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0955","CodeVersion":"2020","CustomName":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4184","CodeVersion":"2020","CustomName":"CELLESTA OR CELLESTA DUO PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1014","CodeVersion":"2020","CustomName":"ADD ENDOSK KN-SHIN SYS 4 BAR LINK\/MXAXIAL FL SW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5020","CodeVersion":"2020","CustomName":"CONFORMITY EVALUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9351","CodeVersion":"2020","CustomName":"INJECTION TOPOTECAN 0.1 MG"},{"ServiceGroup":"47411","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P3000","CodeVersion":"2020","CustomName":"SCR PAP SMEAR UP TO 3 SMEARS TECH UND PHYS SUPV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1030","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0110","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT&BUS INTRA-\/INTERSTATE CARRIER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8655","CodeVersion":"2020","CustomName":"NETUPITANT 300 MG & PALONOSETRON 0.5 MG ORAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0484","CodeVersion":"2020","CustomName":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9895","CodeVersion":"2020","CustomName":"DOC M RSN NOT RX\/ADM AD TX COMB EXT BEAM RT PROS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2017","CodeVersion":"2020","CustomName":"HABILITATION RESIDENTIAL WAIVER; PER 15 MINUTES"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107064","CodeType":"CPT","Code":"42225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3495F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2015","CodeVersion":"2020","CustomName":"COMPREHENSIVE 60 MINS HOME CARE PLAN OVERSIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7642","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3915","CodeVersion":"2020","CustomName":"WRIST HAND ORTHOSIS 1\/>NONTORSION JNT PRFAB CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4625","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6103","CodeVersion":"2020","CustomName":"BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4037","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6630","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2196","CodeVersion":"2020","CustomName":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5072","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6250","CodeVersion":"2020","CustomName":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ"},{"ServiceGroup":"30089","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0330","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - General Classification"},{"ServiceGroup":"33270","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"14066","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"57967","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"59290","CodeType":"REV","Code":"0931","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Half Day"},{"ServiceGroup":"9947","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"957","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Multiple Significant Trauma with MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3497F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83626","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99155","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92085","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89949","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0341U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0252T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107006","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90381","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3497F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0325T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1137F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93073","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.8","CodeVersion":"2017","CustomName":"OTHER SPECIFIED INSTRUMENTAL DELIVERY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0084U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0558T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10363","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.41","CodeVersion":"2017","CustomName":"ENLARGEMENT OF EXISTING ATRIAL SEPTAL DEFECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8080","CodeVersion":"2020","CustomName":"SCINTIMAMMOGRAPHY UNI INCL SUPPLY RADIOPHARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2127","CodeVersion":"2020","CustomName":"PT 66-80 YOA AL 1 CLM FR DUR MP & DISPENS RX DEM"},{"ServiceGroup":"10522","CodeType":"HCPCS","Code":"S5522","CodeVersion":"2020","CustomName":"HOM INFUS TX INSRTION PICC NRS SRVC ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2206","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2132","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS SFT PRFAB W\/FIT & ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9200","CodeVersion":"2020","CustomName":"INJECTION FLOXURIDINE 500 MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5246","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4025","CodeVersion":"2020","CustomName":"DONOR SERVICES IN VITRO FERTILIZATION CASE RATE"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5060","CodeVersion":"2020","CustomName":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4247","CodeVersion":"2020","CustomName":"AMNIOTEXT PATCH PER SQ CM"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2270","CodeVersion":"2020","CustomName":"INJECTION MORPHINE SULFATE UP TO 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9554","CodeVersion":"2020","CustomName":"FINAL RPT CT CTA MRI\/MRA CHST\/NCK F\/U IMAG RECOM"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4045","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0573","CodeVersion":"2020","CustomName":"BUPRENORPHNE\/NALOXONE ORAL >3 MG BUT <\/=6 MG BPN"},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0485","CodeVersion":"2020","CustomName":"CNSLT W\/PREP SLIDES BX SPL REF SRC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5108","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9945","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - SOFT APPLIANCE, FULL ARCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7680","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9198","CodeVersion":"2020","CustomName":"ORDER 1ST\/2ND GEN CEPH AMP NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7306","CodeVersion":"2020","CustomName":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL&SPL"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0989","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - PRIVATE DUTY NURSE"},{"ServiceGroup":"14221","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"9438","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"62539","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"416","CodeVersion":"2020","CustomName":"Septicemia, age greater than 17"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"500","CodeVersion":"2020","CustomName":"Back and neck procedures except spinal fusion without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4171F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86577","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"9007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112112","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24","CodeType":"ICD9P","Code":"37.22","CodeVersion":"2017","CustomName":"LEFT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0319T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0670","CodeVersion":"2020","CustomName":"INJECTION MEPIVACAINE HCL PER 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7650","CodeVersion":"2020","CustomName":"MALAR&\/ZYGO ARCH-OPEN REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6068","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN PORCELN\/CERAM FPD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5095","CodeVersion":"2020","CustomName":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9982","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 60 M"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6403","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 16 <\/= 48 SQ W\/O ADHES"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"C9067","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATOC DIAGNOSTIC 0.01 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2631","CodeVersion":"2020","CustomName":"IRIS SUPPORTED INTRAOCULAR LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1225","CodeVersion":"2020","CustomName":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4392","CodeVersion":"2020","CustomName":"OST POUCH URIN W\/STD WEAR BARRIER W\/CONVXITY EA"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9143","CodeVersion":"2020","CustomName":"WARFARIN RSPN TEST GEN TECH ANY METH ANY # SPEC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9358","CodeVersion":"2020","CustomName":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2616","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN\/> ANY HT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7194","CodeVersion":"2020","CustomName":"FACTOR IX COMPLEX PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5622","CodeVersion":"2020","CustomName":"REPAIR CAST PARTIAL FRAMEWORK MAXILLARY"},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1007","CodeVersion":"2020","CustomName":"CLINICAL DEC SUPP MECH AIM DEFINED MCR AUC PROG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9925","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCREENING NOT PROVIDED RSN NOS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0395","CodeVersion":"2020","CustomName":"INJECTION ARBUTAMINE HCL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2142","CodeVersion":"2020","CustomName":"FUNC ST ODI 1YR PO<=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1710","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM PHOSPHATE TO 50 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7402","CodeVersion":"2020","CustomName":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0138","CodeVersion":"2020","CustomName":"FINASTERIDE 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2068","CodeVersion":"2020","CustomName":"MED ASST TX BUPRENORPHINE ORAL; WEEKLY BUNDLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1007","CodeVersion":"2020","CustomName":"ALCOHOL&\/SUBSTNC ABS SRVC TX PLAN DVLP&\/MOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9776","CodeVersion":"2020","CustomName":"IO NEAR-INFR FLUOR IMAG MAJ EXTRA-HEP BILE DUCT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9981","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 45 M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6085","CodeVersion":"2020","CustomName":"INTERIM IMPLANT CROWN"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"13217","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"108568","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"36137","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"26595","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110762","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87963","CodeType":"ICD9P","Code":"43.89","CodeVersion":"2017","CustomName":"OPEN AND OTHER PARTIAL GASTRECTOMY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93061","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24006","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"31377","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0249","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - Other All Inclusive Ancillary"},{"ServiceGroup":"8968","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"9533","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37122","CodeType":"ICD9P","Code":"81.55","CodeVersion":"2017","CustomName":"REVISION OF KNEE REPLACEMENT NOS"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109017","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113463","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.55","CodeVersion":"2017","CustomName":"REPR VENT SEPTAL DEFECT W\/PROSTHESIS CLOSED TECH"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93025","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91004","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0074A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"9004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.76","CodeVersion":"2017","CustomName":"LAPAROSCOPIC SALPINGO-OOPHOROPLASTY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0445","CodeVersion":"2020","CustomName":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9926","CodeVersion":"2020","CustomName":"SAFETY CONCERNS SCR POS SCR W\/O PROV MIT REC"},{"ServiceGroup":"35468","CodeType":"HCPCS","Code":"S9127","CodeVersion":"2020","CustomName":"SOCIAL WORK VISIT IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7190","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0490","CodeVersion":"2020","CustomName":"INJECTION BELIMUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4257","CodeVersion":"2020","CustomName":"RELESE PER SQ CM"},{"ServiceGroup":"19742","CodeType":"HCPCS","Code":"S5523","CodeVersion":"2020","CustomName":"HIT INSERT MIDLINE CVC NRS SRVC ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9428","CodeVersion":"2020","CustomName":"PATH RPRT PT CAT & STM THK ULCER & MITOTIC RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0720","CodeVersion":"2020","CustomName":"INJECTION CHLORAMPHENICOL SODIUM SUCCNAT TO 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3000","CodeVersion":"2020","CustomName":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8968","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PRESCR FDA APVD ANTICOAG SCORE 0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2015","CodeVersion":"2020","CustomName":"COMP COMMUNITY SUPPORT SERVICES PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7131","CodeVersion":"2020","CustomName":"HYPERTONIC SALINE SOLUTION 1 ML"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90602","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4158","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITION CMPL W\/INTACT NUTRNTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5501","CodeVersion":"2020","CustomName":"DIAB ONLY FIT CSTM PREP&SPL SHOE MOLD PTS FT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0485","CodeVersion":"2020","CustomName":"ORL DEVC\/APPL RDUC UP ARWAY COLLAPSIBILITY PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2102","CodeVersion":"2020","CustomName":"ISLET CELL TISS TRANSPLANT FROM PANC; ALLOGENEIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3211","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH JUNIOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5249","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL ITC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H1004","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC; F\/U HOM VISIT"},{"ServiceGroup":"98720","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"42822","CodeType":"REV","Code":"0940","CodeVersion":"2020","CustomName":"Other Therapeutic Services - General Classification"},{"ServiceGroup":"28243","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"36204","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"85570","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"46114","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"31771","CodeType":"DRG","Code":"417","CodeVersion":"2020","CustomName":"Septicemia, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0426T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28227","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0088U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90426","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0472T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0507F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107010","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90437","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30640","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32607","CodeType":"ICD9P","Code":"81.59","CodeVersion":"2017","CustomName":"REVISION JOINT REPLACEMENT LOWER EXTREMITY NEC"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50202","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4604","CodeVersion":"2020","CustomName":"TUBING W\/INTGR HEAT ELEM W\/POS AIRWAY PRESS DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0078","CodeVersion":"2020","CustomName":"MODERATE CARE MANAGEMENT HOME VISIT FOR NEW PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1058","CodeVersion":"2020","CustomName":"PATIENT PERM NH RESIDENT ANY TIME DUR PERF PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9130","CodeVersion":"2020","CustomName":"DACARBAZINE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8950","CodeVersion":"2020","CustomName":"ELEVATED HTN BP READING DOC & INDICATED F\/U DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4040","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1452","CodeVersion":"2020","CustomName":"INJECTION FOMIVIRSEN SODIUM INTRAOCULAR 1.65 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3600","CodeVersion":"2020","CustomName":"STAT LABORATORY REQUEST"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8498","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG RECTAL\/SUPPOSITORY NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0863","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1823","CodeVersion":"2020","CustomName":"GENERATR NEUROSTIM NON-RECHRGABL TV S&STIM LEADS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7874","CodeVersion":"2020","CustomName":"ARTHROSCOPY: DISC REPOSITIONING & STABILIZATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4284","CodeVersion":"2020","CustomName":"BREAST SHIELD&SPLASH PROTECTR W\/BREAST PUMP REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1002","CodeVersion":"2020","CustomName":"CRANIAL ELECTROTHERAPY STIM SYSTEM ANY TYPE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3385","CodeVersion":"2020","CustomName":"INJECTION VELAGLUCERASE ALFA 100 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2137","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 3 MON PO>3.0 CHG IMPV 5 PNT\/<"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2175","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE HCL PER 100 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9151","CodeVersion":"2020","CustomName":"INJ DAUNORUBICIN CITRATE LIPOSOMAL FORM 10 MG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"103503","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"87967","CodeType":"ICD10P","Code":"0DB60Z3","CodeVersion":"2020","CustomName":"EXCISION \/ OF STOMACH \/ OPEN APPROACH \/ VERTICAL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2506","CodeVersion":"2020","CustomName":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6000","CodeVersion":"2020","CustomName":"NON-CNTC WND WARMING WND COVR W\/DEVC&CARD"},{"ServiceGroup":"40582","CodeType":"REV","Code":"0659","CodeVersion":"2020","CustomName":"Hospice Service - Other Hospice Service"},{"ServiceGroup":"25535","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"26994","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"80245","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"581","CodeVersion":"2020","CustomName":"SYSTEMIC INFECT \"&\" PARASITIC DISORD PROCEDURES W MAJOR CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"9005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44664","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41.06","CodeVersion":"2017","CustomName":"CORD BLOOD STEM CELL TRANSPLANT"},{"ServiceGroup":"90432","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92196","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0321T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0702T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0577T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4035","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; PUMP FED PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9274","CodeVersion":"2020","CustomName":"INJECTION TEBENTAFUSP-TEBN 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7658","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0250","CodeVersion":"2020","CustomName":"COMP GERIATRIC ASSESS&TX PLAN PRFRM ASSESS TEAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8474","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB TX NOT PRSC RSNS DOC BY CLIN"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9070","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE 100 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8700","CodeVersion":"2020","CustomName":"TEMOZOLOMIDE ORAL 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8399","CodeVersion":"2020","CustomName":"PATIENT W\/DOC RESULTS CENTRL DXA EVER BEING PERF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0738","CodeVersion":"2020","CustomName":"PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3348","CodeVersion":"2020","CustomName":"RETX PREVIOUS RC THERAPY - MOLAR"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9145","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5061","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; W\/BARRIER ATTACHED EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2570","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS TYPE 2 PSTN JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9209","CodeVersion":"2020","CustomName":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3916","CodeVersion":"2020","CustomName":"WRIST HAND ORTHOSIS 1\/> NONTORSION JOINT PREFAB"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2018","CodeVersion":"2020","CustomName":"HABILITATION SUPP EMPLOYMENT WAIVER; PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6452","CodeVersion":"2020","CustomName":"HI COMPRS BANDGE LOAD RESIST WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2525","CodeVersion":"2020","CustomName":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3978","CodeVersion":"2020","CustomName":"SEWHFO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0986","CodeVersion":"2020","CustomName":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0898","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2112","CodeVersion":"2020","CustomName":"PT RECV <=5 MG DA PDN\/RA ACT WORSE\/GCC <6 MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9040","CodeVersion":"2020","CustomName":"INJECTION BLEOMYCIN SULFATE 15 UNITS"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"3327","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"40403","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"31931","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"9947","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0978","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OCCUPATIONAL THERAPY"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"832","CodeVersion":"2020","CustomName":"TRANSIENT ISCHEMIA-NYDRG"},{"ServiceGroup":"63157","CodeType":"DRG","Code":"031","CodeVersion":"2020","CustomName":"Concussion, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"571","CodeVersion":"2020","CustomName":"Major Esophageal Disorders"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0320T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.88","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF LOWER LIMB ARTERIES"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3725F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.12","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY MITRAL VALV WITHOUT REPLCMT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0653T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107884","CodeType":"CPT","Code":"37246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0337U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70069","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6680","CodeVersion":"2020","CustomName":"UP EXTREM ADD TST SOCKT WRST DISARTIC\/BELW ELB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5971","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5999","CodeVersion":"2020","CustomName":"LOWER EXTREMITY PROSTHESIS NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7288","CodeVersion":"2020","CustomName":"BRUSH BX TRANSEPITH SAMPLE CLCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2227","CodeVersion":"2020","CustomName":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4105","CodeVersion":"2020","CustomName":"INTEGRA DRT\/INTEGRA OMNIGR DRML RGN MTX P SQ CM"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5241","CodeVersion":"2020","CustomName":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4012","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5505","CodeVersion":"2020","CustomName":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5290","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4101","CodeVersion":"2020","CustomName":"APLIGRAF PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7040","CodeVersion":"2020","CustomName":"PREHENSILE ACTUATOR SWITCH CONTROLLED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3902","CodeVersion":"2020","CustomName":"BALLISTOCARDIOGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5243","CodeVersion":"2020","CustomName":"HEARING AID ANALOG MONAURAL ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9683","CodeVersion":"2020","CustomName":"FAC ONSITE AC TX NSG FAC RES FL\/ELCT DO BILL SID"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9862","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F\/U INTVL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5722","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4334","CodeVersion":"2020","CustomName":"URINARY CATHETER ANCHORING DEVICE LEG STRAP EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2322","CodeVersion":"2020","CustomName":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0770","CodeVersion":"2020","CustomName":"FES TRANSQ STIM NERV&\/MUSC GRP CMPL SYS NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9714","CodeVersion":"2020","CustomName":"PATIENT USING HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9065","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3353F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3344F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9335","CodeVersion":"2020","CustomName":"HOM TX HD; ADMIN PROF PHRM SRVC SPL&EQP PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5617","CodeVersion":"2020","CustomName":"ADD LW EXTRM QUICK CHG SLF-ALIGN U AK\/BK EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0432","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"91","CodeType":"ICD10P","Code":"0TY00Z2","CodeVersion":"2020","CustomName":"TRANSPLANTATION RT KIDNEY ZOOPLASTIC OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5109","CodeVersion":"2020","CustomName":"HOME CARE TRAINING HOME CARE CLIENT PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9453","CodeVersion":"2020","CustomName":"DOC PT RSN FOR NOT RECV 1-TIME SCR FOR HCV INF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0830","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO &=300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0425","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2180","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG EVAL FTWR PT BIL LW EXT AMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8430","CodeVersion":"2020","CustomName":"PADDING FOR COMPRESSION BANDAGE ROLL"},{"ServiceGroup":"45539","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0391","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS - ADMIN (E.G., TRANSFUS)"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"19661","CodeType":"DRG","Code":"217","CodeVersion":"2020","CustomName":"Wound debridement and skin graft, except hand, for musculoskeletal and connective tissue disorders"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1127F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34343","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37592","CodeType":"ICD9P","Code":"41.02","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT WITH PURGING"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0347T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0062A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112910","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4064F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3471F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105425","CodeType":"CPT","Code":"0373T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0534T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.91","CodeVersion":"2017","CustomName":"EXTERNAL VERSION TO ASSIST DELIVERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.96","CodeVersion":"2017","CustomName":"IMPL AUTO CARDIOVERT\/DEFIB PULSE GEN ONLY"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9206","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6805","CodeVersion":"2020","CustomName":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0795","CodeVersion":"2020","CustomName":"INJ CORTICORELIN OVINE TRIFLUTATE 1 MICROGM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9784","CodeVersion":"2020","CustomName":"PATHOLOGISTS\/DERMATOPATH PRVDG 2ND OPINION ON BX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1823","CodeVersion":"2020","CustomName":"INJECTION INEBILIZUMAB-CDON 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5288","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC PERS FM\/DM TRANSMITTER ALD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2860","CodeVersion":"2020","CustomName":"INJECTION SILTUXIMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0438","CodeVersion":"2020","CustomName":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2145","CodeVersion":"2020","CustomName":"FUNC ST ODI 3MO PO >=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1555","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6081","CodeVersion":"2020","CustomName":"SCAL&DEBR PRES INF\/MUCOSIT 1 IMPL NO F ENT&CLOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9884","CodeVersion":"2020","CustomName":"2 MDPP ONGO MS ATD MDPP BNF MO 19-21 UND MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9731","CodeVersion":"2020","CustomName":"PT UNABLE COMPL ANK\/FT FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1121","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9250","CodeVersion":"2020","CustomName":"DOC PT PAIN BROUGHT COMFORT LVL 48 HRS INIT ASMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3764","CodeVersion":"2020","CustomName":"EWHO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5126","CodeVersion":"2020","CustomName":"ATTENDANT CARE SERVICES; PER DIEM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4015","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2073","CodeVersion":"2020","CustomName":"MEDICATION ASSIST TX NALTREXONE; WEEKLY BUNDLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4615","CodeVersion":"2020","CustomName":"CANNULA NASAL"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0513","CodeVersion":"2020","CustomName":"Clinic - Psychiatric Clinic"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0873","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Storage and Processing After Receipt of Cells from Manufacturer"},{"ServiceGroup":"70134","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0812","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Cadaver Donor"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"406","CodeVersion":"2020","CustomName":"Myeloproliferative disorders or poorly differentiated neoplasms with major operating room procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"619","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MINOR PROB-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98466","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89948","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0080T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.24","CodeVersion":"2017","CustomName":"BIOPSY OF PERICARDIUM"},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105034","CodeType":"CPT","Code":"91110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"44901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0528T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78658","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28227","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0051U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7038","CodeVersion":"2020","CustomName":"FILTER DISPBL USED W\/POS ARWAY PRESSURE DEVICE"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2525","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC DUAL FOCUS PER LENS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9280","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VACC NOT ADM PRIOR D\/C RSN NOT SPEC"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6017","CodeVersion":"2020","CustomName":"INTRA-FRAC LOC & TRACKING TARGET\/PT M EA FRAC TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3222","CodeVersion":"2020","CustomName":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5160","CodeVersion":"2020","CustomName":"DISPENSING FEE BINAURAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2791","CodeVersion":"2020","CustomName":"CROWN - FULL CAST PREDOM BASE METL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7525","CodeVersion":"2020","CustomName":"TACROLIMUS PARENTERAL 5 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9210","CodeVersion":"2020","CustomName":"INJECTION EMAPALUMAB-LZSG 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0291","CodeVersion":"2020","CustomName":"HOSPITAL BED FIX HT W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0180","CodeVersion":"2020","CustomName":"COMP PERIODONTAL EVALUATION - NEW\/EST PATIENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1400","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4150","CodeVersion":"2020","CustomName":"ALLOWRAP DS OR DRY PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2035","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4022","CodeVersion":"2020","CustomName":"OTOLARYNGOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0956","CodeVersion":"2020","CustomName":"WC ACSS LAT TRNK\/HIP SUPP FIX MOUNT HARDWARE EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0994","CodeVersion":"2020","CustomName":"ARMREST EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0175","CodeVersion":"2020","CustomName":"SCHED INTERDISCIPLINARY TEAM CONF W\/PT PRESENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6300","CodeVersion":"2020","CustomName":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9093","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; T4 ANY N M0 NO PROGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3360","CodeVersion":"2020","CustomName":"SOLE WEDGE OUTSIDE SOLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1748","CodeVersion":"2020","CustomName":"ENDOSCOPE SINGLE-USE UPPER GI IMAG\/ILLUM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6256","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL > 48 SQ ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9150","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 3 MEDICAL HOME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0400","CodeVersion":"2020","CustomName":"HST W\/TYPE IV PRTBLE MON UNATTENDED MIN 3 CH"},{"ServiceGroup":"14271","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"12886","CodeType":"REV","Code":"0659","CodeVersion":"2020","CustomName":"Hospice Service - Other Hospice Service"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"110","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"260","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3218F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0479T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46768","CodeType":"CPT","Code":"90847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0295U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.08","CodeVersion":"2017","CustomName":"INCISION OF LOWER LIMB ARTERIES"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3117F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74470","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0032U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8692","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5224","CodeVersion":"2020","CustomName":"IMMEDIATE MAND PRTL DENTURE - CAST MTL FRAMEWORK"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9065","CodeVersion":"2020","CustomName":"INJECTION CLADRIBINE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2107","CodeVersion":"2020","CustomName":"PT 66 &>CLM FRLTY & 1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0112","CodeVersion":"2020","CustomName":"ALL POTASSIUM HYDROXIDE PREPARATIONS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9751","CodeVersion":"2020","CustomName":"BRONCHOSCOPY RIGID\/FLEXIBLE TRANSBRON ABL LESION"},{"ServiceGroup":"112110","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7270","CodeVersion":"2020","CustomName":"TOOTH REIMPL&\/STBL ACC DISPLCD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3960","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W\/FIT&ADJ"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5676","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9247","CodeVersion":"2020","CustomName":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6628","CodeVersion":"2020","CustomName":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK\/="},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2140","CodeVersion":"2020","CustomName":"AMALGAM-ONE SURFACE PRIMARY\/PERM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3330","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY MOLAR TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1690","CodeVersion":"2020","CustomName":"COMB BIL LUMBO-SAC HIP FEM ORTHO PRFAB W\/FIT&ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4241","CodeVersion":"2020","CustomName":"GINGL FLP PROC 1-3 CONTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9318","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7507","CodeVersion":"2020","CustomName":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7999","CodeVersion":"2020","CustomName":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7983","CodeVersion":"2020","CustomName":"CLOSURE OF SALIVARY FISTULA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1841","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH SHOULDER DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1443","CodeVersion":"2020","CustomName":"INJ FEPP CIT SOLUTION TRIFERIC 0.1 MG IRON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0384","CodeVersion":"2020","CustomName":"BLS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7530","CodeVersion":"2020","CustomName":"REMV FB MUCOS SKN\/SUBQ ALVEOL TISS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0458","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB"},{"ServiceGroup":"44429","CodeType":"HCPCS","Code":"S9474","CodeVersion":"2020","CustomName":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5915","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0088","CodeVersion":"2020","CustomName":"IMATINIB 100 MG"},{"ServiceGroup":"38704","CodeType":"ICD10P","Code":"4A023N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS LT HEART PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4087","CodeVersion":"2020","CustomName":"GASTROSTOMY\/J-TUBE STANDARD ANY MATERIAL\/TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9297","CodeVersion":"2020","CustomName":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3428","CodeVersion":"2020","CustomName":"BONE GRAFT W\/PERIRADICULAR SURG PER TOOTH 1 SITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0994","CodeVersion":"2020","CustomName":"ARMREST EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4383","CodeVersion":"2020","CustomName":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0383","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAGE CAPTURE FIELD VIEW BOTH JAWS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9451","CodeVersion":"2020","CustomName":"EXERCISE CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3140","CodeVersion":"2020","CustomName":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2608","CodeVersion":"2020","CustomName":"SKN PROTCT&PSTN WC SEAT CUSHN WDTH 22 IN\/GT DPTH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9217","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE 7.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8863","CodeVersion":"2020","CustomName":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1039","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0990","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA"},{"ServiceGroup":"11800","CodeType":"HCPCS","Code":"S9327","CodeVersion":"2020","CustomName":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8607","CodeVersion":"2020","CustomName":"INJ BULKING AGT VOCAL CORD MEDIALIZATION 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2930","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 125 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1327","CodeVersion":"2020","CustomName":"INJECTION EPTIFIBATIDE 5 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7501","CodeVersion":"2020","CustomName":"AZATHIOPRINE PARENTERAL100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1818","CodeVersion":"2020","CustomName":"INTEGRATED KERATOPROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0760","CodeVersion":"2020","CustomName":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0586","CodeVersion":"2020","CustomName":"INJECTION ABOBOTULINUMTOXINA 5 UNITS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4165","CodeVersion":"2020","CustomName":"KERAMATRIX OR KERASORB PER SQ CM"},{"ServiceGroup":"98721","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2751","CodeVersion":"2020","CustomName":"CROWN-PORCELN FUSD PREDOM BASE METL"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5251","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL ITC"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"74934","CodeType":"HCPCS","Code":"S9110","CodeVersion":"2020","CustomName":"TELEMONITORING PT HOME ALL NEC EQUIP; PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1749","CodeVersion":"2020","CustomName":"ENDO RETRO IMAG\/ILLUMINATION COLONOSCOPE DEVICE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1874","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITH DELIVERY SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0585","CodeVersion":"2020","CustomName":"NEBULIZER WITH COMPRESSOR AND HEATER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0883","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG NON-ESRD USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7002","CodeVersion":"2020","CustomName":"TUBING USED WITH SUCTION PUMP EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6092","CodeVersion":"2020","CustomName":"RECEMENT IMPLANT\/ABUTMENT SUPPORTED CROWN"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0021","CodeVersion":"2020","CustomName":"INJECTION CEFOPERAZONE SODIUM 1 GM"},{"ServiceGroup":"9353","CodeType":"ICD10P","Code":"3E07016","CodeVersion":"2020","CustomName":"INTRODUCE RECOMB PROTEIN C CORONARY ART OPEN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2562","CodeVersion":"2020","CustomName":"INJECTION PLERIXAFOR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6721","CodeVersion":"2020","CustomName":"TERM DEVC HOOK\/HND HVY-DUTY MECH VOL OPN ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9328","CodeVersion":"2020","CustomName":"HIT IMPLANTED PUMP PAIN MGMT INFUS; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2510","CodeVersion":"2020","CustomName":"INLAY - METALLIC - ONE SURFACE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7770","CodeVersion":"2020","CustomName":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4211","CodeVersion":"2020","CustomName":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0859","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Other Outpatient CCPD"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9247","CodeVersion":"2020","CustomName":"PT HAD 1 VST IN 24 MO MSR PERIOD MIN 60 DA BTWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1040","CodeVersion":"2020","CustomName":"CRANIAL REMOLDING ORTHOSIS PED RIGID CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7648","CodeVersion":"2020","CustomName":"ISOETHARINE HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3305","CodeVersion":"2020","CustomName":"INJECTION TRIMETREXATE GLUCORONATE PER 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2010","CodeVersion":"2020","CustomName":"KAFO 1 UPRT SOLID STIRUP W\/O KNEE JNT CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1800","CodeVersion":"2020","CustomName":"INJECTION PROPRANOLOL HCL UP TO 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6781","CodeVersion":"2020","CustomName":"RETAINER CROWN-3\/4 CAST PREDOMINANTLY BASE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0092","CodeVersion":"2020","CustomName":"INJECTION HYDROMORPHONE HYDROCHLORIDE 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4215","CodeVersion":"2020","CustomName":"AXOLOTL AMBIENT OR AXOLOTL CRYO 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1062","CodeVersion":"2020","CustomName":"VITRECTOMY MECH PP APP SR INJ PHRMACL\/BIOL AGENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5050","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL IN THE EAR"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9602","CodeVersion":"2020","CustomName":"FLUORODOPA F-18 DIAGNOSTIC PER MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4172","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID 5.5 THRU 7%-HOM MIX"},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10A04ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERQ ENDOSCOPIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2520","CodeVersion":"2020","CustomName":"ADD LW EXTRM THI\/WT BEAR QUADRI-LAT BRIM CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3640","CodeVersion":"2020","CustomName":"TRNS ORTHOS SHOE TO ANOTH DENNIS BRWNE BTH SHOES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1000","CodeVersion":"2020","CustomName":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2627","CodeVersion":"2020","CustomName":"SCLERAL COVER SHELL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6454","CodeVersion":"2020","CustomName":"SELF-ADHERENT BANDGE WDTH >\/= 3 & < 5 IN PER YD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5632","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2080","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL UNI TORSION CABLE CSTM FAB"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0343","CodeVersion":"2020","CustomName":"Nuclear Medicine - Diagnostic Radiopharmaceuticals"},{"ServiceGroup":"22401","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"12342","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"13470","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"17520","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0083U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0378T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1121","CodeType":"ICD9P","Code":"35.96","CodeVersion":"2017","CustomName":"PERCUTANEOUS VALVULOPLASTY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0187U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92014","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107031","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29098","CodeType":"ICD9P","Code":"92.3","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY"},{"ServiceGroup":"68188","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"3448","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"13131","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"977","CodeType":"REV","Code":"0321","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Angiocardiography"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"108043","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"10906","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"19108","CodeType":"DRG","Code":"619","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MINOR PROB-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"385","CodeVersion":"2020","CustomName":"Neonates died or transferred to another acute care facility"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"414","CodeVersion":"2020","CustomName":"Other myeloproliferative disorders or poorly differentiated neoplasm diagnosis without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1116F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69700","CodeType":"ICD9P","Code":"86.96","CodeVersion":"2017","CustomName":"INSERTION\/REPLCMT OTH NEUROSTIMULATOR PULSE GEN"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106709","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98594","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3763F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"96.70","CodeVersion":"2017","CustomName":"CONT INVASIVE MECHANICAL VENT UNSP DURATION"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0203U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3376F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0014A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3720F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0583T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0171U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0557T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0614T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0701T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3112F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3216F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0010M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69924","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20012","CodeType":"ICD9P","Code":"55.61","CodeVersion":"2017","CustomName":"RENAL AUTOTRANSPLANTATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9454","CodeVersion":"2020","CustomName":"STRESS MGMT CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7638","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"91658","CodeType":"ICD10P","Code":"10D07Z7","CodeVersion":"2020","CustomName":"EXTRACTION POC INTERNAL VERSION NAT\/ART OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1030","CodeVersion":"2020","CustomName":"CONT NONINVASIVE GLU MONITORING DEVICE PURCHASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8120","CodeVersion":"2020","CustomName":"O2 CONTENTS GASEOUS 1 UNIT EQULS 1 CUBIC FOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5287","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVC PERS FM\/DM RECEIVER NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9210","CodeVersion":"2020","CustomName":"LOC ANES-NOT CONJUNC W\/OP\/SURG PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1675","CodeVersion":"2020","CustomName":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1730","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS-SCOTTISH RITE CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9970","CodeVersion":"2020","CustomName":"HEALTH CLUB MEMBERSHIP ANNUAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2198","CodeVersion":"2020","CustomName":"DOC MED RSN NO SCR UH ALC USE SYS SCR METHOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0337","CodeVersion":"2020","CustomName":"HOSPICE EVALUATION & CNSL SERVICES PREELECTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9002","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE MAINTENANCE RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0038","CodeVersion":"2020","CustomName":"SELF-HELP\/PEER SERVICES PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2388","CodeVersion":"2020","CustomName":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0160","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP\/MAND PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5020","CodeVersion":"2020","CustomName":"PART FT MOLDED SOCKET TIB TUBERCLE HT W\/TOE FIL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7622","CodeVersion":"2020","CustomName":"BECLOMETHASOME INHAL CP PROD UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9209","CodeVersion":"2020","CustomName":"HOME MGMT PRETERM PRMAT RUPTURE MEMBRANES DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5816","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3330","CodeVersion":"2020","CustomName":"LIFT ELEVATION METAL EXTENSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5570","CodeVersion":"2020","CustomName":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC\/=DIR FORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0430","CodeVersion":"2020","CustomName":"PRTBLE GASEOUS O2 SYS PURCH; FLWMTR HUMIDFR&MASK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1001","CodeVersion":"2020","CustomName":"CERV THOR LUMB SACRAL IMMOBLIZR INFANT SZ PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0473","CodeVersion":"2020","CustomName":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9961","CodeVersion":"2020","CustomName":"SYSTEMIC ANTIMICROBIALS PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1353","CodeVersion":"2020","CustomName":"SEALANT REPAIR - PER TOOTH"},{"ServiceGroup":"31504","CodeType":"HCPCS","Code":"G0340","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2620","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH <22 IN"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2399","CodeVersion":"2020","CustomName":"SPECIALTY TRIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1836","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0471","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/BACK-UP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5984","CodeVersion":"2020","CustomName":"RADIATION SHIELD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6194","CodeVersion":"2020","CustomName":"ABUTMENT SUPP RETAIN CROWN FPD - TIT & TIT ALY"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0637","CodeVersion":"2020","CustomName":"COMB SIT STAND FRAME\/TABLE SYS SEATLIFT FEATURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0165","CodeVersion":"2020","CustomName":"COMMODE CHAIR MOBILE\/STATIONARY W\/DETACHBLE ARMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0339","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCEL BASE SRS CMPL TX 1 SESS"},{"ServiceGroup":"108340","CodeType":"HCPCS","Code":"C1820","CodeVersion":"2020","CustomName":"GEN NEUROSTIM W\/RECHRG BATTERY & CHARGING SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1306","CodeVersion":"2020","CustomName":"INJECTION INCLISIRAN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8100","CodeVersion":"2020","CustomName":"HOLDING CHAMB\/SPACR W\/INHAL\/NEBULIZR; W\/O MASK"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1642","CodeVersion":"2020","CustomName":"INJECTION HEPARIN SODIUM PER 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4034","CodeVersion":"2020","CustomName":"SPEECH LANGUAGE PATHOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4344","CodeVersion":"2020","CustomName":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2513","CodeVersion":"2020","CustomName":"INJECTION PENTASTARCH 10% SOLUTION 100 ML"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0050","CodeVersion":"2020","CustomName":"RATCHET ASSEMBLY REPLACEMENT ONLY"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"1135","CodeType":"REV","Code":"0945","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Alcohol Rehabilitation"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"13778","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"105470","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"9866","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"33825","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"51323","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"103552","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"12845","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"539","CodeVersion":"2020","CustomName":"Lymphoma and Leukemia with Major O.R. Procedure with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"807","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W\/O CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"643","CodeVersion":"2020","CustomName":"Endocrine Disorders with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"482","CodeVersion":"2020","CustomName":"Tracheostomy for face, mouth and neck diagnoses"},{"ServiceGroup":"31778","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64795","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.39","CodeVersion":"2017","CustomName":"OTHER HIGH FORCEPS OPERATION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79699","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4186F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0266U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51276","CodeType":"DRG","Code":"001","CodeVersion":"2020","CustomName":"Craniotomy, age greater than 17 with CC"},{"ServiceGroup":"90436","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82110","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3495F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0122U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0607T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4171F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0010M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0031A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"39401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0245U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82774","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0179U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5400","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/ERLY FIT APPLY RIGD DRESS W\/1 CHG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7506","CodeVersion":"2020","CustomName":"ADHES DISC EXCHG SYS &\/ W\/TRACHEOSTOMA VALV EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9654","CodeVersion":"2020","CustomName":"MONITORED ANESTHESIA CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8540","CodeVersion":"2020","CustomName":"DEXAMETHASONE ORAL 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6007","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:TO 5 MEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0791","CodeVersion":"2020","CustomName":"INJECTION CRIZANLIZUMAB-TMCA 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1011","CodeVersion":"2020","CustomName":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0161","CodeVersion":"2020","CustomName":"SITZ TYPE BATH\/EQP PRTBLE USED W\/FAUCET ATTCHS"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0201","CodeVersion":"2020","CustomName":"COVID-19 VACCINE ADM INSIDE PATIENT'S HOME;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9603","CodeVersion":"2020","CustomName":"PATIENT SURVEY SCORE IMPRV FROM BASELINE FLW TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2730","CodeVersion":"2020","CustomName":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9083","CodeVersion":"2020","CustomName":"ONC; STATUS; PROS CA ACA; EXTENT UNKN UNDER EVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6102","CodeVersion":"2020","CustomName":"DEBR&OSS CNTR PERIIMPL DFCT;SURF&FLAP ENTRY&CLOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7212","CodeVersion":"2020","CustomName":"FACTOR VIIA-JNCW 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4225","CodeVersion":"2020","CustomName":"AMNIOBIND PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0495","CodeVersion":"2020","CustomName":"SKD SRVC RN TRAIN&\/EDU PT\/FAM HH\/HOSPC EA 15 MIN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1599","CodeVersion":"2020","CustomName":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0117","CodeVersion":"2020","CustomName":"GLAUC SCR HI RISK BY OPTOMETRST\/OPHTHALMOLOGIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0409","CodeVersion":"2020","CustomName":"SOCL WRK & PSYCH SRVC EA 15 MIN FACE-TO-FACE IND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0888","CodeVersion":"2020","CustomName":"NONCOVERED AMBULANCE MILEAGE PER MILE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2910","CodeVersion":"2020","CustomName":"RECEMENT INLAY ONLAY\/PART COVERAGE RESTORATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0565","CodeVersion":"2020","CustomName":"COMPRS AIR PWR EQP NOT SLF-CONTAIND\/CYL DRIVN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13472","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"113847","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"11109","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"23259","CodeType":"DRG","Code":"793","CodeVersion":"2020","CustomName":"PROC FOR MUL SIG TRAUMA EXC CRANIOT W NON-TRAUM MAJOR CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4164F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0174U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10421","CodeType":"ICD9P","Code":"92.32","CodeVersion":"2017","CustomName":"MULTI-SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0184T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0699T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0542T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0663T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0091A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113548","CodeType":"CPT","Code":"0241U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107168","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86458","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0113A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7686","CodeVersion":"2020","CustomName":"TREPROSTINIL INHAL SOLUTION UNIT DOSE 1.74 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8999","CodeVersion":"2020","CustomName":"UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0371","CodeVersion":"2020","CustomName":"NONPWR ADV PRSS RDUC OVRLAY MATTRSS STD LEN&WDTH"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4544","CodeVersion":"2020","CustomName":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0220","CodeVersion":"2020","CustomName":"THORACIC RIB BELT CUSTOM FABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9055","CodeVersion":"2020","CustomName":"PROCUREN\/OTH GROWTH FCT PREP PROMOTE WND HEALING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9225","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT VANTAS 50 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0272","CodeVersion":"2020","CustomName":"BITEWINGS - TWO RADIOGRAPHIC IMAGES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8042","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9999","CodeVersion":"2020","CustomName":"MISCELLANEOUS DME SUPPLY OR ACCESSORY NOS"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0147","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMERS CERV\/VAG AUTO UND PHYS SUPV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2015","CodeVersion":"2020","CustomName":"PHOENIX WOUND MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2410","CodeVersion":"2020","CustomName":"VARIBL ASPHRCTY LENS 1 FULL FLD GLASS\/PLASTC LNS"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9606","CodeVersion":"2020","CustomName":"RADIUM RA-223 DICHLORIDE THERAPEUTIC PER UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6605","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0111","CodeVersion":"2020","CustomName":"WET MOUNTS INCL PREP VAGINAL CERV\/SKIN SPECIMENS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4100","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"103786","CodeType":"HCPCS","Code":"J7310","CodeVersion":"2020","CustomName":"GANCICLOVIR 45 MG LONG-ACTING IMPLANT"},{"ServiceGroup":"104839","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6715","CodeVersion":"2020","CustomName":"TERM DEV MX ARTIC DIGIT W\/MOTORS INIT ISSUE\/REPL"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9481","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 10 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0425","CodeVersion":"2020","CustomName":"TELEHEALTH CONSULT ED\/IP 30 MIN W\/PT TELEHLTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0033","CodeVersion":"2020","CustomName":"ORAL MEDICATION ADMIN DIRECT OBSERVATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0710","CodeVersion":"2020","CustomName":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0170","CodeVersion":"2020","CustomName":"RE-EVALUATION - LTD PROBLEM FOCUSED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2274","CodeVersion":"2020","CustomName":"INJECTION MS PRES-FREE EPID\/INTRATHECL USE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9355","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CHELATION; PER DIEM"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3671","CodeVersion":"2020","CustomName":"SHOULDER ORTHOTIC JOINT DESIGN W\/O JNTS CUSTOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9844","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1943","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1894","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH NOT GUID INTRACARD EP NON-LASR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2152","CodeVersion":"2020","CustomName":"RA CHNG RES SC NCK IMPR SUC CALC&SC =TO 0\/>0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1033","CodeVersion":"2020","CustomName":"SERVICES PERFORM BY DOULA BIRTH WORKER PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5632","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2820","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5101","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM BIOSIMILAR 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9718","CodeVersion":"2020","CustomName":"HOSPICE SERVICES PATIENT PROV ANY TM DUR MSR PR"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2110","CodeVersion":"2020","CustomName":"1 VISN +\/- 4.25-7.00D SPHERE OVER 6.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0082","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME VISIT FOR EXIST PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8629","CodeVersion":"2020","CustomName":"TRANSMITTING COIL CABLE COCHLEAR IMPL DEV REPL"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"3259","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0384","CodeVersion":"2020","CustomName":"Blood and Blood Components - Platelets"},{"ServiceGroup":"9533","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"25346","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"22405","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"17067","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87525","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93023","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0290U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0715T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68284","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9329","CodeVersion":"2020","CustomName":"HOME INFUSION TX CHEMOTHERAPY INFUSION; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0976","CodeVersion":"2020","CustomName":"LSO FULL CORSET"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0053U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0515T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0315T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74470","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0087U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0004A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78095","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0261T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1034F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45469","CodeType":"ICD9P","Code":"00.39","CodeVersion":"2017","CustomName":"OTHER COMPUTER ASSISTED SURGERY"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"0312U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105551","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98526","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5131","CodeVersion":"2020","CustomName":"HOMEMAKER SERVICE NOS; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6260","CodeVersion":"2020","CustomName":"WOUND CLEANSERS ANY TYPE ANY SIZE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6114","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9276","CodeVersion":"2020","CustomName":"SENSOR;INVSV DISP INTRSTL CONT GLU MON SYS 1U=1D"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1226","CodeVersion":"2020","CustomName":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1028","CodeVersion":"2020","CustomName":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE\/PSTN"},{"ServiceGroup":"13595","CodeType":"HCPCS","Code":"A0427","CodeVersion":"2020","CustomName":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0312","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/Q HCP VAC NA SAME DOS A< 21 5-15 M"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2354","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE NON-DEPOT FORM SUBQ\/IV INJ 25 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2115","CodeVersion":"2020","CustomName":"OSTEOTOMY PERIACETABULAR WITH INTERNAL FIXATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8906","CodeVersion":"2020","CustomName":"MR IMAGING WITH CONTRAST BREAST; BILATERAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7044","CodeVersion":"2020","CustomName":"ORAL INTERFACE USED W\/POS ARWAY PRESS DEVICE EA"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4239","CodeVersion":"2020","CustomName":"AMNIO-MAXX OR AMNIO-MAXX LITE PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8683","CodeVersion":"2020","CustomName":"RF TRNSMT USE W\/IMPLANTABLE NEUROSTIM RF RECV"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0009","CodeVersion":"2020","CustomName":"OTHER MANUAL WHEELCHAIR\/BASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0843","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY MX PWR SLNG SEAT PT 301-450 LBS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3358","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8700","CodeVersion":"2020","CustomName":"TEMOZOLOMIDE ORAL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6234","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL 16 SQ\/< NO ADHES BORDR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6198","CodeVersion":"2020","CustomName":"REMOVE INTERIM IMPLANT COMPONENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0019","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0038","CodeVersion":"2020","CustomName":"LEG STRAP EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0220","CodeVersion":"2020","CustomName":"INJECTION ALGLUCOSIDASE ALFA 10 MG NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2015","CodeVersion":"2020","CustomName":"COMPREHENSIVE 60 MINS HOME CARE PLAN OVERSIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9303","CodeVersion":"2020","CustomName":"INJECTION PANITUMUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2091","CodeVersion":"2020","CustomName":"PT 66&>CLM FRLTY & 1 AC IP ADV ILL MP\/YR PR MP"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D7140","CodeVersion":"2020","CustomName":"EXTRAC ERUPTED TOOTH\/EXPOSED ROOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8936","CodeVersion":"2020","CustomName":"CLIN DOC PT NOT ELIG CANDIDATE ACE INHIB\/ARB TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1106","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0302","CodeVersion":"2020","CustomName":"PRE-OP PULM SURG SRVC PREP LVRS CMPL COURSE SRVC"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2934","CodeVersion":"2020","CustomName":"PREFB ESTHET COAT STNLSS STEEL CRWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1030","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 40 MG"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4244","CodeVersion":"2020","CustomName":"ALCOHOL OR PEROXIDE PER PINT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2312","CodeVersion":"2020","CustomName":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8695","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATTERY W\/IMPL NEUROSTIM REPL"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7620","CodeVersion":"2020","CustomName":"ALBUTEROL TO 2.5 MG & IPRATROPIUM BROM TO 0.5 MG"},{"ServiceGroup":"83519","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2326","CodeVersion":"2020","CustomName":"INJECTION NUSINERSEN 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9366","CodeVersion":"2020","CustomName":"HIT TPN; > 1 LITER BUT NOT > 2 LITERS-DA-DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3002","CodeVersion":"2020","CustomName":"FOOT INSRT REMV MOLDED PT MDL PLASTAZOTE\/EQUL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5780","CodeVersion":"2020","CustomName":"ADD EXOSKL KNEE-SHIN PNEUMAT\/HYDRA PNEUMAT CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2174","CodeVersion":"2020","CustomName":"URI EPI PT ACTIVE RX ABX 30 DAYS PRI\/ON EPI DT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6682","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC\/ABVE ELB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2100","CodeVersion":"2020","CustomName":"SPHERE SINGLE VISION PLANO +\/- 4.00 PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6011","CodeVersion":"2020","CustomName":"SURGICAL ACCESS TO AN IMPLANT BODY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3550","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION TOE TAP STANDARD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5987","CodeVersion":"2020","CustomName":"COMMISSURE SPLINT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2631","CodeVersion":"2020","CustomName":"IRIS SUPPORTED INTRAOCULAR LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0747","CodeVersion":"2020","CustomName":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0183","CodeVersion":"2020","CustomName":"PWR PRESS RDUC UNDERLAY\/PAD ALTERNATING W\/PUMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7963","CodeVersion":"2020","CustomName":"FRENULOPLASTY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3358","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR INTRAVENOUS INJECTION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5930","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2056","CodeVersion":"2020","CustomName":"CILTA CEL TO 100 M AUTO BCMA DIR CAR-POS TC DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0190","CodeVersion":"2020","CustomName":"POSITIONING CUSH\/PILLOW\/WEDGE INCL ALL COMPONENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1840","CodeVersion":"2020","CustomName":"KO DEROTATION MEDIAL-LATERAL ACL CUSTOM FAB"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"79177","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0569","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Other Med. Social Service"},{"ServiceGroup":"68188","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"34668","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"73948","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"10944","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0982","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - OUTPATIENT SERVICES"},{"ServiceGroup":"45967","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0589","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Other Home Health Visit"},{"ServiceGroup":"43986","CodeType":"DRG","Code":"259","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11049","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"37.23","CodeVersion":"2017","CustomName":"COMBINED RIGHT&LEFT HEART CARD CATHETERIZATION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113686","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44142","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"92980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3272F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39544","CodeType":"ICD9P","Code":"00.93","CodeVersion":"2017","CustomName":"TRANSPLANT FROM CADAVER"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0717T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0184U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0319U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98575","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0230U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105731","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3852","CodeVersion":"2020","CustomName":"DNA ANALY APOE EPSILON 4 ALLELE SUSECPT ALZS DZ"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7170","CodeVersion":"2020","CustomName":"INJECTION EMICIZUMAB-KXWH 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0037","CodeVersion":"2020","CustomName":"HIGH MOUNT FLIP-UP FOOTREST EACH"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6672","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD HARNESS CHST\/SHLUPPER EXTREM AD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7636","CodeVersion":"2020","CustomName":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1230","CodeVersion":"2020","CustomName":"INJECTION METHADONE HCL UP TO 10 MG"},{"ServiceGroup":"18071","CodeType":"HCPCS","Code":"A0998","CodeVersion":"2020","CustomName":"AMBULANCE RESPONSE AND TREATMENT NO TRANSPORT"},{"ServiceGroup":"38823","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2120","CodeVersion":"2020","CustomName":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6110","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MAX"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8693","CodeVersion":"2020","CustomName":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0971","CodeVersion":"2020","CustomName":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89276","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1026","CodeVersion":"2020","CustomName":"INTEN MXDISCPLIN SRVC CHILD W\/CMPLX IMPAIR HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9986","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 40 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9737","CodeVersion":"2020","CustomName":"PT UN COMPL ELBO\/WRST\/H FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0245","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION BAMLANIVIMAB AND ETESEVIMAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9145","CodeVersion":"2020","CustomName":"INJECTION DARATUMUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2280","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5655","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4184","CodeVersion":"2020","CustomName":"CELLESTA OR CELLESTA DUO PER SQ CM"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7331","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE SYNOJOYNT IA INJ 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9695","CodeVersion":"2020","CustomName":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0420","CodeVersion":"2020","CustomName":"AMBULANCE WAITING TIME ONE-HALF HOUR INCREMENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2216","CodeVersion":"2020","CustomName":"MNL WC ACESS FOAM FILL PROPULSION TIRE ANY SZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4266","CodeVersion":"2020","CustomName":"DIAPHRAGM FOR CONTRACEPTIVE USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2194","CodeVersion":"2020","CustomName":"PT CLIN IND IMG HEAD: NEW ON HA PED PT W\/DISAB"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1573","CodeVersion":"2020","CustomName":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9037","CodeVersion":"2020","CustomName":"PLATLTS PHERES LEUKOCYTES RDUC IRRADATD EA UNIT"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6113","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE PART EDENT ARCH-MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2121","CodeVersion":"2020","CustomName":"DEPRESSION ANXIETY APATHY & PSYCHOSIS ASSESSED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1823","CodeVersion":"2020","CustomName":"GENERATR NEUROSTIM NON-RECHRGABL TV S&STIM LEADS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0692","CodeVersion":"2020","CustomName":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2140","CodeVersion":"2020","CustomName":"CORD BLOOD HARVESTING TRANSPLANTATION ALLOGENEIC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9185","CodeVersion":"2020","CustomName":"INJECTION FLUDARABINE PHOSPHATE 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2180","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE&PROMETHAZINE HCL TO 50 MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3410","CodeVersion":"2020","CustomName":"METATARSAL BAR WEDGE BETWEEN SOLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3910","CodeVersion":"2020","CustomName":"SURG PROC ISOLAT TOOTH W\/RUBBER DAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9104","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTR CA ; EXTENT DZ UNK UNDER EVAL"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104737","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3760","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0052","CodeVersion":"2020","CustomName":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0397","CodeVersion":"2020","CustomName":"ALCOHOL &\/ SUBST MISUSE ST ASMT & INTERV >30 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4315","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH2-WAY ALL SILCON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9270","CodeVersion":"2020","CustomName":"INJECTION PLICAMYCIN 2.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4282","CodeVersion":"2020","CustomName":"ADAPTER FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6062","CodeVersion":"2020","CustomName":"ABUT SUPP CAST MTL CRWN HI NOBL MTL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2631","CodeVersion":"2020","CustomName":"WC ACCESS ADD MOBILE ARM SUPPORT ELEV PROX ARM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0350","CodeVersion":"2020","CustomName":"INJECTION ANISTREPLASE PER 30 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5120","CodeVersion":"2020","CustomName":"SKIN BARRIER WIPES OR SWABS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0120","CodeVersion":"2020","CustomName":"INJECTION TETRACYCLINE UP TO 250 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7183","CodeVersion":"2020","CustomName":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"14532","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0830","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"10013","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"31539","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"88432","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"29986","CodeType":"REV","Code":"0932","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Full Day"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0982","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - OUTPATIENT SERVICES"},{"ServiceGroup":"12834","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"44883","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"8950","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"199","CodeVersion":"2020","CustomName":"Hepatobiliary diagnostic procedure for malignancy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3950","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.4","CodeVersion":"2017","CustomName":"SKELETAL TRACTION AND OTHER TRACTION"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0261T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82806","CodeType":"CPT","Code":"95973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34609","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1460F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97139","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10985","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63462","CodeType":"CPT","Code":"64595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36137","CodeType":"ICD9P","Code":"52.84","CodeVersion":"2017","CustomName":"AUTOTRANSPLANTATION CELLS ISLETS LANGERHANS"},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.10","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY WITHOUT REPLCMT UNSPEC VALV"},{"ServiceGroup":"843","CodeType":"ICD9P","Code":"41.91","CodeVersion":"2017","CustomName":"ASPIRATION OF BONE MARROW FROM DONOR TRANSPLANT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0671T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12597","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0073U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0531T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82740","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90385","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75639","CodeType":"ICD9P","Code":"94.67","CodeVersion":"2017","CustomName":"COMBINED ALCOHOL AND DRUG REHABILITATION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0250T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7771","CodeVersion":"2020","CustomName":"ALVEOL CLOS RDUC STBL TEETH"},{"ServiceGroup":"59838","CodeType":"HCPCS","Code":"P9045","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 5% 250 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9274","CodeVersion":"2020","CustomName":"INJECTION TEBENTAFUSP-TEBN 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9792","CodeVersion":"2020","CustomName":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1353","CodeVersion":"2020","CustomName":"REGULATOR"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7309","CodeVersion":"2020","CustomName":"METHYL AMINOLEVULINATE MAL TOP ADMIN 16.8% 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0198","CodeVersion":"2020","CustomName":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7040","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION STERILE"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5230","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6985","CodeVersion":"2020","CustomName":"PEDIATRIC PARTIAL DENTURE FIXED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6059","CodeVersion":"2020","CustomName":"ABUT PORCLN TO MTL CRWN HI NOBL MTL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9960","CodeVersion":"2020","CustomName":"DOC MED RSN PRESCRIBING SYSTEMIC ANTIMICROBIALS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5645","CodeVersion":"2020","CustomName":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4020","CodeVersion":"2020","CustomName":"IVF PROC CANCELLED BEFORE ASPIRATION CASE RATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3961","CodeVersion":"2020","CustomName":"SEWHO SHOULDER CAP DESIGN W\/O JOINTS CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5115","CodeVersion":"2020","CustomName":"HOME CARE TRAINING NON-FAMILY; PER 15 MINUTES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0224","CodeVersion":"2020","CustomName":"INJECTION LUMASIRAN 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5595","CodeVersion":"2020","CustomName":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC\/=MOLD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4331","CodeVersion":"2020","CustomName":"EXT DRN TUBING W\/CNCTOR\/ADAPTR FOR LEG BAG EA"},{"ServiceGroup":"94780","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1447","CodeVersion":"2020","CustomName":"INJECTION TBO-FILGRASTIM 1 MICROGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6207","CodeVersion":"2020","CustomName":"CNTC LAYER > 16 SQ BUT <\/EQUAL 48 SQ EA DRESSING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0182","CodeVersion":"2020","CustomName":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2034","CodeVersion":"2020","CustomName":"FLU VIRUS VAC SPLIT VIRUS INTRAMUSCULAR AGRIFLU"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0935","CodeVersion":"2020","CustomName":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6103","CodeVersion":"2020","CustomName":"BONE GRAFT FOR REPAIR OF PERI-IMPLANT DEFECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6261","CodeVersion":"2020","CustomName":"WOUND FILLER GEL\/PASTE PER FL OZ NOS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3121","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE ENANTHATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7035","CodeVersion":"2020","CustomName":"HEADGEAR USED W\/POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3473","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - MOLAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0648","CodeVersion":"2020","CustomName":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0077","CodeVersion":"2020","CustomName":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4130","CodeVersion":"2020","CustomName":"STRATTICE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4730","CodeVersion":"2020","CustomName":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH"},{"ServiceGroup":"30961","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3170","CodeVersion":"2020","CustomName":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4033","CodeVersion":"2020","CustomName":"SKILLED NURSING FACILITY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9325","CodeVersion":"2020","CustomName":"HIT PAIN MANAGEMENT INFUSION; PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2998","CodeVersion":"2020","CustomName":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1602","CodeVersion":"2020","CustomName":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0641","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN NOS 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9419","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL HIS T\/NSCLC-NOS CLASS EXPLN"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106712","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93642","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.71","CodeVersion":"2017","CustomName":"VACUUM EXTRACTION WITH EPISIOTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4043F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4058F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80784","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4265","CodeVersion":"2020","CustomName":"BIOL MATL AID SOFT & OSSEOUS TISS REGEN PER SITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3222","CodeVersion":"2020","CustomName":"ORTHOPED FOOTWEAR MENS SHOE HITOP DEPTH INLAY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1931","CodeVersion":"2020","CustomName":"INJECTION LARONIDASE 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4259","CodeVersion":"2020","CustomName":"LANCETS PER BOX OF 100"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9071","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST I\/II;ER&\/PR POS;NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6050","CodeVersion":"2020","CustomName":"SURG PLACEMENT: TRANSOSTEAL IMPLANT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6130","CodeVersion":"2020","CustomName":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0503","CodeVersion":"2020","CustomName":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9351","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS ORD\/REC 90 DAY AFTR DX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5224","CodeVersion":"2020","CustomName":"IMMEDIATE MAND PRTL DENTURE - CAST MTL FRAMEWORK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9120","CodeVersion":"2020","CustomName":"FIXED PARTIAL DENTURE SECTIONING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0200","CodeVersion":"2020","CustomName":"HEAT LAMP W\/O STAND INCL BULB\/INFRARED ELEMENT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1040","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 80 MG"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1320","CodeVersion":"2020","CustomName":"INJECTION AMITRIPTYLINE HCL UP TO 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2026","CodeVersion":"2020","CustomName":"INJECTION RADIESSE 0.1ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4357","CodeVersion":"2020","CustomName":"BEDSID DRN BAG DAY\/NGT W\/WO ANTI-REFLX DEVC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9589","CodeVersion":"2020","CustomName":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0312","CodeVersion":"2020","CustomName":"Laboratory Pathology - Histology"},{"ServiceGroup":"22404","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"88436","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"11232","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"66481","CodeType":"REV","Code":"0562","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Hourly Charge"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"72783","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"079","CodeVersion":"2020","CustomName":"Respiratory infections and inflammations, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"824","CodeVersion":"2020","CustomName":"FULL THICK BURN W SKIN GRAFT OR INHAL INJ W\/O CC OR SIG TRAUMA-NYDRG"},{"ServiceGroup":"37389","CodeType":"DRG","Code":"287","CodeVersion":"2020","CustomName":"Skin grafts and wound debridement for endocrine, nutritional, and metabolic disorders"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"500","CodeVersion":"2020","CustomName":"Back and neck procedures except spinal fusion without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"092","CodeVersion":"2020","CustomName":"Interstitial lung disease with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19613","CodeType":"DRG","Code":"439","CodeVersion":"2020","CustomName":"Skin grafts for injuries"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3775F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.50","CodeVersion":"2017","CustomName":"REPAIR CURRENT OBSTETRIC LACERATION UTERUS NOS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86426","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97741","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97465","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89947","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0433T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62","CodeType":"ICD9P","Code":"37.5","CodeVersion":"2017","CustomName":"HEART REPLACEMENT PROCEDURES"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"E0749","CodeVersion":"2020","CustomName":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8037","CodeVersion":"2020","CustomName":"MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2690","CodeVersion":"2020","CustomName":"INJECTION PROCAINAMIDE HCL UP TO 1 GM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6548","CodeVersion":"2020","CustomName":"RETN-PORCELN\/CERAM RSN BOND PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9775","CodeVersion":"2020","CustomName":"PT RECV AL 2 PRO PHARMACOL ANTI-EMTC AGT DIF CLS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8755","CodeVersion":"2020","CustomName":"MOST RECENT DIASTOLIC BLOOD PRESSURE >= 90MM HG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1380","CodeVersion":"2020","CustomName":"INJECTION ESTRADIOL VALERATE UP TO 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5252","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0223","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3470","CodeVersion":"2020","CustomName":"INTENTIONAL REIMPLANTATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0248","CodeVersion":"2020","CustomName":"IV INF SOTROVIMAB INC INF & POST ADM MON H\/RES;"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9071","CodeVersion":"2020","CustomName":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0494","CodeVersion":"2020","CustomName":"EMERGENCY HAND PUMP REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4389","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE W\/BARR W\/BUILT-IN CONVXITY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1801","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52247","CodeType":"CPT","Code":"93798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75479","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0830","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"51274","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"180","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0319","CodeVersion":"2020","CustomName":"Laboratory Pathology - Other Laboratory Pathology"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4148F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3759F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97471","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88137","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0486T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3480","CodeVersion":"2020","CustomName":"HEEL PAD AND DEPRESSION FOR SPUR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7200","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX RIXUBIS PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5130","CodeVersion":"2020","CustomName":"IMMEDIATE DENTURE - MAXILLARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8041","CodeVersion":"2020","CustomName":"MIDFACIAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2504","CodeVersion":"2020","CustomName":"INJECTION PEGADEMASE BOVINE 25 IU"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7999","CodeVersion":"2020","CustomName":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8485","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA"},{"ServiceGroup":"62294","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0039U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52006","CodeType":"CPT","Code":"99223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"73.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS TO ASSIST DELIVERY"},{"ServiceGroup":"91422","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.29","CodeVersion":"2017","CustomName":"OTHER MID FORCEPS OPERATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11227","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0121U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4026","CodeVersion":"2020","CustomName":"PHYSICAL THER\/OCCUPAT THERAPY MIPS SPECIALTY SET"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2350","CodeVersion":"2020","CustomName":"DISKECT ANT W\/OSTEOPHYTECT; LUMBAR 1 INTERSPACE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8010","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY SLEEVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1024","CodeVersion":"2020","CustomName":"NONPNEUMATIC COMPR CONTRL W\/SEQ CALIBR GRDNT PRS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1902","CodeVersion":"2020","CustomName":"CMNCT BD NON-ELEC AUG\/ALTERNATV CMNCT DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1270","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ABDOMINAL PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2113","CodeVersion":"2020","CustomName":"1 VISN +\/- 7.25 +\/- 12.00D SPH 4.25-6.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9322","CodeVersion":"2020","CustomName":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4040","CodeVersion":"2020","CustomName":"REPLACE MOLDED THI LACER CSTM FAB ORTHOSIS ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1005","CodeVersion":"2020","CustomName":"DISPOSABLE COLL & STRG BAG BM ANY SIZE ANY T EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4199","CodeVersion":"2020","CustomName":"CYGNUS MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0372","CodeVersion":"2020","CustomName":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7670","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4158","CodeVersion":"2020","CustomName":"ENTRAL F PED NUTRITION CMPL W\/INTACT NUTRNTS"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8635","CodeVersion":"2020","CustomName":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8420","CodeVersion":"2020","CustomName":"BMI DOC W\/I NORMAL PARAM & NO F\/U PLAN REQUIRED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5686","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE BACK CHECK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5540","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2617","CodeVersion":"2020","CustomName":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0930","CodeVersion":"2020","CustomName":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7441","CodeVersion":"2020","CustomName":"EXC MALIG TUMOR\/LES > 1.25CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2060","CodeVersion":"2020","CustomName":"LOBAR LUNG TRANSPLANTATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6072","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN CAST METAL FPD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4341","CodeVersion":"2020","CustomName":"PRDNTL SCAL&ROOT PLAN 4\/>TEETH-QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2623","CodeVersion":"2020","CustomName":"PROSTHETIC EYE PLASTIC CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2820","CodeVersion":"2020","CustomName":"INJECTION SARGRAMOSTIM 50 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5283","CodeVersion":"2020","CustomName":"REMOV UNI PART DENTUR - 1 PECE CAST METL MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5117","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9989","CodeVersion":"2020","CustomName":"SRVC PROVIDED OUTSIDE UNITED STATES OF AMERICA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0433","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT LEVEL 2"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6014","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING;20 MEV\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6630","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0957","CodeVersion":"2020","CustomName":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0827","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9363","CodeVersion":"2020","CustomName":"SKIN SUBST INTEGRA MESH BILAYER MATRIX PER SQ CM"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2779","CodeVersion":"2020","CustomName":"INJ RANIBIZUMAB VIA IVT IMPLANT SUSVIMO 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2178","CodeVersion":"2020","CustomName":"CLIN DOC PT NO LE NEURO EX MSR EXMPL PT BIL AMP;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1129","CodeVersion":"2020","CustomName":"ONGO CAR NOT POSS PT D\/C EARLY D\/T SPC MED EVENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8635","CodeVersion":"2020","CustomName":"PHARM TX OSTEOPOROSIS NOT PRSC REASON NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9287","CodeVersion":"2020","CustomName":"ABX REGIMEN NOT PRSCR W\/I 10 DA AFTR ONSET SX"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0574","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NLX ORAL >6 MG BUT <\/=TO 10 MG BPN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6607","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4205","CodeVersion":"2020","CustomName":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2370","CodeVersion":"2020","CustomName":"INJECTION PHENYLEPHRINE HCL UP TO 1 ML"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9957","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3720","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/FORARM\/ARM CUFF FREE MOT CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9562","CodeVersion":"2020","CustomName":"HOM INJ TX PALIVIZUMAB W\/ADMN PHRM CARE-PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9079","CodeVersion":"2020","CustomName":"ONC; STATUS; PROS CA; T3B-T4 N; T N1 NO PROGRSSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1632","CodeVersion":"2020","CustomName":"WEARABLE ARTIFICIAL KIDNEY EACH"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74.9","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9939","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"12019","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"15774","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"11109","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"3418","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"51543","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0900","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"963","CodeVersion":"2020","CustomName":"Other Multiple Significant Trauma with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"415","CodeVersion":"2020","CustomName":"Operating room procedure for infectious and parasitic diseases"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3776F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83644","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.85","CodeVersion":"2017","CustomName":"REVISION CAROTID SINUS STIM PULSE GENERATOR"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3756F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91569","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91480","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0258U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0642T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2712","CodeVersion":"2020","CustomName":"CROWN 3\/4 RESNBASED COMPOS INDIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1444","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE PWD 0.1 MG IRON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4626","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CLEANING BRUSH EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1089","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0506","CodeVersion":"2020","CustomName":"COMP ASMT OF & CARE PLNG PT RQR CC MGMT SRVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8964","CodeVersion":"2020","CustomName":"CARD SS IMAG OTH RSN THN MON ASX PT PCI IN 2 YRS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1303","CodeVersion":"2020","CustomName":"INJECTION RAVULIZUMAB-CWVZ 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7870","CodeVersion":"2020","CustomName":"ARTHROCENTESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4028","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0425","CodeVersion":"2020","CustomName":"CARIES SUSCEPTIBILITY TESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3455","CodeVersion":"2020","CustomName":"HEEL NEW LEATHER STANDARD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1790","CodeVersion":"2020","CustomName":"INJECTION DROPERIDOL UP TO 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9428","CodeVersion":"2020","CustomName":"PATH RPRT PT CAT & STM THK ULCER & MITOTIC RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9059","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT DIFFERS PT OPT ALT TX"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1580","CodeVersion":"2020","CustomName":"UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"9533","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"103552","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0320","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - General Classification"},{"ServiceGroup":"48085","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"30165","CodeType":"REV","Code":"0381","CodeVersion":"2020","CustomName":"Blood and Blood Components - Packed Red Cells"},{"ServiceGroup":"17307","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"16274","CodeType":"REV","Code":"0813","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unknown Donor"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"11659","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0515","CodeVersion":"2020","CustomName":"Clinic - Pediatric Clinic"},{"ServiceGroup":"50842","CodeType":"REV","Code":"872","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Specialized Biologic Processing and Storage - Prior to Transport"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"895","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence with Rehabilitation Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"029","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age greater than 17, without CC"},{"ServiceGroup":"53150","CodeType":"DRG","Code":"066","CodeVersion":"2020","CustomName":"Epistaxis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3443","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91588","CodeType":"CPT","Code":"93624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104815","CodeType":"CPT","Code":"96116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97259","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91593","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89882","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3754F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106670","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0467","CodeVersion":"2020","CustomName":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4266","CodeVersion":"2020","CustomName":"GUID TISS REGEN-RESORB BARRIER-SITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5671","CodeVersion":"2020","CustomName":"ADD LW EXTRM BELW\/ABVE KNEE SUSP LOCK MECH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7403","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS BE\/WRIST DISART ACRYLIC MATL"},{"ServiceGroup":"99073","CodeType":"HCPCS","Code":"C9290","CodeVersion":"2020","CustomName":"INJECTION BUPIVACAINE LIPOSOME 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5250","CodeVersion":"2020","CustomName":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5590","CodeVersion":"2020","CustomName":"PREP AK-DISARTIC NON-ALIGN LAMINATED SCKT MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8210","CodeVersion":"2020","CustomName":"REMOVABLE APPLIANCE THERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4413","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE HI OP BARRIER W\/FLNGE\/FLTR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2053","CodeVersion":"2020","CustomName":"TRANSPLANTATION SMALL INTESTINE&LIVER ALLOGRAFTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8928","CodeVersion":"2020","CustomName":"TTE W\/CNTRST INCL M-MODE REC REST & CV ST W\/I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9978","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 10 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9928","CodeVersion":"2020","CustomName":"FDA APVD ANTICOAGULANT NOT PRESCR REASON NOT GVN"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8562","CodeVersion":"2020","CustomName":"FLUDARABINE PHOSPHATE ORAL 10 MG"},{"ServiceGroup":"106602","CodeType":"HCPCS","Code":"V5260","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1821","CodeVersion":"2020","CustomName":"INTERSPINOUS PROCESS DISTRACTION DEVICE IMPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1002","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH MEDCURRENT DFIND MCR AUC PROG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1030","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME REGISTERED NURSE PER DIEM"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"44106","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"89337","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"33266","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0985","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EKG"},{"ServiceGroup":"78180","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"33269","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"42782","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107072","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93012","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0395T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16778","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112910","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4047F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49204","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"ICD9P","Code":"74.9","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4265","CodeVersion":"2020","CustomName":"PARAFFIN PER POUND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0052","CodeVersion":"2020","CustomName":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0432","CodeVersion":"2020","CustomName":"INF ANTIBODY ELISA TECH ANTIBODY HIV-1\/HIV-2 SCR"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1640","CodeVersion":"2020","CustomName":"HIP ORTHOSIS-PELV BAND\/SPRDR BAR THI CUFFS FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1005","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/PWR SHEAR RDUC"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2108","CodeVersion":"2020","CustomName":"PT 66\/OLDER INST SNP\/RES LTC >90 D DUR MSR PRD"},{"ServiceGroup":"45947","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3807","CodeVersion":"2020","CustomName":"WRIST HAND FINGR ORTHOS W\/O JNT PREFAB CSTM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9007","CodeVersion":"2020","CustomName":"ULTRAFILTRATION MONITOR"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8509","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH INSRT LIC HEALTH PROV"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8040","CodeVersion":"2020","CustomName":"LTD ORTHODONTIC TX ADULT DENTITION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0277","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4575","CodeVersion":"2020","CustomName":"TOPICAL HYPERBARIC OXYGEN CHAMBER DISPOSABLE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3485","CodeVersion":"2020","CustomName":"INJECTION ZIDOVUDINE 10 MG"},{"ServiceGroup":"90854","CodeType":"HCPCS","Code":"H0009","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; ACUTE DTOX HOSP IP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0329","CodeVersion":"2020","CustomName":"ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE"},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"75573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106322","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0208","CodeVersion":"2020","CustomName":"PARAMEDIC INTERCPT HOS-BASE ALS SRVC NON-TRNSPRT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1945","CodeVersion":"2020","CustomName":"INJECTION LEPIRUDIN 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6234","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL 16 SQ\/< NO ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3978","CodeVersion":"2020","CustomName":"SEWHFO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0311","CodeVersion":"2020","CustomName":"Laboratory Pathology - Cytology"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"46107","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"74922","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"22406","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"101501","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"496","CodeVersion":"2020","CustomName":"Combined anterior\/posterior spinal fusion"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.93","CodeVersion":"2017","CustomName":"SURGICAL CORRECTION OF INVERTED UTERUS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"70.24","CodeVersion":"2017","CustomName":"VAGINAL BIOPSY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0092A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0645T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4043F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0305U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0425T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0274T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0478","CodeVersion":"2020","CustomName":"IMMUNOHISTOCHEMICAL STAINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0999","CodeVersion":"2020","CustomName":"UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0483","CodeVersion":"2020","CustomName":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5109","CodeVersion":"2020","CustomName":"HOME CARE TRAINING HOME CARE CLIENT PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7181","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII A-SUBUNIT PER IU"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5933","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS MODIFICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6444","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5285","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM DIR AUDIO INPUT RECV"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5G7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION LEFT UPPER LUNG LOBE NAT\/ART OPENING"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1710","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM PHOSPHATE TO 50 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2765","CodeVersion":"2020","CustomName":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5551","CodeVersion":"2020","CustomName":"INSULIN MOST RAPID ONSET; 5 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7840","CodeVersion":"2020","CustomName":"CONDYLECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9408","CodeVersion":"2020","CustomName":"PATIENTS W\/CT &\/PERICARDIOCENTESIS OCR WI 30 DA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9088","CodeVersion":"2020","CustomName":"INSTILL BUPIVACAINE & MELOXICAM 1 MG\/0.03 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4534","CodeVersion":"2020","CustomName":"YOUTH SZD DISPBL INCONT PROD UNDWEAR\/PULLON EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6694","CodeVersion":"2020","CustomName":"ADD UP EXT PROS BELW\/ABVE ELB CSTM W\/LOCK MECH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9314","CodeVersion":"2020","CustomName":"AMOXICILLIN NOT 1ST LINE ABX TM DX RSN NOT GIVEN"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1952","CodeVersion":"2020","CustomName":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7328","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE GELSYN-3 FOR IA INJ 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4193","CodeVersion":"2020","CustomName":"COLL-E-DERM PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0191","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5511","CodeVersion":"2020","CustomName":"REPAIR BROKEN COMPLETE DENTURE BASE MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9299","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1877","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVR WITHOUT DELIV SYSTEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7516","CodeVersion":"2020","CustomName":"CYCLOSPORINE PARENTERAL 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0913","CodeVersion":"2020","CustomName":"IMPROV VISUAL FUNCT ACHV W\/I 90 DAY FLW CAT SURG"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"105282","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"811","CodeVersion":"2020","CustomName":"HEART ASSIST SYSTEM IMPLANT-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.63","CodeVersion":"2017","CustomName":"LAP REMOVAL BOTH OVARIES&TUBES@SAME OP EPIS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.20","CodeVersion":"2017","CustomName":"NONINVASIVE PROGRAMMED ELECTRICAL STIMULATION"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70066","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47991","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98599","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"7025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0075T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62740","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5510","CodeVersion":"2020","CustomName":"PREP BELW KNEE PTB SOCKT NON-ALIGN MOLD MDL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6677","CodeVersion":"2020","CustomName":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC&ELB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5961","CodeVersion":"2020","CustomName":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9355","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0221","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE (ALS)"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3265","CodeVersion":"2020","CustomName":"PLASTAZOTE SANDAL EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2998","CodeVersion":"2020","CustomName":"INJECTION PLASMINOGEN HUMAN-TVMH 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2228","CodeVersion":"2020","CustomName":"MNL WC ACCESS WHEEL BRAKING SYS&LOCK COMPLETE EA"},{"ServiceGroup":"90559","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4233","CodeVersion":"2020","CustomName":"SURFACTOR OR NUDYN PER 0.5 CC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4209","CodeVersion":"2020","CustomName":"SURGRAFT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4147","CodeVersion":"2020","CustomName":"ARCHITECT EXTRACELLULAR MATRIX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3251","CodeVersion":"2020","CustomName":"FOOT SHOE MOLDED PATIENT MODEL SILICONE SHOE EA"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7140","CodeVersion":"2020","CustomName":"EXTRAC ERUPTED TOOTH\/EXPOSED ROOT"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2402","CodeVersion":"2020","CustomName":"REPR CONGEN CYST ADENOMATOID MALF FETUS IN UTERO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6980","CodeVersion":"2020","CustomName":"FIXED PART DENTURE REPR NEC RESTORATVE MATL FAIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0947","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5925","CodeVersion":"2020","CustomName":"FACIAL AUGMENTATION IMPLANT PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2330","CodeVersion":"2020","CustomName":"RESIN COMPOS - ONE SURFACE ANTERIOR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5063","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE; USE BARRIER W\/FLANGE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6634","CodeVersion":"2020","CustomName":"RETAINER ONLAY - TITANIUM"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5828","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN FL SWING&STANCE PHASE CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6023","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING STERILE SIZE >48 SQ IN EACH"},{"ServiceGroup":"103302","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0484T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0033U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98407","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91009","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0671T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0207T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100252","CodeType":"CPT","Code":"12004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91009","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2777","CodeVersion":"2020","CustomName":"INJECTION FARICIMAB-SVOA 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9179","CodeVersion":"2020","CustomName":"INJECTION ERIBULIN MESYLATE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0380","CodeVersion":"2020","CustomName":"BLS MILEAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6630","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7336","CodeVersion":"2020","CustomName":"CAPSAICIN 8% PATCH PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2114","CodeVersion":"2020","CustomName":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W\/FIT & ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1250","CodeVersion":"2020","CustomName":"INJECTION DOBUTAMINE HCI PER 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0119","CodeVersion":"2020","CustomName":"ONDANSETRON ORAL 4 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4724","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>3999<\/=4999CC PERITON DIALYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9684","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES UTI BILL SID-BENEF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9356","CodeVersion":"2020","CustomName":"ELECTIVE DELVERY BY C\/SECT \/INDUCTION LABOR PERF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9548","CodeVersion":"2020","CustomName":"FINAL REPORTS IMAG STDY STAT NO F\/U IMAG RECOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1700","CodeVersion":"2020","CustomName":"JAW MOTION REHABILITATION SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4045","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4189","CodeVersion":"2020","CustomName":"ARTACENT AC 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2840","CodeVersion":"2020","CustomName":"INJECTION SEBELIPASE ALFA 1 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0462","CodeVersion":"2020","CustomName":"ROCKING BED WITH OR WITHOUT SIDE RAILS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1738","CodeVersion":"2020","CustomName":"INJECTION MELOXICAM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1036","CodeVersion":"2020","CustomName":"MULTI-PSTN PT TRNSF SYS EXTRA WIDE PT >300 LBS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1738","CodeVersion":"2020","CustomName":"INJECTION MELOXICAM 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8395","CodeVersion":"2020","CustomName":"LVEF >=40% OR DOC NORMAL\/MILD DEPRESSED LVS FUNC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9797","CodeVersion":"2020","CustomName":"PATIENT IS NOT ON A STATIN THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3908","CodeVersion":"2020","CustomName":"WRIST HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9943","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD ADJUSTMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2235","CodeVersion":"2020","CustomName":"IMPLANTATION OF AUDITORY BRAIN STEM IMPLANT"},{"ServiceGroup":"73521","CodeType":"HCPCS","Code":"S5180","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY INIT EVALUATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104737","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3540","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SOLE FULL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7540","CodeVersion":"2020","CustomName":"REMV REACT-PRODUC FB MUSCLOSKEL SYS"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1726","CodeVersion":"2020","CustomName":"INJECTION HYDROXYPROGESTERONE CAPROATE 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0571","CodeVersion":"2020","CustomName":"BUPRENORPHINE ORAL 1 MG"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5820","CodeVersion":"2020","CustomName":"INTERIM PARTIAL DENTURE MAXILLARY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0240","CodeVersion":"2020","CustomName":"BATH\/SHOWER CHAIR W\/WO WHEELS ANY SIZE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0168","CodeVersion":"2020","CustomName":"COMMODE CHAIR XTRA WIDE&\/HEVY DUTY STATION\/MOBIL"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0472","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/BACKUP"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2301","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL +\/- 4.12 TO +\/- 7.00D PER LENS"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0606","CodeVersion":"2020","CustomName":"POSTURAL DRAINAGE BOARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1821","CodeVersion":"2020","CustomName":"REPL SFT INTERFCE MATL\/CUFF BI-DIR STAT DEVC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0272","CodeVersion":"2020","CustomName":"MATTRESS FOAM RUBBER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9346","CodeVersion":"2020","CustomName":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM"},{"ServiceGroup":"913","CodeType":"ICD10P","Code":"GZB3ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVETHERAPY BILAT-MULTIPLE SEIZURE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7611","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP THRU DME CONC FORM 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9355","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7490","CodeVersion":"2020","CustomName":"RADICAL RESECTION MAXLA OR MANDIBLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9273","CodeVersion":"2020","CustomName":"COLD\/HOT FL BTL ICE CAP\/C HEAT &\/ COLD WRAP ANY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9058","CodeVersion":"2020","CustomName":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT"},{"ServiceGroup":"14727","CodeType":"REV","Code":"0689","CodeVersion":"2020","CustomName":"Trauma Response - Other Trauma Response"},{"ServiceGroup":"27761","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"38421","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"113016","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"22781","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.79","CodeVersion":"2017","CustomName":"OTHER VACUUM EXTRACTION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0523T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106714","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0202","CodeVersion":"2020","CustomName":"INJECTION ALEMTUZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9211","CodeVersion":"2020","CustomName":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM"},{"ServiceGroup":"10542","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8042","CodeVersion":"2020","CustomName":"MAGNETIC RESONANCE IMAGING LOW-FIELD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0040","CodeVersion":"2020","CustomName":"INJ TICARCILLIN DISODIUM&CLAVULANATE K+ 3.1 GMS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6310","CodeVersion":"2020","CustomName":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8507","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1730","CodeVersion":"2020","CustomName":"INJECTION DIAZOXIDE UP TO 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9041","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 5% 50 ML"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8930","CodeVersion":"2020","CustomName":"TTE CMPL DUR REST & CVST W\/I&R W\/PHYS SUP"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6211","CodeVersion":"2020","CustomName":"PONTIC - CAST PREDOM BASE METAL"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0434","CodeVersion":"2020","CustomName":"SPECIALTY CARE TRANSPORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6075","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN CERAMIC FPD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4556","CodeVersion":"2020","CustomName":"ELECTRODES PER PAIR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27325","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"33096","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0983","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CLINIC"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"14886","CodeType":"REV","Code":"0549","CodeVersion":"2020","CustomName":"Ambulance - Other Ambulance"},{"ServiceGroup":"20096","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"695","CodeVersion":"2020","CustomName":"Kidney and Urinary Tract Signs and Symptoms with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"195","CodeVersion":"2020","CustomName":"Cholecystectomy with common duct exploration with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16301","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0346U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"52.81","CodeVersion":"2017","CustomName":"REIMPLANTATION OF PANCREATIC TISSUE"},{"ServiceGroup":"92364","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.79","CodeVersion":"2017","CustomName":"OTHER ENDOVASCULAR PROC ON OTHER VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86689","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3573F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0204U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0155T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0199T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0322T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47593","CodeType":"ICD9P","Code":"74.99","CodeVersion":"2017","CustomName":"OTHER CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0605T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91580","CodeType":"CPT","Code":"36478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3352F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0268T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90431","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101320","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1036F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1137F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0646T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4035","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4726","CodeVersion":"2020","CustomName":"DIALYSATE DEXTROSE FLUID >5999 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0749","CodeVersion":"2020","CustomName":"OSTEOGENESIS STIMULATOR ELEC SURGICALLY IMPL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9206","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3145","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE UNDECANOATE 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7336","CodeVersion":"2020","CustomName":"CAPSAICIN 8% PATCH PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7121","CodeVersion":"2020","CustomName":"5% DEXTROSE LACTATED RINGERS INFUSION TO 1000 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9733","CodeVersion":"2020","CustomName":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9061","CodeVersion":"2020","CustomName":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9027","CodeVersion":"2020","CustomName":"INJECTION CLOFARABINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4026","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0627","CodeVersion":"2020","CustomName":"SEAT LIFT MECHANISM ELECTRIC ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4176","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID 7 THRU 8.5%-HOM MIX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8990","CodeVersion":"2020","CustomName":"PHYSICAL\/MANIP TX MAINT RATHER THAN RESTORATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4354","CodeVersion":"2020","CustomName":"INSERTION TRAY W\/DRAIN BAG BUT WITHOUT CATHETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9612","CodeVersion":"2020","CustomName":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B5200","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL AMINO ACID&CARB STRSS-BR CHAIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0011","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG IP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2082","CodeVersion":"2020","CustomName":"OFF\/OTH OP E&M EST PT PROV 56 MG ESKETAMINE N SA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5741","CodeVersion":"2020","CustomName":"RELINE MANDIBULAR PARTIAL DENTURE DIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9521","CodeVersion":"2020","CustomName":"TOTAL NUMBER ED VISITS & IP HOSP < 2 PAST 12 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4267","CodeVersion":"2020","CustomName":"GUID TISS REGEN-NONRESORB BARRIER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2040","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL ROTAT STRAPS CSTM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9015","CodeVersion":"2020","CustomName":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8560","CodeVersion":"2020","CustomName":"ETOPOSIDE ORAL 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0627","CodeVersion":"2020","CustomName":"LUMB ORTHOSIS SAGIT CNTRL RIGID A&P PANEL PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4021","CodeVersion":"2020","CustomName":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0698","CodeVersion":"2020","CustomName":"CEFOTAXIME SODIUM PER G"},{"ServiceGroup":"91677","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7612","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME CONC 0.5 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9304","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED PEMFEXY 10 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.5","CodeVersion":"2017","CustomName":"REVISION OF GASTRIC ANASTOMOSIS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75545","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"9914","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"16777","CodeType":"REV","Code":"0812","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Cadaver Donor"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0919","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Other Behavioral Health Treatments"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3725F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4069F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0506T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0002A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35559","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100249","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113463","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0220","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT-1 WAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2186","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM VABORBACTAM 10 MG\/10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2005","CodeVersion":"2020","CustomName":"KAFO ANY MATL AUTO LOCK&SWNG RLSE W\/ANK JNT CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5100","CodeVersion":"2020","CustomName":"HEARING AID BILATERAL BODY WORN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9622","CodeVersion":"2020","CustomName":"PT NOT ID UNHLTHY ALC USER SCR UNHLTHY ALC USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5211","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/ITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3600","CodeVersion":"2020","CustomName":"STAT LABORATORY REQUEST"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0610","CodeVersion":"2020","CustomName":"INJECTION CALCIUM GLUCONATE PER 10 ML"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9595","CodeVersion":"2020","CustomName":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8465","CodeVersion":"2020","CustomName":"HIGH\/VERY HIGH RISK RECURRENCE PROSTATE CANCER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5504","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/WEDGE SHOE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6003","CodeVersion":"2020","CustomName":"RAD TX DEL 2 TX AREA PORT\/PL OPP PORTS:TO 5 MEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0499","CodeVersion":"2020","CustomName":"HEPATITIS B SCREENING IN NON-PREG HIGH RISK IND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0015","CodeVersion":"2020","CustomName":"ALCOHL&\/RX SRVC;INTENSV OP;CRISIS INTRVN&ACTV TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0145","CodeVersion":"2020","CustomName":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2993","CodeVersion":"2020","CustomName":"INJECTION RETEPLASE 18.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0293","CodeVersion":"2020","CustomName":"NONCOVR SURG CONSC SEDAT ANES-MCR QUAL TRIAL-DAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9052","CodeVersion":"2020","CustomName":"PLT HLA-MATCHD LEUKOCYTES RDUC APHERES\/PHERE EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6920","CodeVersion":"2020","CustomName":"WRST DISARTIC OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9898","CodeVersion":"2020","CustomName":"RADIOLABELED PROD PROV DURING A HOSPITAL IP STAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2680","CodeVersion":"2020","CustomName":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0002","CodeVersion":"2020","CustomName":"STANDARD HEMI WHEELCHAIR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74924","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"83683","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"90356","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"33828","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"13168","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"13722","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"58519","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83626","CodeType":"CPT","Code":"23420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0102U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105234","CodeType":"CPT","Code":"38542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0513T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0294U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10989","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0352T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57222","CodeType":"CPT","Code":"61783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.74","CodeVersion":"2017","CustomName":"INSERTION\/REPLCMT EPICARD LEAD INTO EPICARDIUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68052","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1152F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0133U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4176F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5992","CodeVersion":"2020","CustomName":"ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7030","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 1000 CC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0583","CodeVersion":"2020","CustomName":"INJECTION BIVALIRUDIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1569","CodeVersion":"2020","CustomName":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2385","CodeVersion":"2020","CustomName":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2143","CodeVersion":"2020","CustomName":"FUNC ST ODI 1YR PO >=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7175","CodeVersion":"2020","CustomName":"INJECTION FACTOR X 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1932","CodeVersion":"2020","CustomName":"AFO RIGD ANT TIBL TOT CARB FIBER\/EQUL MATL PRFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5685","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS BELW KNEE SUSP\/SEAL SLEEVE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6198","CodeVersion":"2020","CustomName":"REMOVE INTERIM IMPLANT COMPONENT"},{"ServiceGroup":"116022","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5106","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4194","CodeVersion":"2020","CustomName":"NOVACHOR PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7241","CodeVersion":"2020","CustomName":"REMV IMP TOOTH-CMPL BNY W\/SURG COMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2081","CodeVersion":"2020","CustomName":"PT 66 &> INST SNP\/RESID LTC >90 DAYS DUR MSR PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0200","CodeVersion":"2020","CustomName":"CERV MX POST COLLR OCCIP\/MAND ADJ CERV&THOR EXT"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1020","CodeVersion":"2020","CustomName":"PT 12-17 Y MD\/DYSTH NO REM 12 M PHQ-9\/9M NA\/>\/=5"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9140","CodeVersion":"2020","CustomName":"DIABETIC MGMT PROGM F\/U VISIT NON-MD PROVIDER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0172","CodeVersion":"2020","CustomName":"CHLORAMBUCIL ORAL 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2000","CodeVersion":"2020","CustomName":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2280","CodeVersion":"2020","CustomName":"INJECTION MOXIFLOXACIN 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4017","CodeVersion":"2020","CustomName":"NUTRITION\/DIETICIAN MIPS SPECIALTY SET"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1429","CodeVersion":"2020","CustomName":"INJECTION GOLODIRSEN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1831","CodeVersion":"2020","CustomName":"PERSONALIZED ANTERIOR&LAT INTERBODY CAGE IMPLANT"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1230","CodeVersion":"2020","CustomName":"PWR OPERATED VEH SPEC BRAND NAME & MODEL NUMBER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0048","CodeVersion":"2020","CustomName":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0691","CodeVersion":"2020","CustomName":"UV LIGHT TX SYS BULB\/LAMP TIMER; TX 2 SQ FT\/LESS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74922","CodeType":"REV","Code":"0640","CodeVersion":"2020","CustomName":"Home IV Therapy Services - General Classification"},{"ServiceGroup":"1306","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"70041","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"9947","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0319","CodeVersion":"2020","CustomName":"Laboratory Pathology - Other Laboratory Pathology"},{"ServiceGroup":"22985","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"545","CodeVersion":"2020","CustomName":"REVISION OF HIP OR KNEE REPLACEMENT"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"371","CodeVersion":"2020","CustomName":"Cesarean section without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.1","CodeVersion":"2017","CustomName":"LOW FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104741","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0703T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96103","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92196","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113145","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0106T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113714","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.13","CodeVersion":"2017","CustomName":"PARATHYROID SCAN"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2036","CodeVersion":"2020","CustomName":"THERAPEUTIC CAMPING OVERNIGHT WAIVER; EA SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6646","CodeVersion":"2020","CustomName":"UP EXT ADD SHLDR JNT MX PSTN W\/BDY\/EXT PWR SYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9099","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"77507","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2596","CodeVersion":"2020","CustomName":"PROBE IMAGE GUIDED ROBOTIC WATERJET ABLATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8695","CodeVersion":"2020","CustomName":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0030","CodeVersion":"2020","CustomName":"PT SCR TOBACCO USE RECV TOB CESS INTRV W\/IN 12MO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4346","CodeVersion":"2020","CustomName":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9282","CodeVersion":"2020","CustomName":"WIG ANY TYPE EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7297","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9600","CodeVersion":"2020","CustomName":"INJECTION PORFIMER SODIUM 75 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0139","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8477","CodeVersion":"2020","CustomName":"MOST RECENT BP SYST>=140 MM HG &\/ DIAS>=90 MM HG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2113","CodeVersion":"2020","CustomName":"PT RECV >5 MG DA PRD>6 MO & IMP\/NO CHNGE DZ ACT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8670","CodeVersion":"2020","CustomName":"PERIODIC ORTHODONTIC TREATMENT VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4258","CodeVersion":"2020","CustomName":"ENVERSE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6535","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 40-50 MMHG EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7509","CodeVersion":"2020","CustomName":"METHYLPREDNISOLONE ORAL PER 4 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0122","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; BARIUM ENEMA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0081","CodeVersion":"2020","CustomName":"INJECTION PIPERACILLIN SODIUM 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9335","CodeVersion":"2020","CustomName":"HOM TX HD; ADMIN PROF PHRM SRVC SPL&EQP PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0974","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7251","CodeVersion":"2020","CustomName":"CORONECTOMY - INTENTIONAL PARTIAL TOOTH REMOVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6199","CodeVersion":"2020","CustomName":"UNSPECIFIED IMPLANT PROCEDURE BY REPORT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4185F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75545","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"12772","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"114009","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"285","CodeVersion":"2020","CustomName":"Amputation of lower limb for endocrine, nutritional, and metabolic disorders"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"630","CodeVersion":"2020","CustomName":"NEONATE, BWT OVER 2499G, W\/O SIG OR PROC, W OTHER PROB-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78285","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98563","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3472F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92197","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"9003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0078T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4069F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0164U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0592T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0531T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9260","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0746","CodeVersion":"2020","CustomName":"ELECTROMYOGRAPHY BIOFEEDBACK DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3216","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4630","CodeVersion":"2020","CustomName":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1562","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN VIVAGLBIN 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6999","CodeVersion":"2020","CustomName":"UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9696","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2167","CodeVersion":"2020","CustomName":"RISK-ADJUSTED CHNG RS NCK IMPR SUC CALC & SC <0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5865","CodeVersion":"2020","CustomName":"OVERDENTURE - COMPLETE MANDIBULAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1120","CodeVersion":"2020","CustomName":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5706","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER KNEE DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9904","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN FOR NOT SCR TOBACCO USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2025","CodeVersion":"2020","CustomName":"ONGOING SUPPORT MAINTAIN EMPLOYMENT PER 15 MIN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4011","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2420","CodeVersion":"2020","CustomName":"GOLD FOIL - TWO SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4398","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SUPPLY; BAG EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0292","CodeVersion":"2020","CustomName":"HOSP BED VARIBL HT HI-LO W\/O SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2983","CodeVersion":"2020","CustomName":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2547","CodeVersion":"2020","CustomName":"INJECTION PERAMIVIR 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2053","CodeVersion":"2020","CustomName":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19594","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"17071","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"74933","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"028","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71667","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82115","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4178F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0424T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98102","CodeType":"CPT","Code":"20604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3278F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4256F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11193","CodeType":"ICD9P","Code":"00.66","CodeVersion":"2017","CustomName":"PERQ TRANSLUMINAL CORONARY ANGIOPLASTY PTCA"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0045U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12197","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37516","CodeType":"ICD9P","Code":"96.70","CodeVersion":"2017","CustomName":"CONT INVASIVE MECHANICAL VENT UNSP DURATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"55.69","CodeVersion":"2017","CustomName":"OTHER KIDNEY TRANSPLANTATION"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0603","CodeVersion":"2020","CustomName":"REPL BATTERY EXT INFUS PUMP ALKALINE 1.5 VOLT EA"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2041","CodeVersion":"2020","CustomName":"KTE-C19 TO 200 M A ANTI-CD19 CAR POS T CE P TD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1615","CodeVersion":"2020","CustomName":"DEIONIZER WATER PURIFICATION SYSTEM HEMODIALYSIS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0744","CodeVersion":"2020","CustomName":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2785","CodeVersion":"2020","CustomName":"INJECTION REGADENOSON 0.1 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9269","CodeVersion":"2020","CustomName":"INJECTION TAGRAXOFUSP-ERZS 10 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0248","CodeVersion":"2020","CustomName":"TRNSF BENCH HEVY DUTY TUB\/TOILET W\/WO COMMODE OP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0179","CodeVersion":"2020","CustomName":"PHYS\/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q3028","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 1 MCG SUBQ USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2208","CodeVersion":"2020","CustomName":"MIN INVAS DIR CAB SURG; 1 ART&VEN GFT 1 VEN GFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0189","CodeVersion":"2020","CustomName":"LAMBSWOOL SHEEPSKIN PAD ANY SIZE"},{"ServiceGroup":"91584","CodeType":"HCPCS","Code":"C9600","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA\/BR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7366","CodeVersion":"2020","CustomName":"BATTERY CHARGER TWELVE VOLT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1953","CodeVersion":"2020","CustomName":"INJECTION LEVETIRACETAM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7640","CodeVersion":"2020","CustomName":"MANDIBLE-CLOSED REDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1734","CodeVersion":"2020","CustomName":"ORTHOPEDIC\/DEVC\/DX MATRIX OPP BTB\/SFT TISS-TO BN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2783","CodeVersion":"2020","CustomName":"INJECTION RASBURICASE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6002","CodeVersion":"2020","CustomName":"STEREOSCOPIC X-RAY GUID LOCALIZ TRG VOL DEL RT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4344","CodeVersion":"2020","CustomName":"INDWELL CATH FOLEY TYPE TWO-WAY ALL SILCON EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0973","CodeVersion":"2020","CustomName":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3913","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOTIC W\/O JOINTS CUSTOM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9709","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR"},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10A03ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERCUTANEOUS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7634","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3204","CodeVersion":"2020","CustomName":"ORTHOPED SHOE HIGHTOP W\/SUPINATOR\/PRONATOR INFNT"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0162","CodeVersion":"2020","CustomName":"ONDANSETRON 1 MG ORL NOT EXCEED 48 HR DOSE REG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30461","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0839","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Other Outpatient Peritoneal Dialysis"},{"ServiceGroup":"15860","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"90854","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"17071","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"15634","CodeType":"REV","Code":"0900","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - General Classification"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"241","CodeVersion":"2020","CustomName":"Connective tissue disorders without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115365","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3752F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0024U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3216F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0525T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0212T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0336T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10989","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0418T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0445T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0134A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0605T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2630","CodeVersion":"2020","CustomName":"ANTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6805","CodeVersion":"2020","CustomName":"ADDITION TERMINAL DEVICE MODIFIER WRIST UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9057","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; MGMT DIFFR PT ENROLL CLIN TRIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0027","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG PREVENTION ENVIR SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2511","CodeVersion":"2020","CustomName":"SPEECH GEN SOFTWARE PROG PC\/PERS DIGITAL ASSIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9306","CodeVersion":"2020","CustomName":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM REQUIRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0360","CodeVersion":"2020","CustomName":"INJECTION HYDRALAZINE HCL UP TO 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8452","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY NOT PRESCRIBED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9800","CodeVersion":"2020","CustomName":"GALLIUM GA-68 GOZETOTIDE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5652","CodeVersion":"2020","CustomName":"ADD LW EXT SUCTN SUSP ABVE KNEE\/KNEE DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0073","CodeVersion":"2020","CustomName":"CASTER PIN LOCK EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8680","CodeVersion":"2020","CustomName":"ORTHODONTIC RETENTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1110","CodeVersion":"2020","CustomName":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9048","CodeVersion":"2020","CustomName":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5% 250 ML"},{"ServiceGroup":"47593","CodeType":"ICD10P","Code":"10D00Z1","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION LOW OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2786","CodeVersion":"2020","CustomName":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9611","CodeVersion":"2020","CustomName":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0010","CodeVersion":"2020","CustomName":"ADMINISTRATION OF HEPATITIS B VACCINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0779","CodeVersion":"2020","CustomName":"AMB INFUS PUMP MECH REUSABLE INFUS 8 HOURS\/GT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1741","CodeVersion":"2020","CustomName":"INJECTION IBUPROFEN 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1110","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS RING FLNGE MOLD PT MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2506","CodeVersion":"2020","CustomName":"INJECT PEGFILGRASTIM EXCLUDES BIOSIMILAR 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9593","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0383","CodeVersion":"2020","CustomName":"Blood and Blood Components - Plasma"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91587","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99160","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3354F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0147U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107870","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3316F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104741","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0561","CodeVersion":"2020","CustomName":"HUMDIFIR NON-HEATED USED W\/POS AIRWAY PRESS DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9808","CodeVersion":"2020","CustomName":"ANY PT HAD NO ASTHMA CONTR MED DISP DUR MSR YR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2150","CodeVersion":"2020","CustomName":"AMALGAM-TWO SURFACES PRIMARY\/PERM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1550","CodeVersion":"2020","CustomName":"BATH CONDUCTIVITY METER FOR HEMODIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0091","CodeVersion":"2020","CustomName":"GRANISETRON HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2954","CodeVersion":"2020","CustomName":"PREFABR POST&CORE ADDITION CROWN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9996","CodeVersion":"2020","CustomName":"DOCUM STATING PT REC\/OR CURR REC PALLIAT\/HOSPICE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0416","CodeVersion":"2020","CustomName":"VIRAL CULTURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2830","CodeVersion":"2020","CustomName":"ADD LW EXT ORTH SFT INTERFCE MOLD ABVE KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3410","CodeVersion":"2020","CustomName":"METATARSAL BAR WEDGE BETWEEN SOLE"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9402","CodeVersion":"2020","CustomName":"PT RECEIVED F\/U W\/I 30 DAYS AFTER DISCHARGE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6675","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6624","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD FLX\/EXT ROTATION WRIST UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0289","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1120","CodeVersion":"2020","CustomName":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2626","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC ADJUSTBLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9955","CodeVersion":"2020","CustomName":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6711","CodeVersion":"2020","CustomName":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0465","CodeVersion":"2020","CustomName":"HOME VENTILATOR ANY TYPE USED W\/INVASIVE INTF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9631","CodeVersion":"2020","CustomName":"PT SUSTAIN URETER INJ SURG\/DISC 30 DAY POST SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1001","CodeVersion":"2020","CustomName":"NURSING ASSESSMENT\/EVALUATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9401","CodeVersion":"2020","CustomName":"ANTICOAGULAT CLIN INCL ALL SERV NO LAB PER SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3540","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION SOLE FULL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7461","CodeVersion":"2020","CustomName":"REMV BEN NONODONTOGNIC TUMR >125 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2036","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLULAVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8697","CodeVersion":"2020","CustomName":"REPAIR OF ORTHODONTIC APPLIANCE - MANDIBULAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9025","CodeVersion":"2020","CustomName":"INJECTION AZACITIDINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9945","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - SOFT APPLIANCE, FULL ARCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8540","CodeVersion":"2020","CustomName":"FUNC O\/C ASMT NOT DOC PRF DOC PT NOT ELIG TM ENC"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J1569","CodeVersion":"2020","CustomName":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4067F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"2020","CodeType":"REV","Code":"0964","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (CRNA)"},{"ServiceGroup":"70939","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"22410","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"13811","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0621","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - Supplies Incident to Radiology"},{"ServiceGroup":"13928","CodeType":"REV","Code":"0931","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Half Day"},{"ServiceGroup":"33265","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"33659","CodeType":"REV","Code":"0802","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1128F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0018M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4179F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0499T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0429T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91010","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71.79","CodeVersion":"2017","CustomName":"OTHER REPAIR OF VULVA AND PERINEUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0517T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.0","CodeVersion":"2017","CustomName":"INTRA-AMNIOTIC INJECTION FOR ABORTION"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105256","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107068","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0472","CodeVersion":"2020","CustomName":"HEPATITIS C ABO SC IND HIGH RISK&OTH CVRD INDIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7297","CodeVersion":"2020","CustomName":"CORTICOTOMY-FOUR OR MORE TEETH\/TOOTH SP PER QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4178","CodeVersion":"2020","CustomName":"PARNTRAL NUTRIT SOL; AMINO ACID > 85% - HOM MIX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6675","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0251","CodeVersion":"2020","CustomName":"HOSP BED FIX HT W\/ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5244","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL CIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6694","CodeVersion":"2020","CustomName":"ADD UP EXT PROS BELW\/ABVE ELB CSTM W\/LOCK MECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9945","CodeVersion":"2020","CustomName":"PT CANCER ACUT FX\/INF REL LUMB SP\/PT HAD IDIO\/CS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8040","CodeVersion":"2020","CustomName":"TOPOGRAPHIC BRAIN MAPPING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0513","CodeVersion":"2020","CustomName":"PHRM DISPENSING FEE INHALATION RX; PER 30 DAYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8856","CodeVersion":"2020","CustomName":"REFERRAL TO PHYSICIAN OTOLOGIC EVAL PERFORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4153","CodeVersion":"2020","CustomName":"DERMAVEST AND PLURIVEST PER SQ CM"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0243","CodeVersion":"2020","CustomName":"TOILET RAIL EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6240","CodeVersion":"2020","CustomName":"PONTIC-PORCELN FUSED HI NOBLE METL"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9303","CodeVersion":"2020","CustomName":"INJECTION PANITUMUMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3900","CodeVersion":"2020","CustomName":"SURFACE ELECTROMYOGRAPHY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9313","CodeVersion":"2020","CustomName":"AMC NOT PRESC 1ST LINE ANTIBIOTIC TM DX DOC RSN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5654","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0132","CodeVersion":"2020","CustomName":"INJECTION GANIRELIX ACETATE 250 MCG"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0642","CodeVersion":"2020","CustomName":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2278","CodeVersion":"2020","CustomName":"INJECTION ZICONOTIDE 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6213","CodeVersion":"2020","CustomName":"FOAM DRESS >16 SQ BUT <\/= 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4290","CodeVersion":"2020","CustomName":"SACRAL NERVE STIMULATION TEST LEAD EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8330","CodeVersion":"2020","CustomName":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9357","CodeVersion":"2020","CustomName":"POST-PARTUM SCREENINGS EVAL EDUCATION PERFORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5321","CodeVersion":"2020","CustomName":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0255","CodeVersion":"2020","CustomName":"HOS BED VARIBL HT W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8930","CodeVersion":"2020","CustomName":"TTE CMPL DUR REST & CVST W\/I&R W\/PHYS SUP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2388","CodeVersion":"2020","CustomName":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4410","CodeVersion":"2020","CustomName":"OST SKN BARR EXT W\/O BUILT-IN CONVXITY>4X4 IN EA"},{"ServiceGroup":"88270","CodeType":"HCPCS","Code":"C1814","CodeVersion":"2020","CustomName":"RETINAL TAMPONADE DEVICE SILICONE OIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9097","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA; T4 ANY N M0 NO PROGRESSN"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"14006","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"38607","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"653","CodeVersion":"2020","CustomName":"Major Bladder Procedures with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0179T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41406","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80617","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107321","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88600","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5285","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM DIR AUDIO INPUT RECV"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9273","CodeVersion":"2020","CustomName":"INJECTION, TISOTUMAB VEDOTIN-TFTV, 1 MG"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10A03ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERCUTANEOUS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1235","CodeVersion":"2020","CustomName":"WHLCHAIR PED SIZE RIGD ADJUSTBL W\/SEATING SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6712","CodeVersion":"2020","CustomName":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9414","CodeVersion":"2020","CustomName":"PT HAD 1 DOSE MC VAC ON\/BETWN PT 11TH & 13TH BD"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6025","CodeVersion":"2020","CustomName":"GEL SHEET FOR DERMAL\/EPIDERMAL APPLICATION EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2635","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRND PALLADIUM-103 >2.2 MCI PER SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8670","CodeVersion":"2020","CustomName":"PERIODIC ORTHODONTIC TREATMENT VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9519","CodeVersion":"2020","CustomName":"PT FINAL REFR +\/- 1.0 D REFR W\/I 90 DAYS SURG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0133","CodeVersion":"2020","CustomName":"INJECTION ACYCLOVIR 5 MG"},{"ServiceGroup":"112581","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0810","CodeVersion":"2020","CustomName":"PHOTOREFRACTIVE KERATECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2310","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1170","CodeVersion":"2020","CustomName":"INJECTION HYDROMORPHONE UP TO 4 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2350","CodeVersion":"2020","CustomName":"INJECTION OCRELIZUMAB 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9295","CodeVersion":"2020","CustomName":"INJECTION NECITUMUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7186","CodeVersion":"2020","CustomName":"ELEC ELB CHILD VRITY VILLAGE\/EQUAL SWITCH CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0470","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR POST FRME&ANT APRON W\/STRAP PRFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4030","CodeVersion":"2020","CustomName":"REPLACE QUADRILATERAL SOCKET BRIM CUSTOM FITTED"},{"ServiceGroup":"12045","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9095","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4315","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH2-WAY ALL SILCON"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0121","CodeVersion":"2020","CustomName":"INJECTION OMADACYCLINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0880","CodeVersion":"2020","CustomName":"TRACTION STAND FREE STANDING EXTREMITY TRACTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0640","CodeVersion":"2020","CustomName":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS\/ACCESS"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7526","CodeVersion":"2020","CustomName":"TRACHEOSTOMY TUBE COLLAR\/HOLDER EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9017","CodeVersion":"2020","CustomName":"INJECTION ARSENIC TRIOXIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"80988","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"58432","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"167","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"472","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"31771","CodeType":"DRG","Code":"419","CodeVersion":"2020","CustomName":"Fever of unknown origin, age greater than 17, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40403","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93011","CodeType":"CPT","Code":"64530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3342F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98576","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0053U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8670","CodeVersion":"2020","CustomName":"ROLAPITANT ORAL 1 MG"},{"ServiceGroup":"11790","CodeType":"HCPCS","Code":"S9503","CodeVersion":"2020","CustomName":"HIT ANTIBIOTC ANTIVIRAL\/ANTIFUNGAL; Q6 HRS; DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9395","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC >9 DID NOT ACHV REMISSION 12 MO"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4214","CodeVersion":"2020","CustomName":"CELLESTA CORD PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0148","CodeVersion":"2020","CustomName":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6605","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9260","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 50 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0496","CodeVersion":"2020","CustomName":"BATTERY NOT LITHIUM-ION ELEC\/PNEUMAT VAD REPL"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6055","CodeVersion":"2020","CustomName":"DENTAL IMPLANT SUPP CONNECTING BAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1437","CodeVersion":"2020","CustomName":"INJECTION FERRIC DERISOMALTOSE 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9370","CodeVersion":"2020","CustomName":"VINCRISTINE SULFATE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2690","CodeVersion":"2020","CustomName":"INJECTION PROCAINAMIDE HCL UP TO 1 GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0601","CodeVersion":"2020","CustomName":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA"},{"ServiceGroup":"118","CodeType":"ICD10P","Code":"5A1955Z","CodeVersion":"2020","CustomName":"RESPIRATORY VENTILATION > 96 CONSECUTIVE HOURS"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3092F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9757","CodeVersion":"2020","CustomName":"LAMINOTOMY DECOMP NERVE ROOT; 1 INTERSPACE LUMB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4617","CodeVersion":"2020","CustomName":"MOUTHPIECE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0090","CodeVersion":"2020","CustomName":"PROF INI V ADM IV CT\/OTH HH COP INFS RX H EA 15M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5145","CodeVersion":"2020","CustomName":"FOSTER CARE THERAPEUTIC CHILD; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6080","CodeVersion":"2020","CustomName":"IMPL MAINT PROC REMV REINSRT CLEAN PROSTH & ABUT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2397","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0145","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG SCR AUTO&MNL RSCR PHYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7912","CodeVersion":"2020","CustomName":"COMPLICATED SUTURE > 5 CM"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"25346","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0813","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unknown Donor"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"30625","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"74381","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62098","CodeType":"CPT","Code":"99507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3950","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"ICD9P","Code":"74.4","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF OTHER SPECIFIED TYPE"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0320U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0134U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81564","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37594","CodeType":"ICD9P","Code":"00.93","CodeVersion":"2017","CustomName":"TRANSPLANT FROM CADAVER"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14514","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97461","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38704","CodeType":"ICD10P","Code":"4A020N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8911","CodeVersion":"2020","CustomName":"MR ANGIO WITHOUT CONTRST FOLLOWED W\/CONTRST CHST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4247","CodeVersion":"2020","CustomName":"AMNIOTEXT PATCH PER SQ CM"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1027","CodeVersion":"2020","CustomName":"ORAL DEV\/APPL RED U AW COL WO F MCH HNG CSTM FAB"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0174","CodeVersion":"2020","CustomName":"THIETHYLPERAZINE MALEATE 10 MG ORL NOT>48HR DOSE"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9879","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF MO 10-12 UND MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2293","CodeVersion":"2020","CustomName":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6203","CodeVersion":"2020","CustomName":"COMPOS DRESS STERL PAD 16 SQ\/< W\/ADHES BORDR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9103","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2196","CodeVersion":"2020","CustomName":"PT IDENT AS UH ALC USR WHEN SCR FOR UH ALC USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2214","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6629","CodeVersion":"2020","CustomName":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0168","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88978","CodeType":"ICD10P","Code":"10D07Z5","CodeVersion":"2020","CustomName":"EXTRACTION POC HIGH FORCEPS NATURAL\/ART OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2025","CodeVersion":"2020","CustomName":"DELUXE FRAME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4192","CodeVersion":"2020","CustomName":"RESTORIGIN 1 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9058","CodeVersion":"2020","CustomName":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT"},{"ServiceGroup":"112912","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1818","CodeVersion":"2020","CustomName":"INTEGRATED KERATOPROSTHESIS"},{"ServiceGroup":"103302","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9990","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL NOT ADM ON\/AFT 60TH &B4 ED MEAS NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4027","CodeVersion":"2020","CustomName":"PLASTIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9050","CodeVersion":"2020","CustomName":"INJECTION CARMUSTINE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2113","CodeVersion":"2020","CustomName":"PT RECV >5 MG DA PRD>6 MO & IMP\/NO CHNGE DZ ACT"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4423","CodeVersion":"2020","CustomName":"OST POUCH CLOS; BARRIER W\/LOCK FLNGE W\/FLTR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9273","CodeVersion":"2020","CustomName":"COLD\/HOT FL BTL ICE CAP\/C HEAT &\/ COLD WRAP ANY"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"80260","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"58519","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93016","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"88.58","CodeVersion":"2017","CustomName":"NEGATIVE-CONTRAST CARDIAC ROENTGENOGRAPHY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0705T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0224T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0699T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"C1713","CodeVersion":"2020","CustomName":"ANCHOR\/SCREW OPPOSING BN-TO-BN\/SOFT TISSUE-TO-BN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0137","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1675","CodeVersion":"2020","CustomName":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2115","CodeVersion":"2020","CustomName":"PT 66-80 Y CLM FRLTY & DISP MED DEMENT MP\/YR MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2032","CodeVersion":"2020","CustomName":"ACTIVITY THERAPY PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5999","CodeVersion":"2020","CustomName":"UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3000","CodeVersion":"2020","CustomName":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9994","CodeVersion":"2020","CustomName":"LODGNG COSTS CLINICAL TRIAL PRTCP&ONE CAREGIVR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9462","CodeVersion":"2020","CustomName":"MEDCR_RVU"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9133","CodeVersion":"2020","CustomName":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS\/M1"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9906","CodeVersion":"2020","CustomName":"PT ID TOBAC USER RECV TOB CESSATION INTERVENTION"},{"ServiceGroup":"70241","CodeType":"HCPCS","Code":"C2642","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED CESIUM-131 PER SOURCE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4237","CodeVersion":"2020","CustomName":"CRYO-CORD PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0111","CodeVersion":"2020","CustomName":"CRTCH FORARM VARIOUS MATL EA W\/TIP&HNDGRIP"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8698","CodeVersion":"2020","CustomName":"MISC COMP SPL\/ACCESS FOR USE WITH TOT AH SYSTEM"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"56483","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"69747","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"33625","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"3458","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"294","CodeVersion":"2020","CustomName":"Diabetes, age greater than 35"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"585","CodeVersion":"2020","CustomName":"MAJ STOMACH, ESOP, DUOD, SMALL \"&\" LRG BOWEL PROC W MAJOR CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103646","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101522","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.66","CodeVersion":"2017","CustomName":"OSTEOPATHIC MANIPULATIVE TX MOVE TISSUE FLUIDS"},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.0","CodeVersion":"2017","CustomName":"LOW FORCEPS OPERATION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1461F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98406","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0483T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12906","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1110","CodeVersion":"2020","CustomName":"ONGOING CARE NOT POSSIB BECAUS PT SELF-D\/C EARLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8427","CodeVersion":"2020","CustomName":"ELIG CLIN ATTSTS DOC M REC OBTD UPD\/REV PT MEDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1020","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5106","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8655","CodeVersion":"2020","CustomName":"NETUPITANT 300 MG & PALONOSETRON 0.5 MG ORAL"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8680","CodeVersion":"2020","CustomName":"ORTHODONTIC RETENTION"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9101","CodeVersion":"2020","CustomName":"INJECTION OLICERIDINE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7045","CodeVersion":"2020","CustomName":"ELEC HOOK SWITCH\/MYOELECTRIC CONTOL PEDIATRIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9272","CodeVersion":"2020","CustomName":"INJECTION, DOSTARLIMAB-GXLY 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9011","CodeVersion":"2020","CustomName":"BLOOD SPLIT UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2208","CodeVersion":"2020","CustomName":"MIN INVAS DIR CAB SURG; 1 ART&VEN GFT 1 VEN GFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5513","CodeVersion":"2020","CustomName":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9295","CodeVersion":"2020","CustomName":"INJECTION NECITUMUMAB 1 MG"},{"ServiceGroup":"44303","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9250","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2616","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED YTTRIUM-90 PER SOURCE"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0238","CodeVersion":"2020","CustomName":"TX PROC IMPRV RESP FUNCT NOT G0237 FCE-FCE 15MIN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7040","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION STERILE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5974","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK\/FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1951","CodeVersion":"2020","CustomName":"ANK FT ORTHOS SPIRAL PLSTC\/OTH MATL PRFAB W\/FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0044","CodeVersion":"2020","CustomName":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5422","CodeVersion":"2020","CustomName":"ADJUST PARTIAL DENTURE - MANDIBULAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9847","CodeVersion":"2020","CustomName":"PATIENT RECVD CHEMOTHERAPY LAST 14 DAYS OF LIFE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1014","CodeVersion":"2020","CustomName":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5859","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KN-SHIN PROG FLX\/EXT ANY MOTOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1117","CodeVersion":"2020","CustomName":"DOC STATING PT DX DEGEN NEURO COND DX TIME EOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1354","CodeVersion":"2020","CustomName":"O2 ACCESS WHEELED CART PRTBLE CYL\/CONC REPL EA"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8515","CodeVersion":"2020","CustomName":"GELATIN CAP APPLIC DEVC TRACHOESOPH VOICE PROSTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1840","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1650","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL STAT ADJ PRFAB-FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0085","CodeVersion":"2020","CustomName":"CHEMOTHAPY ADMN BOTH INFUS TECH&OTH TECHIQUE-VST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0429","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7168","CodeVersion":"2020","CustomName":"PRT COMPLEX CONC KCENTRA PER IU FIX ACT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0231","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - Nursery"},{"ServiceGroup":"16069","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0386","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood Components"},{"ServiceGroup":"3987","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"6","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"9506","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"897","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy without MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"253","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of upper arm and lower leg, except foot, age greater than 17, with CC"},{"ServiceGroup":"38980","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"053","CodeVersion":"2020","CustomName":"Sinus and mastoid procedures, age greater than 17"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.5","CodeVersion":"2017","CustomName":"MANUALLY ASSISTED DELIVERY"},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93725","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99149","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93721","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106536","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0087U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0581T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4240F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0288U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.95","CodeVersion":"2017","CustomName":"HEMODIALYSIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4387","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED W\/BARR BUILT-IN CONVEXITY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7506","CodeVersion":"2020","CustomName":"ADHES DISC EXCHG SYS &\/ W\/TRACHEOSTOMA VALV EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9991","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VC ADM ON\/AFTR 60TH BD &B4 END MEAS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4158","CodeVersion":"2020","CustomName":"KERECIS OMEGA3 PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6123","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN METAL FPD - TIT & TIT ALY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2580","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0003","CodeVersion":"2020","CustomName":"ALCOHL &\/ RX SCR; LAB ANALY PRESENC ALCOHL &\/ RX"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3304","CodeVersion":"2020","CustomName":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9540","CodeVersion":"2020","CustomName":"PATIENT ALIVE 3 MONTHS POST PROCEDURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8843","CodeVersion":"2020","CustomName":"DOC REASON NOT MEASURING AHI\/RDI TIME INIT DX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0708","CodeVersion":"2020","CustomName":"INTRAORAL - BITEWING RAD IMG - IMG CAPTURE ONLY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0164","CodeVersion":"2020","CustomName":"INJECTION PANTOPRAZOLE SODIUM 40 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9342","CodeVersion":"2020","CustomName":"HOME TX; ENTERAL NUTRITION VIA PUMP; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1020","CodeVersion":"2020","CustomName":"PT 12-17 Y MD\/DYSTH NO REM 12 M PHQ-9\/9M NA\/>\/=5"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4635","CodeVersion":"2020","CustomName":"UNDERARM PAD CRUTCH REPLACEMENT EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7321","CodeVersion":"2020","CustomName":"ALVEOLOPLSTY NOT W\/XTRCT 1-3 TEETH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4260","CodeVersion":"2020","CustomName":"OSSEOUS SURG 4\/> CONTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2400","CodeVersion":"2020","CustomName":"INJECTION CHLOROPROCAINE HCL PER 30 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4245","CodeVersion":"2020","CustomName":"ALCOHOL WIPES PER BOX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7620","CodeVersion":"2020","CustomName":"ALBUTEROL TO 2.5 MG & IPRATROPIUM BROM TO 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0612","CodeVersion":"2020","CustomName":"ANNUAL GYNECOLOGICAL EXAMINATION EST PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1114","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C EARL DT ME DOC MED REC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1280","CodeVersion":"2020","CustomName":"ADDITION TO TLSO RIB GUSSET EACH"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1755","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS CUSTOM FABRICATED"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"14230","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113854","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104760","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0027U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104743","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27343","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.16","CodeVersion":"2017","CustomName":"DOUBLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0256T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0316T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0213T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0678T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0318U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106708","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2310","CodeVersion":"2020","CustomName":"INJECTION NALOXONE HCL PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0390","CodeVersion":"2020","CustomName":"ROUTINE FOOT CARE; PER VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4555","CodeVersion":"2020","CustomName":"ELECTRD\/TRANSDUCR E-STIM DVC USED CA TX RPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0260","CodeVersion":"2020","CustomName":"HISTORY AND PHYSICAL RELATED TO SURGICAL PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0231","CodeVersion":"2020","CustomName":"NON-CNTC WND WARMING DEVC W\/WARMING CARD&COVR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6073","CodeVersion":"2020","CustomName":"ABUT RETN CAST METL FPD BASE METL"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3740","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/CUFF ADJ LOCK W\/ACTV CNTRL CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6096","CodeVersion":"2020","CustomName":"REMOVE BROKEN IMPLANT RETAINING SCREW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9149","CodeVersion":"2020","CustomName":"NATIONAL COMMITTEE QA LEVEL 2 MEDICAL HOME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0956","CodeVersion":"2020","CustomName":"WC ACSS LAT TRNK\/HIP SUPP FIX MOUNT HARDWARE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4151","CodeVersion":"2020","CustomName":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5611","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W\/FRICT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4283","CodeVersion":"2020","CustomName":"AUTOGENOUS CONNECTIVE TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2141","CodeVersion":"2020","CustomName":"LEG PAIN MEAS VAS 3 MNT PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5640","CodeVersion":"2020","CustomName":"REPLACE BROKEN TEETH - PER TOOTH"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6536","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 18-30 MMHG EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0480","CodeVersion":"2020","CustomName":"DRIVER FOR USE WITH PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5131","CodeVersion":"2020","CustomName":"APPLINC CLNR INCONT&OSTOMY APPLINCS PER 16 OZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6246","CodeVersion":"2020","CustomName":"HYDROGEL DRESS > 16 SQ BUT <\/= 48 SQ W\/ADHES EA"},{"ServiceGroup":"9526","CodeType":"REV","Code":"0889","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Other Miscellaneous Dialysis"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"13127","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"46109","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"9529","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"11606","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"12804","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"84721","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"3157","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0960","CodeVersion":"2020","CustomName":"Professional Fees - General Classification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"556","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH NON-DRUG ELUTING STENT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"006","CodeVersion":"2020","CustomName":"Carpal tunnel release"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.82","CodeVersion":"2017","CustomName":"EDUCATIONAL THERAPY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0587T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101281","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6970","CodeVersion":"2020","CustomName":"INTERSCAP-THOR OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2199","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED SINGLE VISION LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2615","CodeVersion":"2020","CustomName":"TELESCOPIC & OTH COMPOUND LENS SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7643","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5246","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2080","CodeVersion":"2020","CustomName":"EA ADD 30 MIN CNSL WK MED ASSISTED TREATMENT;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7504","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0244","CodeVersion":"2020","CustomName":"IV INF\/SUBQ INJ CASIRIVIMAB & IMDEVIMAB H\/RES;"},{"ServiceGroup":"106602","CodeType":"HCPCS","Code":"V5259","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1010","CodeVersion":"2020","CustomName":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3930","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOSIS 1\/> NONTORSION JOINT PREFAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9055","CodeVersion":"2020","CustomName":"INJECTION CETUXIMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7314","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL 0.01 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5822","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0244","CodeVersion":"2020","CustomName":"IV INF\/SUBQ INJ CASIRIVIMAB & IMDEVIMAB H\/RES;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1041","CodeVersion":"2020","CustomName":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2794","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7169","CodeVersion":"2020","CustomName":"INJ COAGULATION FACTOR XA INACTIVATED-ZHZO 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2183","CodeVersion":"2020","CustomName":"DOCUMENTATION PT UNABLE TO COM & INF NOT AVAIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0393","CodeVersion":"2020","CustomName":"TREATMENT SIMULATION USING 3D IMAGE VOLUME"},{"ServiceGroup":"113550","CodeType":"HCPCS","Code":"U0002","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/2019-NCOV"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"85.32","CodeVersion":"2017","CustomName":"BILATERAL REDUCTION MAMMOPLASTY"},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2508","CodeVersion":"2020","CustomName":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL & CNTCT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9935","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV PART DENTUR MANDIBULR"},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10T24ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC PC ENDO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2721","CodeVersion":"2020","CustomName":"CROWN - RESIN W\/PREDOM BASE METAL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9227","CodeVersion":"2020","CustomName":"INJECTION ISATUXIMAB-IRFC 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2784","CodeVersion":"2020","CustomName":"LENS POLYCARBONATE OR EQUAL ANY INDEX PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2950","CodeVersion":"2020","CustomName":"CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1569","CodeVersion":"2020","CustomName":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8040","CodeVersion":"2020","CustomName":"TOPOGRAPHIC BRAIN MAPPING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9900","CodeVersion":"2020","CustomName":"DME SUP\/ACCESS\/SRV-COMPON\/OTH HCPCS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0187","CodeVersion":"2020","CustomName":"WATER PRESSURE MATTRESS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1631","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL DECANOATE PER 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8530","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE ORAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2520","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC SPHERICAL PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3904","CodeVersion":"2020","CustomName":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2106","CodeVersion":"2020","CustomName":"AFO FX ORTHOS TIB FX CAST THERMOPLSTC CSTM"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0852","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"3212","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"61818","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"29930","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"73462","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"68193","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0975","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OPERATING ROOM"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"485","CodeVersion":"2020","CustomName":"Limb reattachment, hip and femur procedure, for multiple significant trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"844","CodeVersion":"2020","CustomName":"Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"869","CodeVersion":"2020","CustomName":"Other Infectious and Parasitic Diseases Diagnoses without CC\/MCC"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"55194","CodeType":"DRG","Code":"258","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"483","CodeVersion":"2020","CustomName":"Tracheostomy with mechanical ventillation 96 or more hours or principal diagnosis except face, mouth and neck"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"29127","CodeType":"DRG","Code":"265","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement except for skin ulcer or cellulitis with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3342F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4043F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69700","CodeType":"ICD9P","Code":"86.97","CodeVersion":"2017","CustomName":"INSRT\/REPL 1 ARRAY RECHRGABLE NEUROSTIM GEN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.76","CodeVersion":"2017","CustomName":"LAPAROSCOPIC SALPINGO-OOPHOROPLASTY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0253T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1461F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.3","CodeVersion":"2017","CustomName":"OTHER HEART REVASCULARIZATION"},{"ServiceGroup":"91006","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0222U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94682","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0674T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107183","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0165T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62259","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79758","CodeType":"CPT","Code":"00100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10407","CodeType":"CPT","Code":"99602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7401","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2560","CodeVersion":"2020","CustomName":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2212","CodeVersion":"2020","CustomName":"INJECTION METHYLNALTREXONE 0.1 MG"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4199","CodeVersion":"2020","CustomName":"CYGNUS MATRIX PER SQ CM"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0740","CodeVersion":"2020","CustomName":"INJECTION CIDOFOVIR 375 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0630","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1500","CodeVersion":"2020","CustomName":"CENTRIFUGE FOR DIALYSIS"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4521","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER SM EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0640","CodeVersion":"2020","CustomName":"PATIENT LIFT FIX SYS INCLUDES ALL CMPNTS\/ACCESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9058","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1442","CodeVersion":"2020","CustomName":"INJECTION FILGRASTIM EXCLUDES BIOSIMILARS 1 MIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9808","CodeVersion":"2020","CustomName":"ANY PT HAD NO ASTHMA CONTR MED DISP DUR MSR YR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9610","CodeVersion":"2020","CustomName":"THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7854","CodeVersion":"2020","CustomName":"SYNOVECTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4928","CodeVersion":"2020","CustomName":"SURGICAL MASK PER 20"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6007","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:TO 5 MEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8510","CodeVersion":"2020","CustomName":"BUSULFAN ORAL 2 MG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1140","CodeVersion":"2020","CustomName":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6403","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 16 <\/= 48 SQ W\/O ADHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1778","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9791","CodeVersion":"2020","CustomName":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0175","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1329","CodeVersion":"2020","CustomName":"VERSAPOINT DISP ELECTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1932","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5274","CodeVersion":"2020","CustomName":"ASSISTIVE LEARNING DEVICE NOS"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7196","CodeVersion":"2020","CustomName":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U."},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0562","CodeVersion":"2020","CustomName":"HUMDIFIR HEATED USED W\/POS ARWAY PRESSURE DEVICE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7613","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL NON-CP PROD THRU DME U DOSE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9997","CodeVersion":"2020","CustomName":"DOCUM PT PREG DUR MEAS PER PRIOR TO&INCL CUR ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0433","CodeVersion":"2020","CustomName":"INF ANTIBODY ELISA TECH ANTIBODY HIV-1\/HIV-2 SCR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4008","CodeVersion":"2020","CustomName":"GERIATRICS MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6920","CodeVersion":"2020","CustomName":"CONNECTOR BAR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90378","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106488","CodeType":"CPT","Code":"00320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2550","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THIGH\/WEIGHT BEAR HIGH ROLL CUFF"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3933","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1019","CodeVersion":"2020","CustomName":"REPLACEMNT SUP & ACC EXT UL TREMOR STIM PN WRIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0430","CodeVersion":"2020","CustomName":"AMB SERVICE CONVNTION AIR SRVC TRANSPORT 1 WAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0083","CodeVersion":"2020","CustomName":"MODERATE CARE MANAGEMENT HOME VISIT FOR EXIST PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5120","CodeVersion":"2020","CustomName":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1140","CodeVersion":"2020","CustomName":"WHLCHAIR; DTACHBLE ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1032","CodeVersion":"2020","CustomName":"NONPNEU SEQUENTIAL COMPRESSION GARMENT FULL LEG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2100","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7352","CodeVersion":"2020","CustomName":"AFAMELANOTIDE IMPLANT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8424","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE READY MADE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9986","CodeVersion":"2020","CustomName":"NOT MEDICALLY NECESSARY SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8600","CodeVersion":"2020","CustomName":"MELPHALAN ORAL 2 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4042","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3245","CodeVersion":"2020","CustomName":"INJECTION TILDRAKIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2800","CodeVersion":"2020","CustomName":"INJECTION METHOCARBAMOL UP TO 10 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0006","CodeVersion":"2020","CustomName":"HEAVY-DUTY WHEELCHAIR"},{"ServiceGroup":"58433","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"9506","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"693","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - EVALUATION"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"31101","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"75493","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"870","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - General Classification"},{"ServiceGroup":"33828","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"30546","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"472","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"509","CodeVersion":"2020","CustomName":"Full thickness burn without skin graft or inhalation injury without CC or significant trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"154","CodeVersion":"2020","CustomName":"Stomach, esophageal, and duodenal procedures, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"607","CodeVersion":"2020","CustomName":"NEONATE, BWT 1000-1499G, W\/O SIGNIF OR PROC, DISCH ALIVE-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4169F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98525","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107639","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4172F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"16035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98103","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106880","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3758F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105761","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3388F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35734","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3390F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0194U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0313U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0430T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0612T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0207T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0112U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0227U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91891","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0289T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.4","CodeVersion":"2017","CustomName":"REVISION OF VASCULAR PROCEDURE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15324","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4240","CodeVersion":"2020","CustomName":"GINGL FLP PROC 4\/> CONTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7685","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7810","CodeVersion":"2020","CustomName":"OPEN REDUCTION OF DISLOCATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5227","CodeVersion":"2020","CustomName":"IMMEDIATE MAXILLARY PARTIAL DENTURE - FLEX BASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9086","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0891","CodeVersion":"2020","CustomName":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO &=125 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1833","CodeVersion":"2020","CustomName":"INJECTION ISAVUCONAZONIUM 1 MG"},{"ServiceGroup":"68662","CodeType":"HCPCS","Code":"J1650","CodeVersion":"2020","CustomName":"INJECTION ENOXAPARIN SODIUM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4187","CodeVersion":"2020","CustomName":"OMEGAVEN 10 G LIPIDS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5692","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2623","CodeVersion":"2020","CustomName":"CATHETER TRNSLUM ANGPLASTY DRUG-COATED NON-LASER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7230","CodeVersion":"2020","CustomName":"REMOVAL IMPACT TOOTH - PARTLY BONY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0070","CodeVersion":"2020","CustomName":"REAR WHL ASM COMP PNEUM TIRE SPKS\/MLD RPL ONLY E"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7606","CodeVersion":"2020","CustomName":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5810","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9107","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0310","CodeVersion":"2020","CustomName":"HOSPITALIST SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0396","CodeVersion":"2020","CustomName":"ALS SPCLIZED SERVICE DISPBL SPL; ESOPH INTUBAT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6580","CodeVersion":"2020","CustomName":"PREP WRST DISRTC\/BELW ELB 1 WALL PLSTC SCKT MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2962","CodeVersion":"2020","CustomName":"LABIAL VENEER PORCELAIN LAMINATE - INDIRECT"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2098","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6098","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETN - PORC FU TO PDMT BASE ALLOYS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4151","CodeVersion":"2020","CustomName":"AMNIOBAND OR GUARDIAN PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6015","CodeVersion":"2020","CustomName":"INTENSITY MODULATED TX DEL 1\/MX FLDS PER TX SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0316","CodeVersion":"2020","CustomName":"SFTY ENCLOS FRME\/CANOPY USE W\/HOSP BED ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0446","CodeVersion":"2020","CustomName":"TOPICAL OXYGEN DELIVERY SYSTEM NOS INCL SUPPLIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2270","CodeVersion":"2020","CustomName":"ADD LW EXT VARUS\/VALGUS CORR STRAP PAD\/LINE PAD"},{"ServiceGroup":"106715","CodeType":"HCPCS","Code":"S2117","CodeVersion":"2020","CustomName":"ARTHROEREISIS SUBTALAR"},{"ServiceGroup":"65421","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9766","CodeVersion":"2020","CustomName":"PT TRNS FRM 1 INST TO ANR KN DX CVA EVAR STR TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1818","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH FOREARM DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0037","CodeVersion":"2020","CustomName":"COMMUNITY PSYC SUPPORTIVE TX PROGM PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3250","CodeVersion":"2020","CustomName":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9005","CodeVersion":"2020","CustomName":"ADMINISTRATION FEE CHARGE BY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0999","CodeVersion":"2020","CustomName":"UNLISTED AMBULANCE SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5714","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9242","CodeVersion":"2020","CustomName":"DOC VIRAL LOAD =\/> 200 COPIES\/ML\/VL NOT PRFRM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4274","CodeVersion":"2020","CustomName":"MESIAL\/DISTAL WEDGE PROCEDURE SINGLE TOOTH"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3920","CodeVersion":"2020","CustomName":"HEMISECTION NOT INCL RC THERAPY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3591","CodeVersion":"2020","CustomName":"UNCLASS RX\/BIOLOGICAL USED FOR ESRD ON DIALYSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0147","CodeVersion":"2020","CustomName":"WALKER HEAVY DUTY MX BRAKE SYS VARIBLE WHL RSIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8693","CodeVersion":"2020","CustomName":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1430","CodeVersion":"2020","CustomName":"INJECTION ETHANOLAMINE OLEATE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0011","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG IP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9989","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN NOT ADMINIS PNEUMOCOCCAL VACCINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4026","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7858","CodeVersion":"2020","CustomName":"JOINT RECONSTRUCTION"},{"ServiceGroup":"104041","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0190","CodeVersion":"2020","CustomName":"CERV MX POST COLLR OCCIP\/MAND SUPP ADJ CERV BARS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4167F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0455","CodeVersion":"2020","CustomName":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0412","CodeVersion":"2020","CustomName":"OPN TX ILIAC SPINE TUBEROSITY AVUL\/ILIAC WING FX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4929","CodeVersion":"2020","CustomName":"TOURNIQUET FOR DIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0046","CodeVersion":"2020","CustomName":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0121","CodeVersion":"2020","CustomName":"INJECTION OMADACYCLINE 1 MG"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1171","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; FIX FULL ARMS W\/O FOOT\/LEGREST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7683","CodeVersion":"2020","CustomName":"TRIAMCINOLONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1335","CodeVersion":"2020","CustomName":"INJECTION ERTAPENEM SODIUM 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1701","CodeVersion":"2020","CustomName":"REPL CUSHNS JAW MOTION REHAB SYSTEM PKG SIX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1026","CodeVersion":"2020","CustomName":"NUM ADULT MO DEN HD CATH 3NONTORSION JNT PRFAB CSTM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1445","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE SOL 0.1 MG IRON"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6013","CodeVersion":"2020","CustomName":"SURGICAL PLACEMENT OF MINI IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9899","CodeVersion":"2020","CustomName":"IMPL PROS DEVC PAYBLE IP WHO DO NOT HAVE IP COV"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8694","CodeVersion":"2020","CustomName":"AUD OSSEOINTEG DEVC TRANSDUCER\/ACTR REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9043","CodeVersion":"2020","CustomName":"INJECTION CABAZITAXEL 1 MG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3520","CodeVersion":"2020","CustomName":"EDETATE DISODIUM PER 150 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9751","CodeVersion":"2020","CustomName":"BRONCHOSCOPY RIGID\/FLEXIBLE TRANSBRON ABL LESION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2348","CodeVersion":"2020","CustomName":"DECOMP PERQ INTERVERT DISC RF ENERGY 1\/MX LUMB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9992","CodeVersion":"2020","CustomName":"PALLIATIVE CARE SVC USD PT ANY TIME DUR MEAS PER"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4349","CodeVersion":"2020","CustomName":"MALE EXTERNAL CATHETER W\/WO ADHES DISPOSABLE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0220","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4241","CodeVersion":"2020","CustomName":"POLYCYTE FOR TOPICAL USE ONLY PER 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4467","CodeVersion":"2020","CustomName":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7510","CodeVersion":"2020","CustomName":"PREDNISOLONE ORAL PER 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1270","CodeVersion":"2020","CustomName":"INJECTION DOXERCALCIFEROL 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9364","CodeVersion":"2020","CustomName":"SINUSITIS CAUSED BY\/PRES CAUSED BY BACTERIAL INF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1763","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE NON-HUMAN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0517","CodeVersion":"2020","CustomName":"INJECTION BENRALIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2173","CodeVersion":"2020","CustomName":"URI EP PT COMORBID COND DUR 12 MO PRI\/ON EP DATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2010","CodeVersion":"2020","CustomName":"PASRR LEVL I IDENTIFICATION SCREEN PER SCREEN"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6590","CodeVersion":"2020","CustomName":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4222","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SUPPLY KIT; HOME MIX PER DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0855","CodeVersion":"2020","CustomName":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB\/>"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9331","CodeVersion":"2020","CustomName":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6604","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST PDMT BASE METAL 2 SURFACES"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"16036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3390F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24345","CodeType":"CPT","Code":"99503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8417","CodeVersion":"2020","CustomName":"BMI DOC ABOVE NORMAL PARAM & F\/U PLAN DOCUMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2020","CodeVersion":"2020","CustomName":"FRAMES PURCHASES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0174","CodeVersion":"2020","CustomName":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3305","CodeVersion":"2020","CustomName":"INJECTION TRIMETREXATE GLUCORONATE PER 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0028","CodeVersion":"2020","CustomName":"INJECTION FAMOTIDINE 20 MG"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8627","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR COMPONENT REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0100","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION; TAXI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0489","CodeVersion":"2020","CustomName":"POWER PACK BASE FOR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5115","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG"},{"ServiceGroup":"30031","CodeType":"ICD10P","Code":"4A020N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSUR LT HEART OP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9706","CodeVersion":"2020","CustomName":"LOW RISK OF RECURRENCE PROSTATE CANCER"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8415","CodeVersion":"2020","CustomName":"FOOTWEAR EVALUATION WAS NOT PERFORMED"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6243","CodeVersion":"2020","CustomName":"HYDROGEL DRESS >16 SQ BUT <\/= 48 SQ W\/O ADHES EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4150","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITIONALLY CMPL W\/INTACT NUTRIENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0743","CodeVersion":"2020","CustomName":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG"},{"ServiceGroup":"3208","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"33832","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"113580","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"113846","CodeType":"REV","Code":"0651","CodeVersion":"2020","CustomName":"Hospice Service - Routine Home Care"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"100983","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"88432","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0637","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Self-Administrable Drugs"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"51276","CodeType":"DRG","Code":"002","CodeVersion":"2020","CustomName":"Craniotomy, age greater than 17 without CC"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"010","CodeVersion":"2020","CustomName":"Nervous system neoplasms with CC"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"88.57","CodeVersion":"2017","CustomName":"OTHER AND UNSPECIFIED CORONARY ARTERIOGRAPHY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88144","CodeType":"CPT","Code":"49321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3092F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3492F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9522","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96899","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93023","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"88.54","CodeVersion":"2017","CustomName":"COMBINED RIGHT AND LEFT HEART ANGIOCARDIOGRAPHY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0153U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0343U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0606T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92359","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0123T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4554F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98590","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88490","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105257","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0061U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.1","CodeVersion":"2017","CustomName":"DIAGNOSTIC AMNIOCENTESIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1003","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH MEDICALIS DEFIND MCR AUC PROG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4270","CodeVersion":"2020","CustomName":"PEDICLE SOFT TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1026","CodeVersion":"2020","CustomName":"MECH ALLERGEN PARTIC BAR\/INHL FLTR CRM NASAL TOP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5270","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE TELEVISN AMPLIFIER TYPE"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2791","CodeVersion":"2020","CustomName":"CROWN - FULL CAST PREDOM BASE METL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3967","CodeVersion":"2020","CustomName":"SEWHO ABDUCTION POSITIONING W\/O JOINTS CSTM FAB"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0478","CodeVersion":"2020","CustomName":"POWER ADAPTER ELECTRIC\/PNEUMAT VAD VEHICLE TYPE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9150","CodeVersion":"2020","CustomName":"INJECTION DAUNORUBICIN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1670","CodeVersion":"2020","CustomName":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7410","CodeVersion":"2020","CustomName":"EXCISION BENIGN LESION UP TO 125 CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7639","CodeVersion":"2020","CustomName":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2390","CodeVersion":"2020","CustomName":"RESIN COMPOS CROWN ANTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4660","CodeVersion":"2020","CustomName":"SPHYGMOMANOMETER\/BP APPARATUS W\/CUFF&STETHOSCOPE"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1025","CodeVersion":"2020","CustomName":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1890","CodeVersion":"2020","CustomName":"INJECTION CEPHALOTHIN SODIUM UP TO 1 G"},{"ServiceGroup":"38980","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"368","CodeVersion":"2020","CustomName":"Infections, female reproductive system"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4210F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113688","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99162","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.04","CodeVersion":"2017","CustomName":"CLOSED HEART VALVOTOMY TRICUSPID VALVE"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0497T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"33.5","CodeVersion":"2017","CustomName":"LUNG TRANSPLANT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"16020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74470","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6505","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6240","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0330","CodeVersion":"2020","CustomName":"INJECTION SUCCINYLCHOLINE CHLORIDE UP TO 20 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9300","CodeVersion":"2020","CustomName":"EXERCISE EQUIPMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1014","CodeVersion":"2020","CustomName":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4162","CodeVersion":"2020","CustomName":"ENTRAL F PED SPCL METAB NEEDS INHERITED DZ METAB"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0518","CodeVersion":"2020","CustomName":"REMV REINS NON-BIODEGRADABLE DRUG DEL IMPL 4\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6985","CodeVersion":"2020","CustomName":"PEDIATRIC PARTIAL DENTURE FIXED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7177","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG"},{"ServiceGroup":"104837","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2201","CodeVersion":"2020","CustomName":"MNL WC ACSS NONSTD SEAT WDTH >\/= 20 IN & < 24 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8440","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER BELOW KNEE EACH"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9920","CodeVersion":"2020","CustomName":"BEHAVIOR MANAGEMENT BY REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9038","CodeVersion":"2020","CustomName":"RED BLOOD CELLS IRRADIATED EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9781","CodeVersion":"2020","CustomName":"ARTHROSCOPY SHOULDER SURG; W\/IMP SA SPACER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1015","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECH RELIANT MEDICAL GRP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9400","CodeVersion":"2020","CustomName":"INJECTION ZIV-AFLIBERCEPT 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10111","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"9911","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"38650","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"180","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"180","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0290","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - General Classification"},{"ServiceGroup":"42784","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"88428","CodeType":"DRG","Code":"455","CodeVersion":"2020","CustomName":"Other injury, poisoning, and toxic effect diagnosis without CC"},{"ServiceGroup":"14752","CodeType":"DRG","Code":"122","CodeVersion":"2020","CustomName":"Circulatory disorders with acute MI without major complications, discharged alive"},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.07","CodeVersion":"2017","CustomName":"INSERTION OF DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103591","CodeType":"CPT","Code":"36225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3285F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4149F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0670T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0321U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"70.79","CodeVersion":"2017","CustomName":"OTHER REPAIR OF VAGINA"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0305T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105250","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59368","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113861","CodeType":"CPT","Code":"25111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8929","CodeVersion":"2020","CustomName":"TTE CMPL SPEC DOPPLER & COLOR FLOW DOPPLER ECHO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9729","CodeVersion":"2020","CustomName":"PT UNABLE COMPLETE LEPF PROM INI EVAL &\/ D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2760","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0372","CodeVersion":"2020","CustomName":"PWR AIR OVRLAY MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2023","CodeVersion":"2020","CustomName":"SPEC CLCT FOR SARS-COV-2 COVID-19 ANY SPEC SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2780","CodeVersion":"2020","CustomName":"OVERSIZE LENS PER LENS"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3316","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E8000","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ POST SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2318","CodeVersion":"2020","CustomName":"ANISEIKONIC LENS TRIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2083","CodeVersion":"2020","CustomName":"OFF\/OTH OP E&M EST PT PROV>56 MG ESKETAMINE N SA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9902","CodeVersion":"2020","CustomName":"PATIENT SCR TOBACCO USE & ID AS TOBACCO USER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1561","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4395","CodeVersion":"2020","CustomName":"OSTOMY DEODORANT USE OSTOMY POUCH SOLID PER TAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4310","CodeVersion":"2020","CustomName":"INSERTION TRAY W\/O DRAIN BAG&W\/O CATHETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4470","CodeVersion":"2020","CustomName":"GRAVLEE JET WASHER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1031","CodeVersion":"2020","CustomName":"ROLLABOUT CHAIR ANY&ALL TYPES W\/CASTERS 5 IN\/GT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9219","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE IMPLANT 65 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1028","CodeVersion":"2020","CustomName":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE\/PSTN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7283","CodeVersion":"2020","CustomName":"PLCMT DEVICE FACILITATE ERUPTION IMPACTED TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4130","CodeVersion":"2020","CustomName":"REPLACE PRETIBIAL SHELL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0511","CodeVersion":"2020","CustomName":"RHC\/FQHC ONLY GEN CARE MGMT 20 M\/>CLIN TM-CAL MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8753","CodeVersion":"2020","CustomName":"MOST RECENT SYSTOLIC BLOOD PRESSURE >= 140MM HG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4164","CodeVersion":"2020","CustomName":"HELICOLL PER SQUARE CENTIMETER"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4015","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9502","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL RSN FOR NOT PERF FOOT EXAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0515","CodeVersion":"2020","CustomName":"INJECTION SERMORELIN ACETATE 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9301","CodeVersion":"2020","CustomName":"INJECTION OBINUTUZUMAB 10 MG"},{"ServiceGroup":"103611","CodeType":"HCPCS","Code":"S9455","CodeVersion":"2020","CustomName":"DIABETIC MANAGEMENT PROGRAM GROUP SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5781","CodeVersion":"2020","CustomName":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0249","CodeVersion":"2020","CustomName":"IV TCZ HP PT 2 & > COVID-19 INC INF & PA MON FD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0415","CodeVersion":"2020","CustomName":"COLLECT MICROORAGNISMS CULT & SENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5851","CodeVersion":"2020","CustomName":"TISSUE CONDITIONING MANDIBULAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6216","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL 16 SQ\/< W\/O ADHES EA"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6266","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O SALINE\/ZINC PASTE LINR YD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8535","CodeVersion":"2020","CustomName":"EM SCR NOT DOC;DOC PT NOT ELIG EM SCR TIME ENC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0693","CodeVersion":"2020","CustomName":"UV LT TX SYS PANL W\/BULBS\/LAMPS TIMER 6 FT PANEL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9348","CodeVersion":"2020","CustomName":"INJECTION NAXITAMAB-GQGK 1 MG"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7296","CodeVersion":"2020","CustomName":"CORTICOTOMY-ONE TO THREE TEETH\/TOOTH SP PER QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4600","CodeVersion":"2020","CustomName":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9014","CodeVersion":"2020","CustomName":"ESRD DEMO EXPND BUNDLE INCL VENOUS ACSS&REL SRVC"},{"ServiceGroup":"37405","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1018","CodeVersion":"2020","CustomName":"HEVY DUTY SHOCK ABSORBR HEVY\/XTRA HEVY PWR WC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2752","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN FUSED NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2200","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0795","CodeVersion":"2020","CustomName":"INJ CORTICORELIN OVINE TRIFLUTATE 1 MICROGM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0300","CodeVersion":"2020","CustomName":"IV CHELATION THERAPY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98596","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13152","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0239","CodeVersion":"2020","CustomName":"HYDROCOLLATOR UNIT PORTABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4044","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2506","CodeVersion":"2020","CustomName":"SPEECH GEN DEVICE DIGITIZED >40 MINS REC TIME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2105","CodeVersion":"2020","CustomName":"PT AGE 66\/> INST SNP\/RESID LTC >90 D DUR MSR PRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0713","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME PER 500 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8910","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST CHEST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0469","CodeVersion":"2020","CustomName":"FED QUAL HEALTH CNTR VISIT MENTAL HEALTH NEW PT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8423","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE CUSTOM HEAVY WEIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4750","CodeVersion":"2020","CustomName":"BLOOD TUBING ARTERIAL\/VENOUS HEMODIALYSIS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9962","CodeVersion":"2020","CustomName":"EMBO EPT DOC SEP EA EMBO VESSEL & OA ANGIO\/EMBO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2971","CodeVersion":"2020","CustomName":"ADD PROC CUSTOMIZE CR UND EXST PART DENTUR FRWK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5518","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY ALL SPL NECES CATH REPAIR"},{"ServiceGroup":"83857","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"43892","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"13052","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0312","CodeVersion":"2020","CustomName":"Laboratory Pathology - Histology"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"26742","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"180","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0572","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Hourly Charge"},{"ServiceGroup":"73948","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0710","CodeVersion":"2020","CustomName":"Recovery Room - General Classification"},{"ServiceGroup":"22401","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"15302","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"58460","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"17574","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"22528","CodeType":"REV","Code":"0932","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Full Day"},{"ServiceGroup":"33235","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"61916","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"22409","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"22820","CodeType":"REV","Code":"873","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Storage and Processing After Receipt of Cells from Manufacturer"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"33268","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"33827","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"344","CodeVersion":"2020","CustomName":"Other male reproductive system operating room procedures for malignancy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"862","CodeVersion":"2020","CustomName":"Postoperative and Posttraumatic Infections with MCC"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"28956","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98405","CodeType":"CPT","Code":"21325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"43569","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4185F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0188U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107065","CodeType":"CPT","Code":"42226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71860","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69688","CodeType":"CPT","Code":"93621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26205","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0474T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0054T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0660T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16551","CodeType":"ICD9P","Code":"89.16","CodeVersion":"2017","CustomName":"TRANSILLUMINATION OF NEWBORN SKULL"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89982","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0619T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91686","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63461","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90417","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90801","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.39","CodeVersion":"2017","CustomName":"RESECTION OF LOWER LIMB VEINS WITH ANASTOMOSIS"},{"ServiceGroup":"107174","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9305","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED NOS10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0490","CodeVersion":"2020","CustomName":"INJECTION BELIMUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5505","CodeVersion":"2020","CustomName":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9152","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION-COMMUNITY HEALTH TEAMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9699","CodeVersion":"2020","CustomName":"LONG-ACTING INHAL BRONCHODILATR NOT PRSC RSN NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9360","CodeVersion":"2020","CustomName":"INJECTION VINBLASTINE SULFATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7990","CodeVersion":"2020","CustomName":"EMERGENCY TRACHEOTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3221","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7010","CodeVersion":"2020","CustomName":"CORUGATD TUBING DISPBL W\/LG VOL NEBULIZR 100 FT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7190","CodeVersion":"2020","CustomName":"ELEC ELB ADOLES VRITY VILLAGE\/= MYOELEC CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2270","CodeVersion":"2020","CustomName":"INJECTION MORPHINE SULFATE UP TO 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0782","CodeVersion":"2020","CustomName":"INFUSION PUMP IMPLANTABLE NON-PROGRAMMABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0791","CodeVersion":"2020","CustomName":"PARNTRAL INFUS PUMP STATIONRY SINGLE\/MULTICHANEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1001","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH EVICORE DEFIND MCR AUC PROG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9316","CodeVersion":"2020","CustomName":"INJ PERTUZUMAB TRASTUZUMAB & HYAL-ZZXF PER 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7609","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5722","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5266","CodeVersion":"2020","CustomName":"BATTERY FOR USE IN HEARING DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4217","CodeVersion":"2020","CustomName":"STERILE WATER\/SALINE 500 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6606","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST NOBLE METAL TWO SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0210","CodeVersion":"2020","CustomName":"INJECTION METHYLDOPATE HCL UP TO 250 MG"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6012","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING; 6-10 MEV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9372","CodeVersion":"2020","CustomName":"HOME THERAPY; INTERMITTENT ANTICOAGULANT INJ TX;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4036","CodeVersion":"2020","CustomName":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3230","CodeVersion":"2020","CustomName":"PULPAL THERAPY - ANT PRIMARY TOOTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6448","CodeVersion":"2020","CustomName":"LT COMPRS BANDGE ELAST WDTH < 3 IN PER YARD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1305","CodeVersion":"2020","CustomName":"INJECTION EVINACUMAB-DGNB 5MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5741","CodeVersion":"2020","CustomName":"RELINE MANDIBULAR PARTIAL DENTURE DIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0670","CodeVersion":"2020","CustomName":"SEG PNEU APPLINC PNEU COMPRS IN 2 FULL LEGS TRNK"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5711","CodeVersion":"2020","CustomName":"REBASE COMPLETE MANDIBULAR DENTURE"},{"ServiceGroup":"18025","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4173","CodeVersion":"2020","CustomName":"PALINGEN OR PALINGEN XPLUS PER SQ CM"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B5200","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL AMINO ACID&CARB STRSS-BR CHAIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9763","CodeVersion":"2020","CustomName":"PT DID NOT HAVE 2\/3 HPV VACC ON\/BTW 9 & 13 BD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4276","CodeVersion":"2020","CustomName":"COMB CNCTIVE TISSUE & PEDICLE GRAFT PER TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1820","CodeVersion":"2020","CustomName":"REPL SFT INTERFCE MATL DYN ADJUSTBL EXT\/FLX DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9932","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV CMPL DENTUR MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4182","CodeVersion":"2020","CustomName":"TRANSCYTE PER SQUARE CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2840","CodeVersion":"2020","CustomName":"INJECTION SEBELIPASE ALFA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6022","CodeVersion":"2020","CustomName":"COLL DRSG STERL PAD SIZE>16 SQ IN BUT\/=48 SQ EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9152","CodeVersion":"2020","CustomName":"SPEECH THERAPY RE-EVALUATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0423","CodeVersion":"2020","CustomName":"GENETIC TEST SUSCEPTIBILITY DISEASES-SPEC ANALY"},{"ServiceGroup":"11312","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"58454","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"105282","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"871","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Cell Collection"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0231","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - Nursery"},{"ServiceGroup":"33625","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"4109","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0986","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EEG"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0489","CodeVersion":"2020","CustomName":"Cardiology - Other Cardiology"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"28956","CodeType":"DRG","Code":"225","CodeVersion":"2020","CustomName":"Foot procedures"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"272","CodeVersion":"2020","CustomName":"Major skin disorders with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"505","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft"},{"ServiceGroup":"43986","CodeType":"DRG","Code":"262","CodeVersion":"2020","CustomName":"Breast biopsy and local excision for non-malignancy"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"866","CodeVersion":"2020","CustomName":"LOCAL INCSN \"&\" REM OF INT FIX DEVICES EXC HIP \"&\" FEMUR W CC-NYDRG"},{"ServiceGroup":"29817","CodeType":"DRG","Code":"798","CodeVersion":"2020","CustomName":"TUBERCULOSIS W\/ OPERATING ROOM PROCEDURES-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98325","CodeType":"CPT","Code":"0274T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4526F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0289T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99176","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1036F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3374F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32994","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0041U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0275U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0583F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.14","CodeVersion":"2017","CustomName":"(AORTO)CORONARY BYPASS 4\/MORE CORONARY ARTERIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3095F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3354F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0665T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33981","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12413","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16325","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0473T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0421T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0699T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4013F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.50","CodeVersion":"2017","CustomName":"REPAIR CURRENT OBSTETRIC LACERATION UTERUS NOS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3390","CodeType":"CPT","Code":"90801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113921","CodeType":"CPT","Code":"99001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0251U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2768","CodeVersion":"2020","CustomName":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"93013","CodeType":"HCPCS","Code":"G0105","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR; COLONSCPY INDIVIDUL@HIGH RISK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3225","CodeVersion":"2020","CustomName":"ORTHOPED FOOTWEAR MAN SHOE OXFRD PART BRACE"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4264","CodeVersion":"2020","CustomName":"BONE REPL GR - RET NAT TOOTH - EA ADD SITE QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4565","CodeVersion":"2020","CustomName":"SLINGS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7674","CodeVersion":"2020","CustomName":"METHACHOLINE CHLORID INHAL SOL THRU NEB PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7298","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6001","CodeVersion":"2020","CustomName":"ULTRASONIC GUID PLACEMENT RADIATION TX FIELDS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9282","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RPT HIST TYP\/NSCLC-NOS CLASS W\/E"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B9999","CodeVersion":"2020","CustomName":"NOC FOR PARENTERAL SUPPLIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2305","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 4.25-6.00 CYL EA"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1107","CodeVersion":"2020","CustomName":"DOC STAT PT DX DEG NEURO COND DX TM BFOR\/DUR EOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4398","CodeVersion":"2020","CustomName":"FOOT DROP SPLINT RECUMBENT POSITIONING PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9052","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; SURVEILLANCE RECUR;TX FUTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7961","CodeVersion":"2020","CustomName":"BUCCAL\/LABIAL FRENECTOMY FRENULECTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6703","CodeVersion":"2020","CustomName":"TERMINAL DEVICE PASSIVE HND\/MITT ANY MATERIAL SZ"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5969","CodeVersion":"2020","CustomName":"ADDITION ENDOSKELETAL ANKLE-FOOT\/ANK PWR ASSIST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0341","CodeVersion":"2020","CustomName":"PERQ ISLET CELL TPLNT INCL PORTL VEIN CATH&INFUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0187","CodeVersion":"2020","CustomName":"TAMOXIFEN CITRATE ORAL 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9346","CodeVersion":"2020","CustomName":"HOME INFUS TX ALPHA-1-PROTEINASE INHIBITOR; DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6114","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5121","CodeVersion":"2020","CustomName":"CHORE SERVICES; PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7615","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL SOL THRU DME UNIT DOSE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4220","CodeVersion":"2020","CustomName":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q3001","CodeVersion":"2020","CustomName":"ADJUNCTIVE PROCEDURE"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"93098","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0144","CodeVersion":"2020","CustomName":"AZITHROMYCIN DIHYDRATE ORAL CAP\/POWDER 1 GRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4187","CodeVersion":"2020","CustomName":"EPICORD PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0009","CodeVersion":"2020","CustomName":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3331F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3406","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1569","CodeVersion":"2020","CustomName":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0340","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; LIFESTYL MOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2410","CodeVersion":"2020","CustomName":"GOLD FOIL - ONE SURFACE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7657","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9218","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4774","CodeVersion":"2020","CustomName":"AMMONIA TEST STRIPS FOR DIALYSIS PER 50"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0017","CodeVersion":"2020","CustomName":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7645","CodeVersion":"2020","CustomName":"IPRATROPIUM BROMIDE INHAL THRU DME U DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9402","CodeVersion":"2020","CustomName":"PT RECEIVED F\/U W\/I 30 DAYS AFTER DISCHARGE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"79177","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1029","CodeVersion":"2020","CustomName":"COMP ENVIR LEAD INVESTIGAT NOT W\/LAB ANALY-DWELL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6624","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD FLX\/EXT ROTATION WRIST UNIT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4106","CodeVersion":"2020","CustomName":"DERMAGRAFT PER SQ CM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1761","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL IVASC LITHOTRIPSY COR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2391","CodeVersion":"2020","CustomName":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9219","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE IMPLANT 65 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P2029","CodeVersion":"2020","CustomName":"CONGO RED BLOOD"},{"ServiceGroup":"50842","CodeType":"REV","Code":"860","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - GENERAL CLASSIFICATION"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0976","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RESPIRATORY THERAPY"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"22403","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"34666","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"33166","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0842","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"113017","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"105282","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"46116","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"29294","CodeType":"DRG","Code":"946","CodeVersion":"2020","CustomName":"Rehabilitation without CC\/MCC"},{"ServiceGroup":"69679","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"53962","CodeType":"DRG","Code":"005","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"959","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Multiple Significant Trauma without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46586","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92019","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99149","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0289U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"71.3","CodeVersion":"2017","CustomName":"OTHER LOCAL EXCISION\/DESTRUCTION VULVA&PERINEUM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78284","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42429","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0280U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0687T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104248","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105755","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77461","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109120","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1753","CodeVersion":"2020","CustomName":"CATHETER INTRAVASCULAR ULTRASOUND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6215","CodeVersion":"2020","CustomName":"FOAM DRESSING WOUND FILLER STERILE PER GRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9381","CodeVersion":"2020","CustomName":"DEL\/SRVC HI RISK REQ ESCORT\/EXTRA PROTECT VISIT"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9974","CodeVersion":"2020","CustomName":"DILATED MACULAR EXAM PERFORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4218","CodeVersion":"2020","CustomName":"STERILE SALINE\/WATER METERED DOSE DISPNS 10 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0974","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1031","CodeVersion":"2020","CustomName":"CONT NONINVAS GLU MON DEVC RENTAL SENSOR REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0398","CodeVersion":"2020","CustomName":"ALS ROUTINE DISPOSABLE SUPPLIES"},{"ServiceGroup":"49743","CodeType":"HCPCS","Code":"S9140","CodeVersion":"2020","CustomName":"DIABETIC MGMT PROGM F\/U VISIT NON-MD PROVIDER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7520","CodeVersion":"2020","CustomName":"I&D ABSC EXTRAORAL SOFT TISS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1330","CodeVersion":"2020","CustomName":"INJECTION ERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1120","CodeVersion":"2020","CustomName":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6350","CodeVersion":"2020","CustomName":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5211","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/ITE"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5255","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A8003","CodeVersion":"2020","CustomName":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1571","CodeVersion":"2020","CustomName":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4038","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0490","CodeVersion":"2020","CustomName":"INJECTION BELIMUMAB 10 MG"},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J3490","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0775","CodeVersion":"2020","CustomName":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0500","CodeVersion":"2020","CustomName":"DISPOSABLE CONTACT LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6695","CodeVersion":"2020","CustomName":"ADD UP EXT PROS BELW\/ABVE ELB CSTM W\/O LOCK MECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4029","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9777","CodeVersion":"2020","CustomName":"PT NOT RCV AL 2 PRO PHARM ANTI-EMETIC AGT DF CLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0970","CodeVersion":"2020","CustomName":"NO 2 FOOTPLATES EXCEPT FOR ELEVATING LEGREST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6210","CodeVersion":"2020","CustomName":"PONTIC - CAST HIGH NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1033","CodeVersion":"2020","CustomName":"NONPNEU SEQUENTIAL COMPRESSION GARMENT HALF LEG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3243","CodeVersion":"2020","CustomName":"INJECTION TIGECYCLINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2209","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2625","CodeVersion":"2020","CustomName":"STENT NON-CORONARY TEMPORARY W\/DELIVERY SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0490","CodeVersion":"2020","CustomName":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1753","CodeVersion":"2020","CustomName":"CATHETER INTRAVASCULAR ULTRASOUND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5985","CodeVersion":"2020","CustomName":"RADIATION CONE LOCATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9473","CodeVersion":"2020","CustomName":"SERVICES PERF BY CHAPLAIN HOSPICE SET EA 15 MIN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107130","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4326","CodeVersion":"2020","CustomName":"MALE EXT CATH W\/INTEGRAL CLCT CHAMB ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4458","CodeVersion":"2020","CustomName":"ENEMA BAG WITH TUBING REUSABLE"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9624","CodeVersion":"2020","CustomName":"PT NOT SCR UHLTY ALCOHOL USE USING SYS SCR METH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2387","CodeVersion":"2020","CustomName":"ADD LW EXT POLYCENTRIC KNEE JNT CSTM KAFO EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3050","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT REMOVABLE PREMOLDED MT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2360","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0180","CodeVersion":"2020","CustomName":"INJECTION AGALSIDASE BETA 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0885","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD MX PWR CAPT CHAIR TO &=300 LBS"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9601","CodeVersion":"2020","CustomName":"FLORTAUCIPIR F 18 INJECTION DIAGNOSTIC 1 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0741","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG\/3MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7182","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6691","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9589","CodeVersion":"2020","CustomName":"INSTILLATION HEXAMINOLEVULINATE HCI 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4361","CodeVersion":"2020","CustomName":"WALKING BOOT PNEUMATIC AND OR VACUUM PREFAB"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6016","CodeVersion":"2020","CustomName":"COMP-BASED BEAM MOD TX DEL I PLND TX 3 > HR SESS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7700","CodeVersion":"2020","CustomName":"GASKET\/SEAL USE PROS SOCKET INSERT ANY TYPE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7100","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 40500 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9219","CodeVersion":"2020","CustomName":"EVAL FOR MOD\/DEEP SEDATION\/GENERAL ANESTHESIA"},{"ServiceGroup":"91","CodeType":"ICD10P","Code":"0TY10Z0","CodeVersion":"2020","CustomName":"TRANSPLANTATION LT KIDNEY ALLOGENEIC OPEN"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2617","CodeVersion":"2020","CustomName":"STENT NON-COR TEMPORARY WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2020","CodeVersion":"2020","CustomName":"INJECTION LINEZOLID 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2187","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: HEAD TRAUMA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0394","CodeVersion":"2020","CustomName":"ALS SPECIALIZED SERVICE DISPBL SPL; IV DRUG TX"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5720","CodeVersion":"2020","CustomName":"REBASE MAXILLARY PARTIAL DENTURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7604","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL COMP PROD UNIT DOSE P G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2199","CodeVersion":"2020","CustomName":"PT NOT SCR UH ALC USE USING SYS SCR METH NO RSN"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9299","CodeVersion":"2020","CustomName":"INJECTION NIVOLUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2292","CodeVersion":"2020","CustomName":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7321","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV HYALGAN\/SUPARTZ IA INJ PER DOSE"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"68510","CodeType":"REV","Code":"0305","CodeVersion":"2020","CustomName":"Laboratory - Hematology"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"31134","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"526","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"33312","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"51263","CodeType":"DRG","Code":"251","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"617","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MUL MAJOR PROB-NYDRG"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"537","CodeVersion":"2020","CustomName":"Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103971","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62260","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"ICD9P","Code":"74.9","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF UNSPECIFIED TYPE"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.32","CodeVersion":"2017","CustomName":"RESECTION OTHER VESSELS HEAD&NECK W\/ANASTOMOSIS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10507","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109120","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6090","CodeVersion":"2020","CustomName":"REPAIR IMPL SUPP PROSTH BY REPORT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6088","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - TI & TI ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0008","CodeVersion":"2020","CustomName":"ADMINISTRATION OF INFLUENZA VIRUS VACCINE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5924","CodeVersion":"2020","CustomName":"CRANIAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9312","CodeVersion":"2020","CustomName":"SURGICAL SITE INFECTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0642","CodeVersion":"2020","CustomName":"STANDING FRAME\/TABLE SYS MOBILE DYNAMIC ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8696","CodeVersion":"2020","CustomName":"ANTENNA FOR USE W\/IMPL DIA\/PN ST DEV REPL EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1943","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0911","CodeVersion":"2020","CustomName":"TRAPEZ BAR HEVY DUTY PT WT >250 LBS BED GRAB BAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9263","CodeVersion":"2020","CustomName":"INJECTION OXALIPLATIN 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9328","CodeVersion":"2020","CustomName":"INJECTION TEMOZOLOMIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1236","CodeVersion":"2020","CustomName":"WHLCHAIR PED SIZE FOLD ADJUSTBL W\/SEATING SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4121","CodeVersion":"2020","CustomName":"THERASKIN PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1885","CodeVersion":"2020","CustomName":"INJECTION KETOROLAC TROMETHAMINE PER 15 MG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1762","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE HUMAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6613","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST PDMT BASE METAL 3\/MORE SURF"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5642","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3345F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1776","CodeVersion":"2020","CustomName":"JOINT DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0380","CodeVersion":"2020","CustomName":"INJECTION METARAMINOL BITARTRATE PER 10 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2380","CodeVersion":"2020","CustomName":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7316","CodeVersion":"2020","CustomName":"INJECTION OCRIPLASMIN 0.125 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4123","CodeVersion":"2020","CustomName":"ALLOSKIN RT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8120","CodeVersion":"2020","CustomName":"O2 CONTENTS GASEOUS 1 UNIT EQULS 1 CUBIC FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6540","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 30-40 MMHG EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0380","CodeVersion":"2020","CustomName":"INJECTION METARAMINOL BITARTRATE PER 10 MG"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"108568","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"60816","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"90854","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"891","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X and 063X - Special Processed Drugs - FDA Approved Cell Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0549","CodeVersion":"2020","CustomName":"Ambulance - Other Ambulance"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"454","CodeVersion":"2020","CustomName":"Other injury, poisoning, and toxic effect diagnosis with CC"},{"ServiceGroup":"57202","CodeType":"DRG","Code":"460","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"552","CodeVersion":"2020","CustomName":"OTHER PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95110","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113685","CodeType":"CPT","Code":"52341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3272F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91009","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"93.95","CodeVersion":"2017","CustomName":"HYPERBARIC OXYGENATION"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0304T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0022U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3378F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103570","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84721","CodeType":"CPT","Code":"99070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89950","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.8","CodeVersion":"2017","CustomName":"INSERTION REPLACEMENT REMOVAL&REV PACEMKR DEVICE"},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108688","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38006","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9060","CodeVersion":"2020","CustomName":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8692","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9537","CodeVersion":"2020","CustomName":"IMAG NEEDED AS PART CLIN TRL;\/OTH CLIN ORD STUDY"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7740","CodeVersion":"2020","CustomName":"MANDIBLE CLOSED REDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6707","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0966","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS HEADREST EXTENSION EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7608","CodeVersion":"2020","CustomName":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0185","CodeVersion":"2020","CustomName":"GEL\/GEL-LIKE PRSS PAD MATTRSS STD LEN&WDTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4227","CodeVersion":"2020","CustomName":"AMNIOCORETM PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0313","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/Q HCP VAC NA SAME DOS A<21 16-30 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2340","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0278","CodeVersion":"2020","CustomName":"INJECTION AMIKACIN SULFATE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4720","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL >249<\/=999 CC PERITON DIALYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0498","CodeVersion":"2020","CustomName":"HOLSTER FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2031","CodeVersion":"2020","CustomName":"ASSISTED LIVING WAIVER; PER DIEM"},{"ServiceGroup":"61817","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2210","CodeVersion":"2020","CustomName":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9716","CodeVersion":"2020","CustomName":"BMI DOC OUTSD NL PARAM F\/U PLAN NOT CMPL DOC RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3245","CodeVersion":"2020","CustomName":"INJECTION TILDRAKIZUMAB 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5978","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK\/FOOT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7599","CodeVersion":"2020","CustomName":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2753","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN FUSED TO TIT & TIT ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9779","CodeVersion":"2020","CustomName":"PATIENTS WHO ARE BREASTFEEDING DUR MSMNT PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2175","CodeVersion":"2020","CustomName":"EPIS PT COMRBD CND DUR 12 M PRIOR TO\/ON EPIS DT"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8621","CodeVersion":"2020","CustomName":"ZINC AIR BATT COCHLR IMPL&AUD SD PROC REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7997","CodeVersion":"2020","CustomName":"APPLIANCE REMV INCL REMV ARCHBAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2724","CodeVersion":"2020","CustomName":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0104","CodeVersion":"2020","CustomName":"ZIDOVUDINE ORAL 100 MG"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5C7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION RT UPPER LUNG LOBE NAT\/ART OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0113","CodeVersion":"2020","CustomName":"CRANIAL CERVL ORTHOTIC TORTICOLLIS TYPE PREFAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7187","CodeVersion":"2020","CustomName":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9500","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL TX; Q24 HRS DIEM"},{"ServiceGroup":"75185","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"10427","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0511","CodeVersion":"2020","CustomName":"Clinic - Chronic Pain Center"},{"ServiceGroup":"36663","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"16778","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0426T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3515F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3092F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22915","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.83","CodeVersion":"2017","CustomName":"TOTAL REPAIR OF TRUNCUS ARTERIOSUS"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1110","CodeVersion":"2020","CustomName":"SEMI-RECLIN WHLCHAIR; DTACHBLE ARMS ELEV LEGREST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5259","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0247","CodeVersion":"2020","CustomName":"TRANSFER BENCH TUB\/TOILET W\/WO COMMODE OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3502","CodeVersion":"2020","CustomName":"SURG EXP RS W\/O APICOECTOMY\/REPR OF RR - PM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7527","CodeVersion":"2020","CustomName":"EVEROLIMUS ORAL 0. 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3950","CodeVersion":"2020","CustomName":"CANAL PREP&FIT PREFORMED DOWEL\/POST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2652","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-3\/>SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0641","CodeVersion":"2020","CustomName":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9312","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2002","CodeVersion":"2020","CustomName":"MIRRAGEN ADVANCED WOUND M"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9263","CodeVersion":"2020","CustomName":"INJECTION OXALIPLATIN 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3332","CodeVersion":"2020","CustomName":"INCMPL ENDO TX;INOP UNRSTR\/FX TOOTH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3364","CodeVersion":"2020","CustomName":"INJECTION UROKINASE 5000 IU VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8964","CodeVersion":"2020","CustomName":"CARD SS IMAG OTH RSN THN MON ASX PT PCI IN 2 YRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9954","CodeVersion":"2020","CustomName":"PATIENT EXHIBITS 2\/> RISK FAC POST-OP VOMITING"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0487","CodeVersion":"2020","CustomName":"SPIROMETER ELECTRONIC INCLUDES ALL ACCESSORIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4671","CodeVersion":"2020","CustomName":"DISPBL CYCLER SET USED W\/CYCLER DIALYSIS MACH EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4196","CodeVersion":"2020","CustomName":"PURAPLY AM PER SQ CM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9349","CodeVersion":"2020","CustomName":"INJECTION TAFASITAMAB-CXIX 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6634","CodeVersion":"2020","CustomName":"RETAINER ONLAY - TITANIUM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1960","CodeVersion":"2020","CustomName":"AFO POSTERIOR SOLID ANK PLASTIC CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7027","CodeVersion":"2020","CustomName":"COMB ORAL\/NASAL MASK USED W\/CPAP DEVICE EACH"},{"ServiceGroup":"12031","CodeType":"REV","Code":"0299","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Other Equipment"},{"ServiceGroup":"48212","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0235","CodeVersion":"2020","CustomName":"Incremental Nursing Charge - Hospice"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"46633","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0989","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - PRIVATE DUTY NURSE"},{"ServiceGroup":"26179","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"748","CodeVersion":"2020","CustomName":"COCAINE OR OTHER DRUG ABUSE OR DEPENDENCE W\/O CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62361","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0235T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0422T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0565T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35558","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"9006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0335U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64377","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0203T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103081","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0160","CodeVersion":"2020","CustomName":"SERVICES OT HOME HEALTH EST\/DEL OT MP EA 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0381","CodeVersion":"2020","CustomName":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7207","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PEGYLATED 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4083","CodeVersion":"2020","CustomName":"STOMACH TUBE - LEVINE TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0826","CodeVersion":"2020","CustomName":"PWR WC GRP 2 VRY HVY DTY SLNG SEAT PT 451-600 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9143","CodeVersion":"2020","CustomName":"WARFARIN RSPN TEST GEN TECH ANY METH ANY # SPEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0087","CodeVersion":"2020","CustomName":"COMPREHENSIVE CARE MGMT HOME CARE PLAN OVERSIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9764","CodeVersion":"2020","CustomName":"PT TREATED W SYSTEMIC MEDICATION PSORIASIS VULG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1046","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS MEASR OKS AT 1 YEAR POSTOP <37"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2220","CodeVersion":"2020","CustomName":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0599","CodeVersion":"2020","CustomName":"INJECTION C-1 ESTERASE INHIBITOR 10 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0636","CodeVersion":"2020","CustomName":"INJECTION CALCITRIOL 0.1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5090","CodeVersion":"2020","CustomName":"DISPENSING FEE UNSPECIFIED HEARING AID"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8912","CodeVersion":"2020","CustomName":"PT DOC HAVE EXP WRG SITE SIDE PT PRO\/IMPL EVENT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2797","CodeVersion":"2020","CustomName":"INJECTION ROLAPITANT 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6006","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 20 ME\/>"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9358","CodeVersion":"2020","CustomName":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9190","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9450","CodeVersion":"2020","CustomName":"CASE PRSATION DTL&EXT TX PLANNING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9892","CodeVersion":"2020","CustomName":"DOC PT REASON NOT PERFORMED DILATED MACULAR EXAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7209","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0702","CodeVersion":"2020","CustomName":"INJ BETAMETHASONE ACETATE & PHOSPHATE 3 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2930","CodeVersion":"2020","CustomName":"INJ METHYLPRDNISOLONE SODIUM SUCCNAT TO 125 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4163","CodeVersion":"2020","CustomName":"WOUNDEX BIOSKIN PER SQUARE CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7360","CodeVersion":"2020","CustomName":"SIX VOLT BATTERY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2627","CodeVersion":"2020","CustomName":"CATHETER SUPRAPUBIC\/CYSTOSCOPIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2096","CodeVersion":"2020","CustomName":"ACE INHIB\/ARB\/ARNI TH WAS NOT PRSC RSN NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0438","CodeVersion":"2020","CustomName":"ANNUAL WELLNESS VISIT; PERSONALIZ PPS INIT VISIT"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1620","CodeVersion":"2020","CustomName":"INJECTION GONADORELIN HYDROCHLORIDE PER 100 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6205","CodeVersion":"2020","CustomName":"ELB DISARTC MOLD SCKT W\/XPND INTRFCE LOCK FORARM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1920","CodeVersion":"2020","CustomName":"AFO SINGLE UPRT W\/STATIC\/ADJUSTBL STOP CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5964","CodeVersion":"2020","CustomName":"ADD ENDOSKEL AK FLXIBLE PROTVE OUTR SURF COVR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3475","CodeVersion":"2020","CustomName":"INJECTION MAGNESIUM SULPHATE PER 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3916","CodeVersion":"2020","CustomName":"WRIST HAND ORTHOSIS 1\/> NONTORSION JOINT PREFAB"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0512","CodeVersion":"2020","CustomName":"Clinic - Dental Clinic"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0780","CodeVersion":"2020","CustomName":"Telemedicine - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0222","CodeVersion":"2020","CustomName":"Special Charges - Technical Support Charge"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"68510","CodeType":"REV","Code":"0304","CodeVersion":"2020","CustomName":"Laboratory - Non-Routine Dialysis"},{"ServiceGroup":"14566","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"11023","CodeType":"REV","Code":"0720","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - General Classification"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0722T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105031","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88822","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4144F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0638T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.2","CodeVersion":"2017","CustomName":"OTHER SHUNT OR VASCULAR BYPASS"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3315F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13632","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5262","CodeVersion":"2020","CustomName":"HEARING AID DISPOSABLE ANY TYPE MONAURAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0897","CodeVersion":"2020","CustomName":"INJECTION DENOSUMAB 1 MG"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0420","CodeVersion":"2020","CustomName":"AMBULANCE WAITING TIME ONE-HALF HOUR INCREMENTS"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0517","CodeVersion":"2020","CustomName":"REMOVAL NON-BIODEGRADABLE DRUG DEL IMPLANTS 4\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4663","CodeVersion":"2020","CustomName":"BLOOD PRESSURE CUFF ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6250","CodeVersion":"2020","CustomName":"PONTIC - RESIN W\/HIGH NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9818","CodeVersion":"2020","CustomName":"DOCUMENTATION OF SEXUAL ACTIVITY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1190","CodeVersion":"2020","CustomName":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8597","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7921","CodeVersion":"2020","CustomName":"COLLECTION & APPLIC AUTO BLOOD CONCENTRATE PROD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"U0005","CodeVersion":"2020","CustomName":"IA DET NA;SEV AC RES SYND SARS-COV-2 COVID-19"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4212","CodeVersion":"2020","CustomName":"ALLOGEN PER CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9961","CodeVersion":"2020","CustomName":"SYSTEMIC ANTIMICROBIALS PRESCRIBED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0160","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP\/MAND PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0202","CodeVersion":"2020","CustomName":"PHOTOTHERAPY LIGHT WITH PHOTOMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8885","CodeVersion":"2020","CustomName":"BIOPSY RESULTS NOT REVIEW COMMUNICATE TRACK\/DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7318","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE DUROLANE FOR IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0988","CodeVersion":"2020","CustomName":"MANUAL WC ACCESSORY LEVR-ACTIVATD WHL DRIVE PAIR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4306","CodeVersion":"2020","CustomName":"DISPOSABL DRUG DEL SYS FLOW RATE <50 ML PER HOUR"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0501","CodeVersion":"2020","CustomName":"OTHER ORAL PATH PROCEDURES, VARIABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2012","CodeVersion":"2020","CustomName":"HABILITATION EDUCATIONAL WAIVER; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7405","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS SD\/INTERSCAP THOR ACRYLC MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9442","CodeVersion":"2020","CustomName":"BIRTHING CLASSES NON-PHYSICIAN PROVIDER-SESSION"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9593","CodeVersion":"2020","CustomName":"PED PT MIN BLUNT HEAD TRMA LW RISK PECARN RULES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9357","CodeVersion":"2020","CustomName":"HOME INFUSION TX ENZYME REPL IV TX; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9206","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN 20 MG"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"30165","CodeType":"REV","Code":"0380","CodeVersion":"2020","CustomName":"Blood and Blood Components - General Classification"},{"ServiceGroup":"58458","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"16777","CodeType":"REV","Code":"0810","CodeVersion":"2020","CustomName":"Acquisition of Body Components - General Classification"},{"ServiceGroup":"20077","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3072F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34873","CodeType":"ICD9P","Code":"13.72","CodeVersion":"2017","CustomName":"SEC INSERTION OF INTRAOCULAR LENS PROSTHESIS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58461","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"10966","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"48003","CodeType":"REV","Code":"0562","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Hourly Charge"},{"ServiceGroup":"11301","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"17073","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0891","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X and 063X - Special Processed Drugs - FDA Approved Cell Therapy"},{"ServiceGroup":"20077","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"51263","CodeType":"DRG","Code":"245","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1039F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"96.7","CodeVersion":"2017","CustomName":"OTHER CONTINUOUS INVASIVE MECHANICAL VENTILATION"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37592","CodeType":"ICD9P","Code":"41.08","CodeVersion":"2017","CustomName":"ALLO HEMATOPO STEM CELL TRANSPLT W\/PURG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0589T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73488","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3455F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2024F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34871","CodeType":"ICD9P","Code":"11.64","CodeVersion":"2017","CustomName":"OTHER PENETRATING KERATOPLASTY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83842","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103236","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0582T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0144U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0780","CodeVersion":"2020","CustomName":"AMB INFUS PUMP MECH REUSABLE INFUS < 8 HOURS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5221","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE\/BTE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7658","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3300","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL TAPERED METATARSALS PER INCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2301","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4393","CodeVersion":"2020","CustomName":"OST POUCH URIN W\/EXT WEAR BARRIER W\/CONVXITY EA"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"65421","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5223","CodeVersion":"2020","CustomName":"IMMEDIATE MAX PRTL DENTURE - CAST METAL FRAMEWRK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5639","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2030","CodeVersion":"2020","CustomName":"MENTAL HEALTH CLUBHOUSE SERVICES PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4030","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9935","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV PART DENTUR MANDIBULR"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9060","CodeVersion":"2020","CustomName":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2250","CodeVersion":"2020","CustomName":"INJECTION MIDAZOLAM HCL PER 1 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9320","CodeVersion":"2020","CustomName":"INJECTION STREPTOZOCIN 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7028","CodeVersion":"2020","CustomName":"ORAL CUSHION COMB ORAL\/NASAL MASK REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5181","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY NOS PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4003","CodeVersion":"2020","CustomName":"EMERGENCY MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3762","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS RIGID W\/O JOINT PREFAB OFF SHELF"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0124","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG THIN LAY PREP INTEPR PHYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0116","CodeVersion":"2020","CustomName":"CRTCH UNDARM NOT WOOD ADJUST\/FIX PAD TIP HNDGRIP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4240F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78579","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"25934","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"22406","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4194F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0333U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0202U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0652T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0041A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0109U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0217T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0107U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"58573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.0","CodeVersion":"2017","CustomName":"PERICARDIOCENTESIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.9","CodeVersion":"2017","CustomName":"UNSPECIFIED INSTRUMENTAL DELIVERY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83960","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8499","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1802","CodeVersion":"2020","CustomName":"DYN ADJUSTBL FORARM PRON\/SUPIN DEVC INTRFCE MATL"},{"ServiceGroup":"107347","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3962","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W\/FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5054","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; USE BARRIER W\/FLANGE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0283","CodeVersion":"2020","CustomName":"E-STIM 1\/> AREAS OTH THAN WND CARE PART TX PLAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9514","CodeVersion":"2020","CustomName":"PT RQR A RETURN TO THE OR W\/I 90 DAYS OF SURG"},{"ServiceGroup":"9053","CodeType":"ICD10P","Code":"0D160ZA","CodeVersion":"2020","CustomName":"BYPASS STOMACH TO JEJUNUM OPEN APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5850","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS AK\/HIP DISARTIC KNEE EXT ASST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9215","CodeVersion":"2020","CustomName":"LOCAL ANESTHESIA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4724","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>3999<\/=4999CC PERITON DIALYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4136","CodeVersion":"2020","CustomName":"E-Z DERM PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2793","CodeVersion":"2020","CustomName":"INJECTION RILONACEPT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1680","CodeVersion":"2020","CustomName":"HIP ORTHOS DYN PELV CONTROL THIGH CUFF CSTM FAB"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4142","CodeVersion":"2020","CustomName":"XCM BIOLOGIC TISSUE MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9423","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RPRT H TYP\/NSCLC-NOS CLASS EXPLN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8722","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL PT CAT PN CAT\/HG PATH REPRT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4153","CodeVersion":"2020","CustomName":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4224","CodeVersion":"2020","CustomName":"HMN HLTH FAC 10 AMNIOTIC PATCH HHF10-P PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1031","CodeVersion":"2020","CustomName":"CONT NONINVAS GLU MON DEVC RENTAL SENSOR REPL"},{"ServiceGroup":"59839","CodeType":"HCPCS","Code":"J3101","CodeVersion":"2020","CustomName":"INJECTION TENECTEPLASE 1 MG"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5271","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7512","CodeVersion":"2020","CustomName":"PREDNISONE IMMEDIATE RLSE\/DELAYED RLSE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3110","CodeVersion":"2020","CustomName":"PULP CAP - DIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2053","CodeVersion":"2020","CustomName":"TRANSPLANTATION SMALL INTESTINE&LIVER ALLOGRAFTS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"71250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0400","CodeVersion":"2020","CustomName":"Other Imaging Services - General Classification"},{"ServiceGroup":"22405","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"72784","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"12118","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0969","CodeVersion":"2020","CustomName":"Professional Fees - Other Professional Fee"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"022","CodeVersion":"2020","CustomName":"Hypertensive encephalopathy"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"68.71","CodeVersion":"2017","CustomName":"LAPAROSCOPIC RADICAL VAGINAL HYSTERECTOMY"},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91468","CodeType":"CPT","Code":"45378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3319F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83179","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3511F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.3","CodeVersion":"2017","CustomName":"FAILED FORCEPS"},{"ServiceGroup":"106880","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0622T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91018","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3535","CodeVersion":"2020","CustomName":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7638","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2951","CodeVersion":"2020","CustomName":"PIN RETN - PER TOOTH ADDITION REST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7180","CodeVersion":"2020","CustomName":"ELEC ELB MICROPRC SEQENTIAL CNTRL ELB&TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4154","CodeVersion":"2020","CustomName":"BIOVANCE PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9537","CodeVersion":"2020","CustomName":"IMAG NEEDED AS PART CLIN TRL;\/OTH CLIN ORD STUDY"},{"ServiceGroup":"28973","CodeType":"HCPCS","Code":"J2353","CodeVersion":"2020","CustomName":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2022","CodeVersion":"2020","CustomName":"CASE MANAGEMENT; PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2136","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS RIGD PRFAB W\/FIT & ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0046","CodeVersion":"2020","CustomName":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1357","CodeVersion":"2020","CustomName":"O2 ACCESS BATTRY CHARGER PRTBLE CONC REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7504","CodeVersion":"2020","CustomName":"FLTR USE TRACHEOSTOMA HEAT&MOISTR EXCHG SYS EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0302","CodeVersion":"2020","CustomName":"CMPL EARLY PERIODIC SCREENING DX&TX SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2900","CodeVersion":"2020","CustomName":"SURG TECHNIQUES REQUIRING USE ROBOTIC SURG SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9540","CodeVersion":"2020","CustomName":"PATIENT ALIVE 3 MONTHS POST PROCEDURE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22405","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0911","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Rehabilitation"},{"ServiceGroup":"58454","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"534","CodeVersion":"2020","CustomName":"Extracranial Vascular Procedures without CC"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"489","CodeVersion":"2020","CustomName":"HIV with major related condition"},{"ServiceGroup":"38980","CodeType":"DRG","Code":"246","CodeVersion":"2020","CustomName":"Nonspecific arthropathies"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3384F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0633T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37202","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113145","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0490","CodeVersion":"2020","CustomName":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8654","CodeVersion":"2020","CustomName":"RISK-ADJ FS HIP IMPAIR NOT MEAS RSN NOT GIVEN"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6097","CodeVersion":"2020","CustomName":"ABUTMENT SUPP CROWN - PORCELAIN FU TI & TI ALLOY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0086","CodeVersion":"2020","CustomName":"LIMITED CARE MANAGEMENT HOME CARE PLAN OVERSIGHT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7629","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0735","CodeVersion":"2020","CustomName":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9730","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4771","CodeVersion":"2020","CustomName":"SERUM CLOTTING TIME TUBE FOR DIALYSIS PER 50"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9773","CodeVersion":"2020","CustomName":"RVSC EVAR OPEN\/PC TIBIAL\/PA;IVASC LITH & TL SP"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J7504","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB EQUINE PARENTERAL 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6222","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O NL SALINE\/HYDROGEL 16 SQ\/<"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0364","CodeVersion":"2020","CustomName":"CONE BEAM CT CAP&INTEPR LTD FD VIEW-<1 WHOLE JAW"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7995","CodeVersion":"2020","CustomName":"SYNTH GFT-MAND\/FACE BONES BY RPT"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9100","CodeVersion":"2020","CustomName":"INJECTION CYTARABINE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2663","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-3 SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4018","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5571","CodeVersion":"2020","CustomName":"INSULIN DELIV DEVICE DISPOSABLE PEN; 3 ML SIZE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8703","CodeVersion":"2020","CustomName":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAX"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2251","CodeVersion":"2020","CustomName":"BRIEF COMM TECH-BASED SRVC VR C\/I QUAL HCP"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9386","CodeVersion":"2020","CustomName":"SCR HCV INF NOT RECV W\/I 12 MO PR RSN NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2710","CodeVersion":"2020","CustomName":"SLAB OFF PRISM GLASS OR PLASTIC PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1002","CodeVersion":"2020","CustomName":"CUSTOMIZED ITEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8695","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATTERY W\/IMPL NEUROSTIM REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4628","CodeVersion":"2020","CustomName":"OROPHARYNGEAL SUCTION CATHETER EACH"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10708","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"1021","CodeType":"REV","Code":"0412","CodeVersion":"2020","CustomName":"Respiratory Services - Inhalation Services"},{"ServiceGroup":"3205","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0882","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Home Dialysis Aid Visit"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0829","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Other OP Hemodialysis"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"34551","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.51","CodeVersion":"2017","CustomName":"REPR ATRIAL SEPTAL DEFECT W\/PROSTH OPN TECHNIQUE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107135","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0202T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0004U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0520F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111934","CodeType":"CPT","Code":"87635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0091A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0210T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2216","CodeVersion":"2020","CustomName":"TAKE HOME SPLY INJ NLXLIST SEP ADD CD PRIM PROC"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0978","CodeVersion":"2020","CustomName":"AXILLARY CRUTCH EXTENSION"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1600","CodeVersion":"2020","CustomName":"DELIV &OR INSTL CHARGES HEMODIAL EQUIPMENT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0587","CodeVersion":"2020","CustomName":"INJECTION RIMABOTULINUMTOXINB 100 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3303","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1785","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8944","CodeVersion":"2020","CustomName":"AJCC MELANOMA CANCER STAGE 0-IIC MELANOMA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9601","CodeVersion":"2020","CustomName":"FLORTAUCIPIR F 18 INJECTION DIAGNOSTIC 1 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3265","CodeVersion":"2020","CustomName":"INJECTION TORSEMIDE 10 MG\/ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3365","CodeVersion":"2020","CustomName":"INJECTION IV UROKINASE 250000 IU VIAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1956","CodeVersion":"2020","CustomName":"INJECTION LEVOFLOXACIN 250 MG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5113","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2631","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONT WITHOUT SLING GRAFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2715","CodeVersion":"2020","CustomName":"PRISM PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1148","CodeVersion":"2020","CustomName":"ONGNG CARE NOT POSS PATIENT SELF-DISCHARGED ERLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5055","CodeVersion":"2020","CustomName":"STOMA CAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7667","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL CP PROD CONC 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9504","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL; Q4 HRS; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2093","CodeVersion":"2020","CustomName":"DOC MED REASN NO PRSC ACE INHIB\/ARB\/ARNI TH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0187","CodeVersion":"2020","CustomName":"TAMOXIFEN CITRATE ORAL 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0059","CodeVersion":"2020","CustomName":"PT SAFETY SUPPRT POS EXPERIEN ANES MIPS VAL PTHW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9284","CodeVersion":"2020","CustomName":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9040","CodeVersion":"2020","CustomName":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2631","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONT WITHOUT SLING GRAFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1427","CodeVersion":"2020","CustomName":"INJECTION VILTOLARSEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6549","CodeVersion":"2020","CustomName":"RETAINER - FOR RESIN BONDED FIXED PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9911","CodeVersion":"2020","CustomName":"APPLIC DESENZT RSN CERV&\/ROOT-TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0942","CodeVersion":"2020","CustomName":"CERVICAL HEAD HARNESS\/HALTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4148","CodeVersion":"2020","CustomName":"NEOX CORD 1K NEOX CORD RT\/CLARIX CORD 1K-SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0570","CodeVersion":"2020","CustomName":"BUPRENORPHINE IMPLANT 74.2 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73360","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"38444","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"27155","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"12023","CodeType":"REV","Code":"0659","CodeVersion":"2020","CustomName":"Hospice Service - Other Hospice Service"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0962","CodeVersion":"2020","CustomName":"Professional Fees - Ophthalmology"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"837","CodeVersion":"2020","CustomName":"SPINAL PROCEDURES W\/OUT CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.75","CodeVersion":"2017","CustomName":"OTHER SPEECH TRAINING AND THERAPY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36722","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103586","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107500","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23","CodeType":"ICD9P","Code":"41.09","CodeVersion":"2017","CustomName":"AUTOLOGOUS BONE MARROW TRANSPLANT WITH PURGING"},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0602T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0644T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0643T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.14","CodeVersion":"2017","CustomName":"(AORTO)CORONARY BYPASS 4\/MORE CORONARY ARTERIES"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0094A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1032F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61999","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0270T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0306T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37202","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9197","CodeVersion":"2020","CustomName":"DOC ORD 1ST\/2ND CEPHALOSPORIN ANTIMICROBL PROPH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4708","CodeVersion":"2020","CustomName":"ACTAT CONCENTRATE SOLUTION HEMODIAL PER GALLON"},{"ServiceGroup":"53482","CodeType":"HCPCS","Code":"E0607","CodeVersion":"2020","CustomName":"HOME BLOOD GLUCOSE MONITOR"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4690","CodeVersion":"2020","CustomName":"DIALYZER ALL TYPES ALL SIZES HEMODIALYSIS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1290","CodeVersion":"2020","CustomName":"ADDITION TO TLSO LATERAL TROCHANTERIC PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5990","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2300","CodeVersion":"2020","CustomName":"WHEELCHAIR ACC PWR SEAT ELEVATION SYS ANY TYPE"},{"ServiceGroup":"95661","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1630","CodeVersion":"2020","CustomName":"INJECTION HALOPERIDOL UP TO 5 MG"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0122","CodeVersion":"2020","CustomName":"INJECTION ERAVACYCLINE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0424","CodeVersion":"2020","CustomName":"STATION COMPRS GASOUS O2 SYS RENT;FLWMTR HUMIDFR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2507","CodeVersion":"2020","CustomName":"INJECTION PEGLOTICASE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9368","CodeVersion":"2020","CustomName":"HIT TOTAL PARENTERAL NUTRIT; > 3 LITERS-DA -DIEM"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9047","CodeVersion":"2020","CustomName":"INJECTION CARFILZOMIB 1 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0008","CodeVersion":"2020","CustomName":"CUSTOM MANUAL WHEELCHAIR\/BASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5711","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9202","CodeVersion":"2020","CustomName":"GOSERELIN ACETATE IMPLANT PER 3.6 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0427","CodeVersion":"2020","CustomName":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1031","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME BY LPN PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9070","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1028","CodeVersion":"2020","CustomName":"PS & CTRL ELEC U O DVC\/APPL NM ELEC STIM TNG M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9023","CodeVersion":"2020","CustomName":"PLSMA MX DONR SOLVNT\/DETRGNT TREATD FRZN EA U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9774","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/PERQ TIB\/PER ART;IVASC LITH&ATHREC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5855","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2109","CodeVersion":"2020","CustomName":"PT 66 &>CLM FRLTY &1 AC IP ADV ILL MP\/YR PRI MP"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9248","CodeVersion":"2020","CustomName":"NON-INTRAVENOUS CONSCIOUS SEDATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0620","CodeVersion":"2020","CustomName":"SKIN PIERCING DEVICE CLCT CAPILLARY BLD LASER EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39524","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2067","CodeVersion":"2020","CustomName":"BRST RECON 1 BRST DIEP FLAP(S)&\/GAP FLAP(S) UNI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2652","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-3\/>SURF"},{"ServiceGroup":"98331","CodeType":"HCPCS","Code":"S4005","CodeVersion":"2020","CustomName":"INTERIM LABOR FACILITY GLOBAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5613","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK-DISARTIC 4-BAR W\/HYDRAULIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4100","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE FDA CLEARED AS A DEVICE NOS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7634","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5683","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM INSRT NO CNGN\/TRAUMAT AMP INIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7981","CodeVersion":"2020","CustomName":"EXCISION SALIVARY GLAND BY REPORT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.3","CodeVersion":"2017","CustomName":"FAILED FORCEPS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52742","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"48183","CodeType":"REV","Code":"0324","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Chest X-Ray"},{"ServiceGroup":"49603","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"27210","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"36093","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"44391","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"22106","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0510","CodeVersion":"2020","CustomName":"Clinic - General Classification"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"894","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence, Left Against Medical Advice"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3753F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"50.25","CodeVersion":"2017","CustomName":"LAPAROSCOPIC ABLATION OF LIVER LESION OR TISSUE"},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40002","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82289","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0731T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4195F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91010","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90603","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84278","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0711T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98467","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2203","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV BRF CNSLG ID UH ALC USER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7293","CodeVersion":"2020","CustomName":"PLACEMENT TEMP ANCHORAGE DEVC RQR FLAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9103","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRIC CA; CLIN M1 MET LOC RECUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9614","CodeVersion":"2020","CustomName":"PHOTODOCUMENTATION <2 CECAL LSMK EST COMPLETE EX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7029","CodeVersion":"2020","CustomName":"NASAL PILLOWS COMB ORAL\/NASL MASK REPL ONLY PAIR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9130","CodeVersion":"2020","CustomName":"DACARBAZINE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0195","CodeVersion":"2020","CustomName":"ELEVATING LEGREST PAIR"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6111","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3304","CodeVersion":"2020","CustomName":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7040","CodeVersion":"2020","CustomName":"PREHENSILE ACTUATOR SWITCH CONTROLLED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2105","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9977","CodeVersion":"2020","CustomName":"MEALS PER DIEM NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6065","CodeVersion":"2020","CustomName":"IMPLANT SUPP PORCELN\/CERAMIC CROWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8598","CodeVersion":"2020","CustomName":"ASPIRIN OR ANOTHER ANTIPLATELET THERAPY USED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5121","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 6 X 6 OR EQUIVALENT EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9035","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2720","CodeVersion":"2020","CustomName":"INJECTION PROTAMINE SULFATE PER 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7999","CodeVersion":"2020","CustomName":"COMPOUNDED DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7402","CodeVersion":"2020","CustomName":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5658","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0610","CodeVersion":"2020","CustomName":"ANNUAL GYNECOLOGICAL EXAMINATION NEW PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3121","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE ENANTHATE 1 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8857","CodeVersion":"2020","CustomName":"PATIENT NOT ELIG REFERRAL FOR OTOLOGIC EVAL MSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3497F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58457","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"24028","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"54966","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"311","CodeVersion":"2020","CustomName":"Transurethral procedures without CC"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"083","CodeVersion":"2020","CustomName":"Major chest trauma with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100283","CodeType":"CPT","Code":"90471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111603","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0184U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4201F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104123","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3512F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98407","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0273T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113715","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9433","CodeType":"CPT","Code":"90847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.15","CodeVersion":"2017","CustomName":"SINGLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9371","CodeVersion":"2020","CustomName":"INJECTION VINCRISTINE SULFATE LIPOSOME 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9395","CodeVersion":"2020","CustomName":"INJECTION FULVESTRANT 25 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7614","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4911","CodeVersion":"2020","CustomName":"DRAIN BAG\/BOTTLE FOR DIALYSIS EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3904","CodeVersion":"2020","CustomName":"WHFO EXTERNAL POWERED ELECTRIC CUSTOM FABRICATED"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9345","CodeVersion":"2020","CustomName":"F\/U REC DOC INCIDENTALLY DETECTED PULM NODULES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2390","CodeVersion":"2020","CustomName":"RESIN COMPOS CROWN ANTERIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6783","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 PORCELAIN\/CERAMIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8931","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY W\/CONTRAST SPINAL CANAL CONTENTS"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1027","CodeVersion":"2020","CustomName":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT <3M"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"U0004","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/COVID-19 ANY T"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5100","CodeVersion":"2020","CustomName":"HEARING AID BILATERAL BODY WORN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2132","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS SFT PRFAB W\/FIT & ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6695","CodeVersion":"2020","CustomName":"ADD UP EXT PROS BELW\/ABVE ELB CSTM W\/O LOCK MECH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2580","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8999","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2175","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE HCL PER 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0325","CodeVersion":"2020","CustomName":"URINAL; MALE JUG-TYPE ANY MATERIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9580","CodeVersion":"2020","CustomName":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN\/LESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4038","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4203","CodeVersion":"2020","CustomName":"DERMA-GIDE PER SQ CM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1770","CodeVersion":"2020","CustomName":"IMAGING COIL MAGNETIC RESONANCE"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10D07Z5","CodeVersion":"2020","CustomName":"EXTRACTION POC HIGH FORCEPS NATURAL\/ART OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2136","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 3 MON PO<=3.0 IMPRV 5.0 PNT\/<"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1435","CodeVersion":"2020","CustomName":"INJECTION ESTRONE PER 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6550","CodeVersion":"2020","CustomName":"SHLDR DISRTC MOLD SCKT ENDOSKEL W\/SFT PROS TISS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4311","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/O DRN BAG W\/CATH 2-WAY LATEX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8999","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6060","CodeVersion":"2020","CustomName":"ABUT PORCLN TO METL CROWN BASE METL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8663","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE =0\/ >0"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6721","CodeVersion":"2020","CustomName":"TERM DEVC HOOK\/HND HVY-DUTY MECH VOL OPN ANY SZ"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113977","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24808","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"43787","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"87040","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0975","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OPERATING ROOM"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"58432","CodeType":"REV","Code":"0616","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Lower Extremities"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0739","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - Other EKG\/ECG"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"977","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107845","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26205","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"64633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0318T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98562","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29098","CodeType":"ICD9P","Code":"92.30","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY NOS"},{"ServiceGroup":"45333","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.22","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF AORTIC VALVE"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0107T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96351","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24286","CodeType":"CPT","Code":"99602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0588","CodeVersion":"2020","CustomName":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5986","CodeVersion":"2020","CustomName":"FLUORIDE GEL CARRIER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7402","CodeVersion":"2020","CustomName":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8852","CodeVersion":"2020","CustomName":"POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"Q2017","CodeVersion":"2020","CustomName":"INJECTION TENIPOSIDE 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9187","CodeVersion":"2020","CustomName":"BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7004","CodeVersion":"2020","CustomName":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5993","CodeVersion":"2020","CustomName":"MAINT CLEAN MAXILLOFACIAL PROSTH OTH THN REQ ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0673","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC HALF LEG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2933","CodeVersion":"2020","CustomName":"PRFABR STNLSS STEEL CROWN RSN WNDOW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0160","CodeVersion":"2020","CustomName":"DEXTROAMPHETAMINE SULFATE 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5929","CodeVersion":"2020","CustomName":"FACIAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6544","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STOCKING GARTER BELT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2199","CodeVersion":"2020","CustomName":"PT NOT SCR UH ALC USE USING SYS SCR METH NO RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0676","CodeVersion":"2020","CustomName":"INTERMITTENT LIMB COMPRESSION DEVICE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3262","CodeVersion":"2020","CustomName":"INJECTION TOCILIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9278","CodeVersion":"2020","CustomName":"RECEIVER MON; EXT INTERSTITIAL CONT GLU MON SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0502","CodeVersion":"2020","CustomName":"MOBILITY CART FOR PNEUMATIC VAD REPL ONLY"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1757","CodeVersion":"2020","CustomName":"CATHETER THROMBECTOMY\/EMBOLECTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7643","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5266","CodeVersion":"2020","CustomName":"BATTERY FOR USE IN HEARING DEVICE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6094","CodeVersion":"2020","CustomName":"ABUTMENT SUPP CROWN - TITANIUM & TITANIUM ALLOYS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8002","CodeVersion":"2020","CustomName":"BREAST PROS MASTECT BRA W\/INTEG BREAST FORM BIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9318","CodeVersion":"2020","CustomName":"IMAGING STUDY NAMED ACCORD STANDARD NOMENCLATURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0141","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMER CERV\/VAG MNL RSCR INTEPR PHYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5105","CodeVersion":"2020","CustomName":"URINARY SUSPENSORY WITH LEG BAG W\/WO TUBE EACH"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82719","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14566","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"33311","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"88667","CodeType":"REV","Code":"0991","CodeVersion":"2020","CustomName":"Patient Convenience Items - Cafeteria\/Guest Tray"},{"ServiceGroup":"13199","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0988","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CONSULTATION"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"58457","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"68187","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"30623","CodeType":"DRG","Code":"787","CodeVersion":"2020","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY W CDE-NYDRG"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"887","CodeVersion":"2020","CustomName":"Other Mental Disorder Diagnoses"},{"ServiceGroup":"79678","CodeType":"DRG","Code":"929","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury without CC\/MCC"},{"ServiceGroup":"83844","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14552","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14552","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.2","CodeVersion":"2017","CustomName":"INTRAUTERINE TRANSFUSION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0542T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104122","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93082","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.63","CodeVersion":"2017","CustomName":"CARDIOPLEGIA"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93431","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0627T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8849","CodeVersion":"2020","CustomName":"DOCUMENTATION RSN NOT PRSC POS AIRWAY PRESS TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5686","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE BACK CHECK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1090","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS LUMBAR SLING"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"10564","CodeType":"HCPCS","Code":"S9366","CodeVersion":"2020","CustomName":"HIT TPN; > 1 LITER BUT NOT > 2 LITERS-DA-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0695","CodeVersion":"2020","CustomName":"INJECTION CEFTOLOZANE 50 MG AND TAZOBACTAM 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9709","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT ANY TIME DUR MEASUREMENT PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2070","CodeVersion":"2020","CustomName":"CYSTO W\/URETERSCPY&\/PYELSCPY;LASR TX URETRL CALC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0917","CodeVersion":"2020","CustomName":"PATIENT SATISFACTION SURVEY NOT COMPLETE PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9911","CodeVersion":"2020","CustomName":"CLINIC NODE NEG IBC BEF\/AFT NEOADJUVANT SYS TX"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2016","CodeVersion":"2020","CustomName":"PERMEADERM B PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0990","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2361","CodeVersion":"2020","CustomName":"PWR WC ACSS 22NF SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9908","CodeVersion":"2020","CustomName":"PT ID TOB USER NOT RECV TOB CESS INT RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4181","CodeVersion":"2020","CustomName":"AMNIO WOUND PER SQUARE CM"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0524T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39909","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.5","CodeVersion":"2017","CustomName":"REPAIR OF CURRENT OBSTETRIC LACERATION OF UTERUS"},{"ServiceGroup":"102459","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0102A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9165","CodeVersion":"2020","CustomName":"INJECTION DIETHYLSTILBESTROL DIPHOSPHATE 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4116","CodeVersion":"2020","CustomName":"ALLODERM PER SQ CM"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A2005","CodeVersion":"2020","CustomName":"MICROLYTE MATRIX PER SQ C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5057","CodeVersion":"2020","CustomName":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2614","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POST WIDTH 22 IN\/> ANY HEIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9781","CodeVersion":"2020","CustomName":"DOC MED RSN NO CUR USER\/RCV AN ORDER STATIN TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8806","CodeVersion":"2020","CustomName":"PERFORM TRANS-ABD\/TRANS-VAG U\/S & PREG LOC DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1700","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4522","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER MED EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3866","CodeVersion":"2020","CustomName":"GENETIC ANALY GENE MUTAT HCM INDIV KNOWN HCM FAM"},{"ServiceGroup":"111932","CodeType":"HCPCS","Code":"U0002","CodeVersion":"2020","CustomName":"2019-NCOV CORONAVIRUS SARS-COV-2\/2019-NCOV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0694","CodeVersion":"2020","CustomName":"UV MX DIR LT TX SYS 6 FT CABINET W\/BULB\/LAMP TMR"},{"ServiceGroup":"59839","CodeType":"HCPCS","Code":"J2995","CodeVersion":"2020","CustomName":"INJECTION STREPTOKINASE PER 250000 IU"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3535","CodeVersion":"2020","CustomName":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1426","CodeVersion":"2020","CustomName":"INJECTION CASIMERSEN 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4074","CodeVersion":"2020","CustomName":"ILOPROST INHAL SOL THRU DME UNIT DOSE TO 20 MCG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69689","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD10P","Code":"05HN33Z","CodeVersion":"2020","CustomName":"INSERT INFUS DEVICE LT INTRL JUG VN PERQ APPRCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4480","CodeVersion":"2020","CustomName":"VABRA ASPIRATOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1430","CodeVersion":"2020","CustomName":"INJECTION ETHANOLAMINE OLEATE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"E0783","CodeVersion":"2020","CustomName":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6400","CodeVersion":"2020","CustomName":"BE MOLD SCKT ENDOSKEL SYS W\/SFT PROSTH TISS SHAP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2602","CodeVersion":"2020","CustomName":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2300","CodeVersion":"2020","CustomName":"INJECTION NALBUPHINE HCL PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2118","CodeVersion":"2020","CustomName":"PT 81 YOA &>AL 1 CLM\/ENC FRAILTY DUR MSR PERIOD"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"33268","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"36991","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"12342","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"43986","CodeType":"DRG","Code":"260","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91588","CodeType":"CPT","Code":"93655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0290U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3570F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0284T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3757F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0252U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91888","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91026","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113173","CodeType":"CPT","Code":"0001A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11193","CodeType":"ICD9P","Code":"36.09","CodeVersion":"2017","CustomName":"OTHER REMOVAL OF CORONARY ARTERY OBSTRUCTION"},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88737","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59841","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0043","CodeVersion":"2020","CustomName":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5828","CodeVersion":"2020","CustomName":"ADD ENDO KNEE-SHIN FL SWING&STANCE PHASE CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8541","CodeVersion":"2020","CustomName":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7185","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0102","CodeVersion":"2020","CustomName":"PROS CANCER SCREENING; DIGTL RECTAL EXAMINATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1018","CodeVersion":"2020","CustomName":"HEVY DUTY SHOCK ABSORBR HEVY\/XTRA HEVY PWR WC EA"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0179","CodeVersion":"2020","CustomName":"INJECTION BROLUCIZUMAB-DBLL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2020","CodeVersion":"2020","CustomName":"KAFO DBL UPRT SOLID STIRUP THI&CALF CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9996","CodeVersion":"2020","CustomName":"TELEDENTISTRY-ASYNC; INFO STD&FWD DENT SUBSQ REV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7681","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9994","CodeVersion":"2020","CustomName":"DENTAL CASE MGMT - PT ED IMP ORAL HEALTH LITRACY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2326","CodeVersion":"2020","CustomName":"INJECTION NUSINERSEN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2101","CodeVersion":"2020","CustomName":"BLD GLU MONITOR W\/INTEGRATED LANCING\/BLD SAMPLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5980","CodeVersion":"2020","CustomName":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9288","CodeVersion":"2020","CustomName":"DOC MED REASON NOT REPORT H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1040","CodeVersion":"2020","CustomName":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6537","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 30-40 MMHG EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93069","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9108","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0700","CodeVersion":"2020","CustomName":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9091","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; T3 N0 M0 NO PROGRESSION"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"22404","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"56558","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"22410","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"020","CodeVersion":"2020","CustomName":"Nervous system infection except viral meningitis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"290","CodeVersion":"2020","CustomName":"Thyroid procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"506","CodeVersion":"2020","CustomName":"Full thickness burn with skin graft or inhalation injury with CC or significant trauma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30067","CodeType":"ICD9P","Code":"32.29","CodeVersion":"2017","CustomName":"OTH LOCAL EXCISION\/DESTRUC LESION\/TISSUE LUNG"},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4163F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4221F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.26","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF PULMONARY VALVE"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0323U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0722T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0541T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9393","CodeVersion":"2020","CustomName":"PT INIT PHQ-9 SC>9 RM 12 MO D 12 MO PHQ-9 SC <5"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0780","CodeVersion":"2020","CustomName":"AMB INFUS PUMP MECH REUSABLE INFUS < 8 HOURS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0156","CodeVersion":"2020","CustomName":"SRVC HH\/HOSPICE AIDE IN HH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"88424","CodeType":"HCPCS","Code":"G0123","CodeVersion":"2020","CustomName":"SCR CYTOPATH CERV\/VAG SCR CYTOTECH UND PHYS SUPV"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2680","CodeVersion":"2020","CustomName":"INJECTION FLUPHENAZINE DECANOATE UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9484","CodeVersion":"2020","CustomName":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9663","CodeVersion":"2020","CustomName":"ANY LDL-C LABORATORY TEST RESULT >= 190 MG\/DL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9034","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS EACH UNIT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2150","CodeVersion":"2020","CustomName":"INJECTION MANNITOL 25% IN 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4103","CodeVersion":"2020","CustomName":"OASIS BURN MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9050","CodeVersion":"2020","CustomName":"GRANULOCYTES PHERESIS EACH UNIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7670","CodeVersion":"2020","CustomName":"METAPROTERENOL SULFATE INHAL THRU DME PER 10 MG"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6753","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELN FUSED TIT & TIT ALLOYS"},{"ServiceGroup":"27718","CodeType":"HCPCS","Code":"G0340","CodeVersion":"2020","CustomName":"IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1107","CodeVersion":"2020","CustomName":"DOC STAT PT DX DEG NEURO COND DX TM BFOR\/DUR EOC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"0042T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7014","CodeVersion":"2020","CustomName":"FILTER NON-DISPBL USED W\/AROSL COMPRS\/US GEN"},{"ServiceGroup":"87395","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7315","CodeVersion":"2020","CustomName":"MITOMYCIN OPTHALMIC 0. 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2100","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4195","CodeVersion":"2020","CustomName":"PURAPLY PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1817","CodeVersion":"2020","CustomName":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0598","CodeVersion":"2020","CustomName":"INJECTION C1 ESTERASE INHIBITOR CINRYZE 10 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0171","CodeVersion":"2020","CustomName":"COMMODE CHAIR INTGR SEAT LIFT MECH NONELEC ANY"},{"ServiceGroup":"89337","CodeType":"HCPCS","Code":"H0011","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG IP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0786","CodeVersion":"2020","CustomName":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"439","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"42870","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30133","CodeType":"ICD9P","Code":"60.21","CodeVersion":"2017","CustomName":"TRANSURETHRAL GUIDED LASER INDUCED PROSTATECTOMY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"68.16","CodeVersion":"2017","CustomName":"CLOSED BIOPSY OF UTERUS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.6","CodeVersion":"2017","CustomName":"FORCEPS APPLICATION TO AFTERCOMING HEAD"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0327U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4176F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106711","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.45","CodeVersion":"2017","CustomName":"RESECTION OTHER THORACIC VESSELS W\/REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1019","CodeVersion":"2020","CustomName":"PT 12-17 YR MD\/DYSTH REM 12 MO SCORE LESS THAN 5"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5785","CodeVersion":"2020","CustomName":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1757","CodeVersion":"2020","CustomName":"CATHETER THROMBECTOMY\/EMBOLECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2014","CodeVersion":"2020","CustomName":"LIMITED 30 MINUTES CARE PLAN OVERSIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0175","CodeVersion":"2020","CustomName":"FOOT REST FOR USE WITH COMMODE CHAIR EACH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8513","CodeVersion":"2020","CustomName":"CLEANING DEVC USED W\/TRACHEOESOPH VOICE PROS PIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2626","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE TEMPORARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4177","CodeVersion":"2020","CustomName":"FLOWERAMNIOFLO 0.1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0310","CodeVersion":"2020","CustomName":"HOSPITALIST SERVICES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6682","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC\/ABVE ELB"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6691","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8417","CodeVersion":"2020","CustomName":"PROSTH SHEATH\/SOCK W\/GEL CUSHN LAY BK\/AK EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1786","CodeVersion":"2020","CustomName":"INJECTION IMIGLUCERASE 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9488","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 25 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8420","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0442","CodeVersion":"2020","CustomName":"ANNUAL ALCOHOL MISUSE SCREENING 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9088","CodeVersion":"2020","CustomName":"SERVICES PROVIDED IN AN URGENT CARE CENTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A8004","CodeVersion":"2020","CustomName":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1815","CodeVersion":"2020","CustomName":"INJECTION INSULIN PER 5 UNITS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5631","CodeVersion":"2020","CustomName":"ADD LW EXT ABVE KNEE\/KNEE DISARTIC ACRYLC SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6388","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/EARLY FIT APPLIC RIGID DRESS ONLY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1410","CodeVersion":"2020","CustomName":"INJECTION ESTROGEN CONJUGATED PER 25 MG"},{"ServiceGroup":"68383","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1740","CodeVersion":"2020","CustomName":"INJECTION IBANDRONATE SODIUM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9777","CodeVersion":"2020","CustomName":"ESOPHAGEAL MUCOSAL INTEGR TST ELEC IMPD TO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4453","CodeVersion":"2020","CustomName":"RECTAL CATH W\/MAN PUMP OPR ENEMA SYS RPCMNT ONLY"},{"ServiceGroup":"22405","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"7","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"84721","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0385","CodeVersion":"2020","CustomName":"Blood and Blood Components - Leukocytes"},{"ServiceGroup":"42871","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"82096","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"32560","CodeType":"DRG","Code":"929","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury without CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"039","CodeVersion":"2020","CustomName":"Lens procedures with or without vitrectomy"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.4","CodeVersion":"2017","CustomName":"FORCEPS ROTATION OF FETAL HEAD"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3354F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33966","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"1121","CodeType":"ICD9P","Code":"37.26","CodeVersion":"2017","CustomName":"CARD EP STIMULATION&RECORDING STUDIES"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"88.57","CodeVersion":"2017","CustomName":"OTHER AND UNSPECIFIED CORONARY ARTERIOGRAPHY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0231U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.2","CodeVersion":"2017","CustomName":"INTRAUTERINE TRANSFUSION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7323","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE EUFLEXXA IA INJ PER DOSE"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2056","CodeVersion":"2020","CustomName":"CILTA CEL TO 100 M AUTO BCMA DIR CAR-POS TC DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4032","CodeVersion":"2020","CustomName":"RHEUMATOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0007","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; CRISIS INTERVENTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1526","CodeVersion":"2020","CustomName":"SPACE MAINTAIN- REMOVABLE- BILATERAL, MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2226","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6245","CodeVersion":"2020","CustomName":"PONTIC - PORCELAIN\/CERAMIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2121","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS SINGLE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7189","CodeVersion":"2020","CustomName":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9781","CodeVersion":"2020","CustomName":"DOC MED RSN NO CUR USER\/RCV AN ORDER STATIN TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5083","CodeVersion":"2020","CustomName":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0642","CodeVersion":"2020","CustomName":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4210","CodeVersion":"2020","CustomName":"AXOLOTL GRAFT OR AXOLOTL DUALGRAFT PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0129","CodeVersion":"2020","CustomName":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7922","CodeVersion":"2020","CustomName":"PLCMT INTRA-SOC BIOL DRSG AID HEMO\/CLOT SITE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6055","CodeVersion":"2020","CustomName":"WRST DISARTIC MOLD SOCKT W\/XPNDABLE INTERFCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2291","CodeVersion":"2020","CustomName":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4231","CodeVersion":"2020","CustomName":"CORPLEX P PER CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9025","CodeVersion":"2020","CustomName":"PLASMA CRYOPRECIPITATE RED PATHOGEN REDUC EA UN"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91647","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9367","CodeVersion":"2020","CustomName":"HIT TPN; > 2 LITERS BUT NOT > 3 LITERS-DA -DIEM"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9298","CodeVersion":"2020","CustomName":"PT EVAL VTE CV RISK FACTOR W\/I 30 DAY PRIOR PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0200","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLRY: LODGNG-ESCORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0169","CodeVersion":"2020","CustomName":"CALCITROL 0.25 MICROGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4540","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDPAD REUSABLE CHAIR SIZE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0441","CodeVersion":"2020","CustomName":"STATIONARY O2 CONTENTS GAS 1 MO SUPPLY=1 UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2782","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2015","CodeVersion":"2020","CustomName":"HABILITATION PREVOCATIONAL WAIVER; PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2993","CodeVersion":"2020","CustomName":"INJECTION RETEPLASE 18.1 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"12791","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"14727","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"47260","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0548","CodeVersion":"2020","CustomName":"Ambulance - EKG Transmission"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0860","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - GENERAL CLASSIFICATION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72.29","CodeVersion":"2017","CustomName":"OTHER MID FORCEPS OPERATION"},{"ServiceGroup":"14552","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98402","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98569","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0225T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113760","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3341F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0295U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104119","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0708T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78647","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9607","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL CA CA BR\/CABG; 1 VES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3891","CodeVersion":"2020","CustomName":"ADD UP EXT JNT WRIST\/ELB CSTM FAB ORTHOT ONLY EA"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2103","CodeVersion":"2020","CustomName":"ADRENAL TISSUE TRANSPLANT TO BRAIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6611","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST HIGH NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2003","CodeVersion":"2020","CustomName":"NON-EMERGENCY TRANSPORTATION; ENCOUNTER\/TRIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2221","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS BIFOCAL"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9356","CodeVersion":"2020","CustomName":"TENDON POROUS MATRIX COLLAGEN & GAG PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7599","CodeVersion":"2020","CustomName":"IMMUNOSUPPRESSIVE DRUG NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3431","CodeVersion":"2020","CustomName":"BIOL MATL SOFT OSS TISS REGEN PERIRADICULAR SURG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0071","CodeVersion":"2020","CustomName":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2003","CodeVersion":"2020","CustomName":"MODERATE 45 MINS IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8965","CodeVersion":"2020","CustomName":"CARD SS IMAG PRIM PER L CHD RSK PT DET RSK ASMT"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9662","CodeVersion":"2020","CustomName":"PREVIOUSLY DIAGNOSED\/HAVE ACTIVE DX CLIN ASCVD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0672","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL ARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8970","CodeVersion":"2020","CustomName":"NO RISK FACTOR\/1 MOD RISK FACTOR THROMBOEMBOLISM"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87393","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9630","CodeVersion":"2020","CustomName":"PT NOT SUSTN BOWL INJ SRG\/DISC TO 30 D POST SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7017","CodeVersion":"2020","CustomName":"NEB GLASS\/AUTOCLAV NOT USE W\/O2"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7771","CodeVersion":"2020","CustomName":"ALVEOL CLOS RDUC STBL TEETH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0840","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS\/>"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9213","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6212","CodeVersion":"2020","CustomName":"PONTIC - CAST NOBLE METAL"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2343","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"22403","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0264","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Supplies"},{"ServiceGroup":"17069","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"104337","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"28203","CodeType":"DRG","Code":"260","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"343","CodeVersion":"2020","CustomName":"Circumcision, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4163F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107662","CodeType":"CPT","Code":"31257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0502T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97362","CodeType":"CPT","Code":"63185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106666","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3281F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4163F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0041U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9376","CodeVersion":"2020","CustomName":"HIT HYDRATION TX; >2 LITERS NO>3 LITERS DAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2186","CodeVersion":"2020","CustomName":"PT\/CG DYAD REF TO APP RES & CON TO RES IS CONF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2531","CodeVersion":"2020","CustomName":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5647","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9227","CodeVersion":"2020","CustomName":"INJECTION ISATUXIMAB-IRFC 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5643","CodeVersion":"2020","CustomName":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0080","CodeVersion":"2020","CustomName":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR NEW PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7730","CodeVersion":"2020","CustomName":"MANDIBLE-OPEN REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0112","CodeVersion":"2020","CustomName":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4214","CodeVersion":"2020","CustomName":"CELLESTA CORD PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1010","CodeVersion":"2020","CustomName":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7309","CodeVersion":"2020","CustomName":"METHYL AMINOLEVULINATE MAL TOP ADMIN 16.8% 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5119","CodeVersion":"2020","CustomName":"INJ RITUXIMAB-PVVR BIOSIMILAR RUXIENCE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2600","CodeVersion":"2020","CustomName":"HAND HELD LOW VISION&OTH NON SPECTACL MOUNT AIDS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4130","CodeVersion":"2020","CustomName":"STRATTICE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0510","CodeVersion":"2020","CustomName":"NON-PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9715","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2550","CodeVersion":"2020","CustomName":"INJECTION PROMETHAZINE HCL UP TO 50 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2267","CodeVersion":"2020","CustomName":"INDUCED ABORTION 32 WEEKS OR GREATER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2404","CodeVersion":"2020","CustomName":"REPAIR MYELOMENINGOCELE FETUS PROC PRFRM UTERO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1990","CodeVersion":"2020","CustomName":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2018","CodeVersion":"2020","CustomName":"PSYCHOSOCIAL REHABILITATION SERVICES PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4137","CodeVersion":"2020","CustomName":"AMNIOEXCEL AMNIOEXCEL PLUS\/BIODEXCEL PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0173","CodeVersion":"2020","CustomName":"TRIMETHOBENZAMIDE HCL 250 MG ORL NOT>48 HR DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0816","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD CAPTAINS CHAIR PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9612","CodeVersion":"2020","CustomName":"TX PARENTERAL DRUGS 2\/> ADMINISTRATIONS DIFF MED"},{"ServiceGroup":"73841","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"33232","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"62718","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"769","CodeVersion":"2020","CustomName":"SEIZURE \"&\" HEADACHE AGE UNDER 18 W\/O CC-NYDRG"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"853","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIVAS PROC W\/ DRUG ELUTING STENT W\/ AMI-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"459","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"194","CodeVersion":"2020","CustomName":"Biliary tract procedures except only cholecystectomy, with or without common duct exploration, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30067","CodeType":"ICD9P","Code":"31.5","CodeVersion":"2017","CustomName":"LOCAL EXCISION\/DESTRUCTION LESION\/TISSUE TRACHEA"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115581","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12906","CodeType":"ICD9P","Code":"98.59","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OTHER SITES"},{"ServiceGroup":"38818","CodeType":"ICD9P","Code":"17.41","CodeVersion":"2017","CustomName":"OPEN ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107289","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51065","CodeType":"CPT","Code":"99238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3600","CodeVersion":"2020","CustomName":"TRANSF ORTHOS 1 SHOE TO ANOTH CALIP PLATE EXIST"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2545","CodeVersion":"2020","CustomName":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4354","CodeVersion":"2020","CustomName":"INSERTION TRAY W\/DRAIN BAG BUT WITHOUT CATHETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8708","CodeVersion":"2020","CustomName":"PATIENT NOT PRESCRIBED OR DISPENSED ANTIBIOTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9963","CodeVersion":"2020","CustomName":"EMB EPT NOT DOC SEP EMB VESS\/OA AG\/EMB NOT PERF"},{"ServiceGroup":"87963","CodeType":"ICD10P","Code":"0DB68Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH VIA NAT ART OPENING ENDO VERTCL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1882","CodeVersion":"2020","CustomName":"CARDIOVERT-DEFIB OTH THAN SINGLE\/DUAL CHAMB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4112","CodeVersion":"2020","CustomName":"CYMETRA INJECTABLE 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4203","CodeVersion":"2020","CustomName":"DERMA-GIDE PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0055","CodeVersion":"2020","CustomName":"ADVANCING CARE HEART DISEASE MIPS VALUE PATHWAYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0400","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9098","CodeVersion":"2020","CustomName":"HOME VISIT PHOTOTHERAPY SERVICES PER DIEM"},{"ServiceGroup":"73362","CodeType":"HCPCS","Code":"G0010","CodeVersion":"2020","CustomName":"ADMINISTRATION OF HEPATITIS B VACCINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2219","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4022","CodeVersion":"2020","CustomName":"OTOLARYNGOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8884","CodeVersion":"2020","CustomName":"CLIN DOC REASON PT BIOPSY RESULTS NOT REVIEWED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1353","CodeVersion":"2020","CustomName":"SEALANT REPAIR - PER TOOTH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7665","CodeVersion":"2020","CustomName":"MANNITOL ADMINISTERED THROUGH AN INHALER 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0862","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8210","CodeVersion":"2020","CustomName":"MUCUS TRAP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9637","CodeVersion":"2020","CustomName":"FINAL REPORT W\/DOC 1\/MORE DOSE REDUCTION TECH"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9291","CodeVersion":"2020","CustomName":"PRESCR DIG COGNITIVE &\/BT FDA-CLRD PER CRS TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7830","CodeVersion":"2020","CustomName":"MANIPULATION UNDER ANESTHESIA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2791","CodeVersion":"2020","CustomName":"INJ RHO D IG HUMAN RHOPHYLAC IM\/IV 10 IU"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9985","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 25 M"},{"ServiceGroup":"58848","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"33264","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"694","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - CONSULTATION AND EDUCATION"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"377","CodeVersion":"2020","CustomName":"Postpartum and postabortion diagnoses with operating room procedure"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"082","CodeVersion":"2020","CustomName":"Respiratory neoplasms"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0522T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87119","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0330U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15403","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104955","CodeType":"CPT","Code":"99219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"269","CodeType":"ICD10P","Code":"0FT44ZZ","CodeVersion":"2020","CustomName":"RESECTION GALLBLADDER PERQ ENDOSCOPIC APPROACH"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9084","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T1-3 N0 M0 NO PROGRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6239","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL >48 SQ W\/ADHES BORDR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6708","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1043","CodeVersion":"2020","CustomName":"FUNCTIONAL STATUS NOT MSR ODI AT 1 YEAR POSTOP"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1900","CodeVersion":"2020","CustomName":"LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9596","CodeVersion":"2020","CustomName":"PED PT HEAD CT TRAUMA ORD OTH ECP OR REAS OTH TR"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8097","CodeVersion":"2020","CustomName":"ASTHMA KIT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3700F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48381","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38648","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"73284","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"60126","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"558","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH DRUG ELUTING STENT WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"57465","CodeType":"DRG","Code":"652","CodeVersion":"2020","CustomName":"HIGH RISK VAGINAL DELIVERY W STERILIZATION AND\/OR D-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4195F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2024F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108082","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0539T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0720T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0065U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3292F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0204T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102260","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.8","CodeVersion":"2017","CustomName":"OTHER SPECIFIED INSTRUMENTAL DELIVERY"},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0695T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23","CodeType":"ICD9P","Code":"41.03","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT W\/O PURGING"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109017","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0713","CodeVersion":"2020","CustomName":"INJECTION CEFTAZIDIME PER 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4205","CodeVersion":"2020","CustomName":"MEMBRANE GRAFT OR MEMBRANE WRAP PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0330","CodeVersion":"2020","CustomName":"PET IMAGING INITIAL DIAGNOSIS CERVICAL"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0561","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0305","CodeVersion":"2020","CustomName":"BEDSIDE RAILS HALF-LENGTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8507","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4026","CodeVersion":"2020","CustomName":"PROCUREMENT OF DONOR SPERM FROM SPERM BANK"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2325","CodeVersion":"2020","CustomName":"INJECTION NESIRITIDE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1009","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4002","CodeVersion":"2020","CustomName":"CAST SUPPLIES BODY CAST ADULT W\/WO HEAD FIBRGLS"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9456","CodeVersion":"2020","CustomName":"DOC MED\/PT RSN FOR NOT ORDERING\/PRFRM SCR HCC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5565","CodeVersion":"2020","CustomName":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 150 U"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3215F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3342F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2103","CodeVersion":"2020","CustomName":"1 VISN PLANO TO+\/-4.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0221","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB & CILGAVIMAB CERT ADT&PED 600 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2371","CodeVersion":"2020","CustomName":"EACH ADDITIONAL INTERSPACE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6207","CodeVersion":"2020","CustomName":"CNTC LAYER > 16 SQ BUT <\/EQUAL 48 SQ EA DRESSING"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5270","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE TELEVISN AMPLIFIER TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0436","CodeVersion":"2020","CustomName":"ROTARY WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6676","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0383","CodeVersion":"2020","CustomName":"Blood and Blood Components - Plasma"},{"ServiceGroup":"3178","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"7","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"3448","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"68.31","CodeVersion":"2017","CustomName":"LAPAROSCOPIC SUPRACERVICAL HYSTERECTOMY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0090U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.00","CodeVersion":"2017","CustomName":"CLOSED HEART VALVOTOMY UNSPECIFIED VALVE"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3512F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58516","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105752","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34668","CodeType":"ICD9P","Code":"96.71","CodeVersion":"2017","CustomName":"CONT INVASIVE MECH VENT < 96 CONSECUTIVE HOURS"},{"ServiceGroup":"97364","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"98928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4218","CodeVersion":"2020","CustomName":"SURGICORD PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6794","CodeVersion":"2020","CustomName":"RETAINER CROWN - TITANIUM AND TITANIUM ALLOYS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6085","CodeVersion":"2020","CustomName":"INTERIM IMPLANT CROWN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6011","CodeVersion":"2020","CustomName":"COLLEGEN BASED WOUND FILLR GEL\/PASTE STERL PER G"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9769","CodeVersion":"2020","CustomName":"PATIENT HAD BMDT P 2 YR\/RECV OPO MED\/TX P 12 MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0153","CodeVersion":"2020","CustomName":"INJECTION ADENOSINE 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7315","CodeVersion":"2020","CustomName":"MITOMYCIN OPTHALMIC 0. 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3535","CodeVersion":"2020","CustomName":"DRUG ADMINISTERED THROUGH A METERED DOSE INHALER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5811","CodeVersion":"2020","CustomName":"INTERIM COMPLETE DENTURE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9271","CodeVersion":"2020","CustomName":"INJECTION PEMBROLIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2028","CodeVersion":"2020","CustomName":"SEXUAL OFFENDER TREATMENT SERVICE PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1093","CodeVersion":"2020","CustomName":"WIDE HEVY-DUTY WHLCHAIR; DTACHBLE ARMS FOOTRESTS"},{"ServiceGroup":"13557","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0175","CodeVersion":"2020","CustomName":"PERPHENZAINE 4 MG ORAL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0834","CodeVersion":"2020","CustomName":"INJECTION COSYNTROPIN 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0710","CodeVersion":"2020","CustomName":"INJECTION CEPHAPIRIN SODIUM UP TO 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8433","CodeVersion":"2020","CustomName":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0221","CodeVersion":"2020","CustomName":"INFRARED HEATING PAD SYSTEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9226","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0237","CodeVersion":"2020","CustomName":"MUSCLES FACE TO FACE ONE ON ONE EACH 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9987","CodeVersion":"2020","CustomName":"CANCELLED APPOINTMENT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33764","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"51322","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"17735","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"30089","CodeType":"REV","Code":"0802","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0264","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Supplies"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"88477","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"73948","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"81620","CodeType":"DRG","Code":"807","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W\/O CC-NYDRG"},{"ServiceGroup":"81620","CodeType":"DRG","Code":"805","CodeVersion":"2020","CustomName":"SIMULTANEOUS KIDNEY AND PANCREAS TRANSPLANT-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"16030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"79200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3763F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38818","CodeType":"ICD9P","Code":"17.49","CodeVersion":"2017","CustomName":"OTHER AND UNSPECIFIED ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"61357","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90384","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2360","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6539","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5520","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC\/=DIR FORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0182","CodeVersion":"2020","CustomName":"PROCARBAZINE HYDROCHLORIDE ORAL 50 MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4232","CodeVersion":"2020","CustomName":"CORPLEX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8044","CodeVersion":"2020","CustomName":"HEMI-FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4233","CodeVersion":"2020","CustomName":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"23585","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0732","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - Telemetry"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"74668","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"43431","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"20240","CodeType":"DRG","Code":"251","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"834","CodeVersion":"2020","CustomName":"Acute Leukemia without Major O.R. Procedure with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"839","CodeVersion":"2020","CustomName":"EXTRACRANIAL PROCEDURES W\/OUT CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"598","CodeVersion":"2020","CustomName":"Malignant Breast Disorders with CC"},{"ServiceGroup":"79678","CodeType":"DRG","Code":"004","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0240U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41335","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92410","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4194F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0518F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0447T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0628T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0315","CodeVersion":"2020","CustomName":"BED ACCESS: BOARD TABLE\/SUPPORT DEVICE ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0640","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL RIGID SHELL\/PANEL CUSTM FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2730","CodeVersion":"2020","CustomName":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8405","CodeVersion":"2020","CustomName":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1019","CodeVersion":"2020","CustomName":"PT 12-17 YR MD\/DYSTH REM 12 MO SCORE LESS THAN 5"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0285","CodeVersion":"2020","CustomName":"COLONOSCOPY CNSLT PRFRM PRI SCR COLONOSCOPY PROC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9245","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN HCI NOS 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0040","CodeVersion":"2020","CustomName":"ADJUSTABLE ANGLE FOOTPLATE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9451","CodeVersion":"2020","CustomName":"EXERCISE CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9200","CodeVersion":"2020","CustomName":"INJECTION FLOXURIDINE 500 MG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1703","CodeVersion":"2020","CustomName":"MODERNA COVID-19 VACCINE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0640","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL RIGID SHELL\/PANEL CUSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1705","CodeVersion":"2020","CustomName":"ASTRAZENECA COVID-19 VACC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0970","CodeVersion":"2020","CustomName":"TLSO CORSET FRONT"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3891","CodeVersion":"2020","CustomName":"ADD UP EXT JNT WRIST\/ELB CSTM FAB ORTHOT ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9449","CodeVersion":"2020","CustomName":"WEIGHT MANAGEMENT CLASSES NON-PHYS PER SESSION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3485","CodeVersion":"2020","CustomName":"HEEL PAD REMOVABLE FOR SPUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9023","CodeVersion":"2020","CustomName":"PLSMA MX DONR SOLVNT\/DETRGNT TREATD FRZN EA U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1625","CodeVersion":"2020","CustomName":"WATER SOFTENING SYSTEM FOR HEMODIALYSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2629","CodeVersion":"2020","CustomName":"INTRDUCR\/SHTH OTH THAN GUID OTH THAN IC EEG LASR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4198","CodeVersion":"2020","CustomName":"GENESIS AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6530","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 18-30 MMHG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1165","CodeVersion":"2020","CustomName":"INJECTION PHENYTOIN SODIUM PER 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8817","CodeVersion":"2020","CustomName":"STATIN THERAPY NOT PRESCRIBED D\/C RSN NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6782","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 CAST NOBLE METAL"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"26179","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"45183","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"44008","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"3809","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"3099","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"45540","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"47583","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"413","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"750","CodeVersion":"2020","CustomName":"ALCOHOL ABUSE OR DEPENDENCE W CC-NYDRG"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"894","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence, Left Against Medical Advice"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"137","CodeVersion":"2020","CustomName":"Cardiac congenital and valvular disorders, age 0-17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1205F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27330","CodeType":"CPT","Code":"27096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0617T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"33.50","CodeVersion":"2017","CustomName":"LUNG TRANSPLANTATION NOS"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1039F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0232U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107189","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8698","CodeVersion":"2020","CustomName":"MISC COMP SPL\/ACCESS FOR USE WITH TOT AH SYSTEM"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1900","CodeVersion":"2020","CustomName":"LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8710","CodeVersion":"2020","CustomName":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1014","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6610","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR"},{"ServiceGroup":"59839","CodeType":"HCPCS","Code":"J3364","CodeVersion":"2020","CustomName":"INJECTION UROKINASE 5000 IU VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1745","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9246","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN EVOMELA 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2710","CodeVersion":"2020","CustomName":"INJECTION NEOSTIGMINE METHYLSULFATE UP TO 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3352","CodeVersion":"2020","CustomName":"APEXIFICATION\/RECALCIFICATN INTERIM MED REPLACE"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4216","CodeVersion":"2020","CustomName":"STERIL WATER SALINE & OR DXT DILUENT\/FLUSH 10 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4385","CodeVersion":"2020","CustomName":"OST SKN BARRIER SOLID 4X4 EXT W\/O CONVXITY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0856","CodeVersion":"2020","CustomName":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5242","CodeVersion":"2020","CustomName":"HEARING AID ANALOG MONAURAL CIC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"28284","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2000","CodeVersion":"2020","CustomName":"KAFO 1 UPRT FREE KNEE FREE ANK SOLID STIRUP CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4563","CodeVersion":"2020","CustomName":"RECTAL CNTRL SYS VAG INSRT LT USE ANY TYPE EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2910","CodeVersion":"2020","CustomName":"INJECTION AUROTHIOGLUCOSE UP TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3710","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ELASTIC W\/METAL JOINTS PREFAB"},{"ServiceGroup":"30092","CodeType":"REV","Code":"0351","CodeVersion":"2020","CustomName":"CT Scan - CT - Head Scan"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0850","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"12342","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0842","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"51784","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0349","CodeVersion":"2020","CustomName":"Nuclear Medicine - Other Nuclear Medicine"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"259","CodeVersion":"2020","CustomName":"Subtotal mastectomy for malignancy with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"0414T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107361","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104615","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49","CodeType":"ICD9P","Code":"81.53","CodeVersion":"2017","CustomName":"REVISION OF HIP REPLACEMENT NOS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4145F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.82","CodeVersion":"2017","CustomName":"INIT INSRTION 1-CHAMB DEVICE RATE RESPONSIVE"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3380F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106227","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"63620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0113U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105731","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0114U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2799","CodeVersion":"2020","CustomName":"VISION ITEM OR SERVICE MISCELLANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2265","CodeVersion":"2020","CustomName":"INDUCED ABORTION 25 TO 28 WEEKS"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0868","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD SLING SEAT PT TO & = 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9898","CodeVersion":"2020","CustomName":"RADIOLABELED PROD PROV DURING A HOSPITAL IP STAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2292","CodeVersion":"2020","CustomName":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9271","CodeVersion":"2020","CustomName":"INJECTION PEMBROLIZUMAB 1 MG"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1894","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH NOT GUID INTRACARD EP NON-LASR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S1015","CodeVersion":"2020","CustomName":"IV TUBING EXTENSION SET"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2005","CodeVersion":"2020","CustomName":"KAFO ANY MATL AUTO LOCK&SWNG RLSE W\/ANK JNT CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2628","CodeVersion":"2020","CustomName":"FABRICATION AND FITTING OF OCULAR CONFORMER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1014","CodeVersion":"2020","CustomName":"TELEHLTH TRNSMS-MIN PROFESSIONAL SRVC BILL SEP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0890","CodeVersion":"2020","CustomName":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO &=125 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B5100","CodeVersion":"2020","CustomName":"PARENTERAL NUT SOL AMINO ACID AND CARBOHYDRATES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q3014","CodeVersion":"2020","CustomName":"TELEHEALTH ORIGINATING SITE FACILITY FEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1017","CodeVersion":"2020","CustomName":"PATIENT ADMITTED TO PALLIATIVE CARE SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6204","CodeVersion":"2020","CustomName":"COMPOS DRESS >16SQ BUT <\/=48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"87968","CodeType":"ICD10P","Code":"0DB67Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH VIA NAT ARTIF OPENING VERTICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6586","CodeVersion":"2020","CustomName":"PREP ELB DISRTC\/ABVE ELB 1 WALL SOCKT DIR FORMED"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6380","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2740","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN\/CERAMIC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80784","CodeType":"CPT","Code":"66184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82810","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9290","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPT NOT DOC H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4430","CodeVersion":"2020","CustomName":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5566","CodeVersion":"2020","CustomName":"INSULIN CARTRIDGE INSULIN DEVC NOT PUMP; 300 U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0878","CodeVersion":"2020","CustomName":"INJECTION DAPTOMYCIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1620","CodeVersion":"2020","CustomName":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0849","CodeVersion":"2020","CustomName":"TRACTION EQP CERV FREESTAND STAND\/FRME PNEUMATIC"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"44860","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"9526","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"33824","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"69044","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"31125","CodeType":"DRG","Code":"792","CodeVersion":"2020","CustomName":"CRANIOTOMY FOR MULT SIG TRAUMA W NON-TRAUMATIC MAJOR CC-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.1","CodeVersion":"2017","CustomName":"DIAGNOSTIC AMNIOCENTESIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0448T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4189F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1501F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107138","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3343F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4047F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35183","CodeType":"CPT","Code":"99344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0465T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.35","CodeVersion":"2017","CustomName":"RESECTION OTHER THORACIC VESSELS W\/ANASTOMOSIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"70552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99144","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9999","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4213","CodeVersion":"2020","CustomName":"ASCENT 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1717","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED HI DOSE IRIDIUM-192 PER SRC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5500","CodeVersion":"2020","CustomName":"DIAB ONLY FIT CSTM PREP&SPL SHOE MX DNSITY INSRT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1017","CodeVersion":"2020","CustomName":"PATIENT ADMITTED TO PALLIATIVE CARE SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1980","CodeVersion":"2020","CustomName":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2200","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4396","CodeVersion":"2020","CustomName":"PERISTOMAL HERNIA SUPPORT BELT"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0554","CodeVersion":"2020","CustomName":"RECEIVER DEDICATED FOR USE W\/THERAPEUTIC GCM SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2610","CodeVersion":"2020","CustomName":"SINGLE LENS SPECTACLE MOUNTED LOW VISION AIDS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0144","CodeVersion":"2020","CustomName":"AZITHROMYCIN DIHYDRATE ORAL CAP\/POWDER 1 GRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0038","CodeVersion":"2020","CustomName":"LEG STRAP EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7332","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRILURON IA INJ 1 MG"},{"ServiceGroup":"91722","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0173","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4100","CodeVersion":"2020","CustomName":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9073","CodeVersion":"2020","CustomName":"ONC; F BRST;ACA; ST III; ER&\/PR POS;NO PROGRESSN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2010","CodeVersion":"2020","CustomName":"COMPREHENSIVE MEDICATION SERVICES PER 15 MINUTES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1095","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE 9% INTRAOCULAR 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9594","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0745","CodeVersion":"2020","CustomName":"INJECTION CODEINE PHOSPHATE PER 30 MG"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9998","CodeVersion":"2020","CustomName":"DOCUM MED REAS INTERVAL <3 YR SINCE LST COLONSCP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0486","CodeVersion":"2020","CustomName":"LAB ACCSS TRNSEPI CYTL SMP MICRO EX PREP&WRT RPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9755","CodeVersion":"2020","CustomName":"DOC MED RES NOT INC INTVL MOD FU OR NO FU RECOM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8735","CodeVersion":"2020","CustomName":"ELDER MALTX SCR DOC POS F\/U NOT DOC RSN NOT GIVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1001","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH EVICORE DEFIND MCR AUC PROG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0379","CodeVersion":"2020","CustomName":"DIRECT ADMISSION PATIENT HOSPITAL OBSERV CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1005","CodeVersion":"2020","CustomName":"RESPITE CARE SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9013","CodeVersion":"2020","CustomName":"ESRD DEMO BASIC BUNDLE LEVEL I"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0623","CodeVersion":"2020","CustomName":"SACROILIAC ORTHOSIS RIGID\/SEMI-RIGID PANL PREFAB"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0833","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Equipment"},{"ServiceGroup":"70048","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0381","CodeVersion":"2020","CustomName":"Blood and Blood Components - Packed Red Cells"},{"ServiceGroup":"11258","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"965","CodeVersion":"2020","CustomName":"Other Multiple Significant Trauma without CC\/MCC"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"717","CodeVersion":"2020","CustomName":"Other Male Reproductive System O.R. Procedures Except Malignancy with CC\/MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0200U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93089","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3754F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.04","CodeVersion":"2017","CustomName":"GI SCAN&RADIOISOTOPE FUNCTION STUDY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89857","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0024U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93017","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4394","CodeVersion":"2020","CustomName":"OSTOMY DEODORANT W\/WO LUBRICANT POUCH PER FL OZ"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1580","CodeVersion":"2020","CustomName":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1208","CodeVersion":"2020","CustomName":"TOPICAL APPLICATION OF FLUORIDE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0476","CodeVersion":"2020","CustomName":"SPECIAL STAINS FOR MICROORGANISMS"},{"ServiceGroup":"90065","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2005","CodeVersion":"2020","CustomName":"EXTENSIVE 75 MINS IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3480","CodeVersion":"2020","CustomName":"HEEL PAD AND DEPRESSION FOR SPUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9418","CodeVersion":"2020","CustomName":"PRIM NSCLC BX&CY SPEC DOC CLASS NSCLC-NOS EXPLAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2783","CodeVersion":"2020","CustomName":"LENS INDX >\/= 1.66 PLSTC\/>\/= 1.80 GLASS LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1270","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; FIX ARMS DTACHBLE ELEV LEGRESTS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6676","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6204","CodeVersion":"2020","CustomName":"COMPOS DRESS >16SQ BUT <\/=48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2209","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"16302","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0508","CodeVersion":"2020","CustomName":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9266","CodeVersion":"2020","CustomName":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0048","CodeVersion":"2020","CustomName":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7008","CodeVersion":"2020","CustomName":"LG VOL NEBULIZR DISPBL PREFIL W\/AROSL COMPRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2961","CodeVersion":"2020","CustomName":"LABIAL VENEER RESIN LAMINATE - INDIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9422","CodeVersion":"2020","CustomName":"PRIM LUNG CARCINOMA RESC RPT DOC PT CAT PN CATG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8701","CodeVersion":"2020","CustomName":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL\/DBL UPR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2330","CodeVersion":"2020","CustomName":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6211","CodeVersion":"2020","CustomName":"PONTIC - CAST PREDOM BASE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3919","CodeVersion":"2020","CustomName":"HAND ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9482","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 20 MINUTES"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3919","CodeVersion":"2020","CustomName":"HAND ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0291","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Rental"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"18007","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0873","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Storage and Processing After Receipt of Cells from Manufacturer"},{"ServiceGroup":"43893","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"69683","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3650F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24639","CodeType":"CPT","Code":"92607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3758F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104925","CodeType":"CPT","Code":"92929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1127F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107321","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0735T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63467","CodeType":"CPT","Code":"64585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0511T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86458","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113594","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9685","CodeVersion":"2020","CustomName":"PHYS OTH PROF E&M BENEFIC CHG COND NSG FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2315","CodeVersion":"2020","CustomName":"INJECTION NALTREXONE DEPOT FORM 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2145","CodeVersion":"2020","CustomName":"FUNC ST ODI 3MO PO >=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7626","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3020","CodeVersion":"2020","CustomName":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL\/MT SUPP EA"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9015","CodeVersion":"2020","CustomName":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0490","CodeVersion":"2020","CustomName":"EMERGENCY POWER SOURCE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0627","CodeVersion":"2020","CustomName":"LUMB ORTHOSIS SAGIT CNTRL RIGID A&P PANEL PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7520","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4013","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST ADULT PLASTER"},{"ServiceGroup":"113462","CodeType":"HCPCS","Code":"C9761","CodeVersion":"2020","CustomName":"CS URS&\/PYELOSCPY LITH & VAC ASPIR K COLL SYS&U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6011","CodeVersion":"2020","CustomName":"COLLEGEN BASED WOUND FILLR GEL\/PASTE STERL PER G"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0009","CodeVersion":"2020","CustomName":"ADMINISTRATION OF PNEUMOCOCCAL VACCINE"},{"ServiceGroup":"78377","CodeType":"HCPCS","Code":"H0008","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SRVC; SUB-ACUTE DTOX HOSP IP"},{"ServiceGroup":"74470","CodeType":"HCPCS","Code":"G0398","CodeVersion":"2020","CustomName":"HST W\/TYPE II PRTBLE MON UNATTENDED MIN 7 CH"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8511","CodeVersion":"2020","CustomName":"INSRT INDWLL TRACHEOESOPH PROS W\/WO VALV REPLCMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9371","CodeVersion":"2020","CustomName":"INJECTION VINCRISTINE SULFATE LIPOSOME 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0437","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"42972","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9558","CodeVersion":"2020","CustomName":"HIT GROWTH HORMONE W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7943","CodeVersion":"2020","CustomName":"OSTEOT-MAND RAMI BN GFT; OBTAIN GFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2625","CodeVersion":"2020","CustomName":"SKIN PROTECT & POSITIONING WC CUSH WIDTH 22 IN\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8477","CodeVersion":"2020","CustomName":"MOST RECENT BP SYST>=140 MM HG &\/ DIAS>=90 MM HG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9274","CodeVersion":"2020","CustomName":"INJECTION TEBENTAFUSP-TEBN 1 MCG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1767","CodeVersion":"2020","CustomName":"GENERATOR NEUROSTIMULATOR NONRECHARGEABLE"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"68188","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"30222","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"16033","CodeType":"REV","Code":"0344","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic Radiopharmaceuticals"},{"ServiceGroup":"33270","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"78377","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0814","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unsuccessful Organ Search - Donor Bank Charges"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"977","CodeVersion":"2020","CustomName":"HIV with or without Other Related Condition"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"806","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"54975","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"577","CodeVersion":"2020","CustomName":"Carotid Artery Stent Procedure"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90419","CodeType":"CPT","Code":"26686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86463","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4149F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106710","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3512F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3700F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0013A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4145F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0587T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91010","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93070","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97279","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10A07ZW","CodeVersion":"2020","CustomName":"ABORTION POC LAMINARIA VIA NATURAL\/ARTIF OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0707","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL RAD IMG - IMAGE CAP ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9223","CodeVersion":"2020","CustomName":"DEEP SEDAT\/GEN ANESTHESIA-EA SUBSQT 15 MIN INCR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7996","CodeVersion":"2020","CustomName":"IMPLNT-MANDIB-AUGMENTATION BR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40826","CodeType":"HCPCS","Code":"A4306","CodeVersion":"2020","CustomName":"DISPOSABL DRUG DEL SYS FLOW RATE <50 ML PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0270","CodeVersion":"2020","CustomName":"INJECTION ALPROSTADIL 1.25 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0017","CodeVersion":"2020","CustomName":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0492","CodeVersion":"2020","CustomName":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9045","CodeVersion":"2020","CustomName":"INJECTION CARBOPLATIN 50 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"113115","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9351","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3370","CodeVersion":"2020","CustomName":"SOLE WEDGE BETWEEN SOLE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2503","CodeVersion":"2020","CustomName":"INJECTION PEGAPTANIB SODIUM 0.3 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0981","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS SEAT UPHLSTR REPLCMT ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9441","CodeVersion":"2020","CustomName":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0021","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG TRAINING SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0157","CodeVersion":"2020","CustomName":"SERVICES PT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9413","CodeVersion":"2020","CustomName":"PT NOT ADM WI 180 DAYS POST CIED W\/INF DEVC REMV"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"113580","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0834","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"33827","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"88","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0770","CodeVersion":"2020","CustomName":"Preventive Care Services - General Classification"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"20075","CodeType":"DRG","Code":"286","CodeVersion":"2020","CustomName":"Adrenal and pituitary procedures"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82754","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108093","CodeType":"CPT","Code":"27138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113462","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0664T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3317F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93077","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44132","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0647T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104123","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0508T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3284F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16778","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14096","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104257","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0857","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO &=300 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9054","CodeVersion":"2020","CustomName":"WB\/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6532","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 40-50 MMHG EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1335","CodeVersion":"2020","CustomName":"INJECTION ERTAPENEM SODIUM 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1730","CodeVersion":"2020","CustomName":"INJECTION DIAZOXIDE UP TO 300 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"68380","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2038","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC MX-AXIS ANKLE CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3320","CodeVersion":"2020","CustomName":"ENDODONTIC THERAPY PREMOLAR TOOTH"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0900","CodeVersion":"2020","CustomName":"CUSTOMIZED DME OTHER THAN WHEELCHAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6784","CodeVersion":"2020","CustomName":"RETAINER CROWN 3\/4 - TITANIUM & TITANIUM ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0043","CodeVersion":"2020","CustomName":"SUPPORTED HOUSING PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9784","CodeVersion":"2020","CustomName":"PATHOLOGISTS\/DERMATOPATH PRVDG 2ND OPINION ON BX"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9468","CodeVersion":"2020","CustomName":"PT NOT REC CS >\/= TO 10 MG\/D PRD EQ 60\/GT CONS D"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6706","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9211","CodeVersion":"2020","CustomName":"HOME MGMT GESTATIONAL HYPERTENSION; PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9270","CodeVersion":"2020","CustomName":"NONCOVERED ITEM OR SERVICE"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5273","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE USE W\/COCHLEAR IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0842","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD MX PWR CAPT CHR PT TO &=300 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9685","CodeVersion":"2020","CustomName":"PHYS OTH PROF E&M BENEFIC CHG COND NSG FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2385","CodeVersion":"2020","CustomName":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0270","CodeVersion":"2020","CustomName":"INJECTION ALPROSTADIL 1.25 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8934","CodeVersion":"2020","CustomName":"LVEF<40%\/DOC MOD\/SEV DPRSD LT VENT SYSTOLIC FCN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9655","CodeVersion":"2020","CustomName":"A TRANSFER OF CARE PROTOCOL\/H\/O TOOL\/CHECKLIST"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"103731","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"11259","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"26228","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"66168","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"188","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"9934","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.76","CodeVersion":"2017","CustomName":"TRAINING IN USE OF LEAD DOG FOR THE BLIND"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.33","CodeVersion":"2017","CustomName":"OTHER HYDROTHERAPY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0735T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69923","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0190U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.63","CodeVersion":"2017","CustomName":"OTHER EXCISION OF UPPER LIMB VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0726T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7261","CodeVersion":"2020","CustomName":"PRIMARY CLOSURE SINUS PERFORATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9315","CodeVersion":"2020","CustomName":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2636","CodeVersion":"2020","CustomName":"BRACHYTX LINEAR NONSTRAND PALLADIUM-103 PER 1 MM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1009","CodeVersion":"2020","CustomName":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0769","CodeVersion":"2020","CustomName":"ESTIM\/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9549","CodeVersion":"2020","CustomName":"DOC MEDICAL REASON THAT F\/U IMAGING IS INDICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9330","CodeVersion":"2020","CustomName":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6600","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0820","CodeVersion":"2020","CustomName":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8430","CodeVersion":"2020","CustomName":"DOC MED RSN NOT DOC UPDAT\/REV PT CUR MED LIST"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9533","CodeVersion":"2020","CustomName":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7212","CodeVersion":"2020","CustomName":"FACTOR VIIA-JNCW 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0715","CodeVersion":"2020","CustomName":"INJECTION CEFTIZOXIME SODIUM PER 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0188","CodeVersion":"2020","CustomName":"SYNTHETIC SHEEPSKIN PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2213","CodeVersion":"2020","CustomName":"INIT MEDICATION TX OPIOID USE D\/O ED SETTING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7710","CodeVersion":"2020","CustomName":"MAXILLA-OPEN REDUCTION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105218","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9153","CodeVersion":"2020","CustomName":"INJECTION LIPOSOMAL 1 MG DNR & 2.27 MG CA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0305","CodeVersion":"2020","CustomName":"POST-D\/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4428","CodeVersion":"2020","CustomName":"OST POUCH URIN EXT BARR W\/FAUCET TAP W\/VALVE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8425","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9651","CodeVersion":"2020","CustomName":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"59116","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0324","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Chest X-Ray"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"37015","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"3212","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.21","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION WITHOUT EXTRACTION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19891","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92085","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106798","CodeType":"CPT","Code":"36905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4047F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0413T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0486T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81722","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0623T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63464","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0200T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91009","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109967","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5820","CodeVersion":"2020","CustomName":"INTERIM PARTIAL DENTURE MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3510","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION INSOLE RUBBER"},{"ServiceGroup":"104229","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7505","CodeVersion":"2020","CustomName":"MUROMONAB-CD3 PARENTERAL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0085","CodeVersion":"2020","CustomName":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR EXST PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2313","CodeVersion":"2020","CustomName":"TRIFOCL+\/-7.25-+\/-12.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7307","CodeVersion":"2020","CustomName":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL & SPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0029","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG PREVENTION ALTERNATIVES SERVICE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8450","CodeVersion":"2020","CustomName":"SPLINT PREFABRICATED DIGIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9098","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0294","CodeVersion":"2020","CustomName":"NONCOVR PROC NO ANES\/LOC ANES-MCR QUAL TRIAL-DAY"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0481","CodeVersion":"2020","CustomName":"INTRAPULM PERCUSSIVE VENT SYSTEM&REL ACSSORIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4104","CodeVersion":"2020","CustomName":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9651","CodeVersion":"2020","CustomName":"PSO ASSESS TOOL DOC NOT MTG ANY 1 SPEC BNCHMRK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4629","CodeVersion":"2020","CustomName":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2620","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAMIC - 2 SURF"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70439","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0284","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2374","CodeVersion":"2020","CustomName":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6950","CodeVersion":"2020","CustomName":"ABVE ELB OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9361","CodeVersion":"2020","CustomName":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9177","CodeVersion":"2020","CustomName":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6615","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST NOBLE METAL 3\/MORE SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2177","CodeVersion":"2020","CustomName":"AC BR EPIS PT NU\/REFILL RX ABX 30 D PRIOR EPS DT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8460","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER ABOVE KNEE EACH"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1025","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS ORTHOS KYPHOS PAD FLOATING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0428","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS NONEMERGENCY TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5252","CodeVersion":"2020","CustomName":"HEARING AID DIGITALLY PROGRAMMABLE BINAURAL ITE"},{"ServiceGroup":"72","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"32560","CodeType":"DRG","Code":"934","CodeVersion":"2020","CustomName":"Full Thickness Burn without Skin Graft or Inhalation Injury"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"446","CodeVersion":"2020","CustomName":"Traumatic injury, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79699","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28547","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88149","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0066U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"6150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0178T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3038F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4011","CodeVersion":"2020","CustomName":"IN VITRO FERTILIZATION;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1013","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECH EVIDNCECARE IMAG ADV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6253","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL >48 SQ NO ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0675","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION\/DEFL"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1161","CodeVersion":"2020","CustomName":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7943","CodeVersion":"2020","CustomName":"OSTEOT-MAND RAMI BN GFT; OBTAIN GFT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7525","CodeVersion":"2020","CustomName":"TACROLIMUS PARENTERAL 5 MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4672","CodeVersion":"2020","CustomName":"DRAINAGE EXTENSION LINE STERILE DIALYSIS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9425","CodeVersion":"2020","CustomName":"PRIM LUNG CARCINOMA RESC DOES NOT DOC PT CATG PN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6000","CodeVersion":"2020","CustomName":"NON-CNTC WND WARMING WND COVR W\/DEVC&CARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4708","CodeVersion":"2020","CustomName":"ACTAT CONCENTRATE SOLUTION HEMODIAL PER GALLON"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7671","CodeVersion":"2020","CustomName":"ALVEOL-OPEN RDUC MAY W\/STBL TEETH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0034","CodeVersion":"2020","CustomName":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1635","CodeVersion":"2020","CustomName":"COMPACT TRAVEL HEMODIALYZER SYSTEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8618","CodeVersion":"2020","CustomName":"TRNSMT CBL USE CI DEVC\/AUD OSSEOINTG DEVC REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0562","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Hourly Charge"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"14414","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"15363","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"287","CodeVersion":"2020","CustomName":"Skin grafts and wound debridement for endocrine, nutritional, and metabolic disorders"},{"ServiceGroup":"37389","CodeType":"DRG","Code":"286","CodeVersion":"2020","CustomName":"Adrenal and pituitary procedures"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3471F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44244","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0335T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0686T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90428","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.53","CodeVersion":"2017","CustomName":"REPL\/REPAIR THORACIC UNIT TOTAL REPL HEART SYS"},{"ServiceGroup":"103645","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93030","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104116","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.22","CodeVersion":"2017","CustomName":"AORTA-SUBCLAVIAN-CAROTID BYPASS"},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9903","CodeVersion":"2020","CustomName":"PATIENT SCR TOBACCO USE & ID AS TOB NON-USER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9898","CodeVersion":"2020","CustomName":"RADIOLABELED PROD PROV DURING A HOSPITAL IP STAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2113","CodeVersion":"2020","CustomName":"1 VISN +\/- 7.25 +\/- 12.00D SPH 4.25-6.00D CYL EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4245","CodeVersion":"2020","CustomName":"AMNIOTEXT PER CC"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5249","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL ITC"},{"ServiceGroup":"36066","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5230","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES"},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.09","CodeVersion":"2017","CustomName":"INCISION OF LOWER LIMB VEINS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102260","CodeType":"CPT","Code":"23472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5928","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0396","CodeVersion":"2020","CustomName":"ALCOHOL &\/SUB MISUSE ST ASMT & BRF INT 15-30 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4360","CodeVersion":"2020","CustomName":"DISPSBL EXT URETHRAL CLAMP\/COMP DEV PAD POUCH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4140","CodeVersion":"2020","CustomName":"BIODFENCE PER SQ CM"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2170","CodeVersion":"2020","CustomName":"INJECTION MECASERMIN 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1742","CodeVersion":"2020","CustomName":"INJ IBUTILIDE FUMARATE 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4110","CodeVersion":"2020","CustomName":"PRIMATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2142","CodeVersion":"2020","CustomName":"FUNC ST ODI 1YR PO<=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2375","CodeVersion":"2020","CustomName":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4543","CodeVersion":"2020","CustomName":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9055","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; OTH UNS SRVC NOT OTHERWISE LIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3865","CodeVersion":"2020","CustomName":"COMP GENE SEQ ANALY HYPERTROPHIC CARDIOMYOPATHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0602","CodeVersion":"2020","CustomName":"BREAST PUMP MANUAL ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0103","CodeVersion":"2020","CustomName":"PROSTATE CANCER SCREENING; PSA TEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1007","CodeVersion":"2020","CustomName":"CLINICAL DEC SUPP MECH AIM DEFINED MCR AUC PROG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3429","CodeVersion":"2020","CustomName":"BONE GRAFT PERIRADICULR SURG EA ADD CONTIG TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0045","CodeVersion":"2020","CustomName":"CLINIC FU MRS SCR 90DAY FLW ENDOVAS STROKE INTRV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2006","CodeVersion":"2020","CustomName":"BRIEF 20 MINUTES IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1840","CodeVersion":"2020","CustomName":"INJECTION KANAMYCIN SULFATE UP TO 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6215","CodeVersion":"2020","CustomName":"FOAM DRESSING WOUND FILLER STERILE PER GRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4105","CodeVersion":"2020","CustomName":"INTEGRA DRT\/INTEGRA OMNIGR DRML RGN MTX P SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2065","CodeVersion":"2020","CustomName":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4008","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4404","CodeVersion":"2020","CustomName":"OSTOMY RING EACH"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4529","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD BRF\/DIAPER SM\/MED EA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9939","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"68820","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"24639","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"453","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0855","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0528","CodeVersion":"2020","CustomName":"FS CLINIC-VISIT BY RHC\/FQHC PRAC TO OTHER NON-RHC\/FQHC SITE (E.G. SCENE OF ACCIDENT)"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"36144","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"31145","CodeType":"DRG","Code":"281","CodeVersion":"2020","CustomName":"Trauma to the skin, subcutaneous tissue, and breast, age greater than 17, without CC"},{"ServiceGroup":"49463","CodeType":"DRG","Code":"220","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"835","CodeVersion":"2020","CustomName":"Acute Leukemia without Major O.R. Procedure with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"857","CodeVersion":"2020","CustomName":"Postoperative or Posttraumatic Infections with O.R. Procedure with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0198T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93600","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87759","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0536T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1123F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"5200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88343","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"55.6","CodeVersion":"2017","CustomName":"TRANSPLANT OF KIDNEY"},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"37.51","CodeVersion":"2017","CustomName":"HEART TRANSPLANTATION"},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104337","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0650T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12906","CodeType":"ICD9P","Code":"98.51","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITH KIDNEY URETER &OR BLADD"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89887","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9177","CodeVersion":"2020","CustomName":"INJECTION ENFORTUMAB VEDOTIN-EJFV 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2150","CodeVersion":"2020","CustomName":"MULTIMODAL PAIN MANAGEMENT WAS NOT USED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7360","CodeVersion":"2020","CustomName":"SIX VOLT BATTERY EACH"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4192","CodeVersion":"2020","CustomName":"RESTORIGIN 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6253","CodeVersion":"2020","CustomName":"INTRM PONTIC-FUR TX\/CMPL DX NEC B4 FINAL IMPRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0210","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: MEALS-ESCORT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9126","CodeVersion":"2020","CustomName":"HOSPICE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3334","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL PER INCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7952","CodeVersion":"2020","CustomName":"SINUS AUGMENTATION VIA A VERTICAL APPROACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4316","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH 3-WAY CONT IRRIG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5301","CodeVersion":"2020","CustomName":"BELW KNEE MOLD SOCKT SHIN SACH FT ENDOSKEL SYS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9318","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5010","CodeVersion":"2020","CustomName":"ASSESSMENT FOR HEARING AID"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4220","CodeVersion":"2020","CustomName":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5081","CodeVersion":"2020","CustomName":"STOMA PLUG OR SEAL ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8450","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0570","CodeVersion":"2020","CustomName":"NEBULIZER WITH COMPRESSOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4060","CodeVersion":"2020","CustomName":"REPLACE HIGH ROLL CUFF"},{"ServiceGroup":"10931","CodeType":"HCPCS","Code":"A4212","CodeVersion":"2020","CustomName":"NONCORING NEEDLE OR STYLET W\/WO CATHETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0016","CodeVersion":"2020","CustomName":"ALCOHOL AND\/OR DRUG SERVICES; MEDICAL\/SOMATIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9942","CodeVersion":"2020","CustomName":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY\/LAMI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1080","CodeVersion":"2020","CustomName":"ADDITION TO CTLSO\/SCOLIOSIS ORTHOSIS OUTRIGGER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4206","CodeVersion":"2020","CustomName":"FLUID FLOW OR FLUID GF 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0601","CodeVersion":"2020","CustomName":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"34388","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7606","CodeVersion":"2020","CustomName":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7499","CodeVersion":"2020","CustomName":"UPPER EXTREMITY PROSTHESIS NOS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0600","CodeVersion":"2020","CustomName":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2634","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRAND IODINE-125 >1.01 MCI PER SRC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2335","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0303","CodeVersion":"2020","CustomName":"Laboratory - Renal Patient (Home)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"875","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Injection of Modified Cells"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"68192","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9936","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"43323","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0390","CodeVersion":"2020","CustomName":"ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND COMPONENTS-GENERAL CLASS"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"625","CodeVersion":"2020","CustomName":"Thyroid, Parathyroid and Thyroglossal Procedures with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"645","CodeVersion":"2020","CustomName":"Endocrine Disorders without CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"988","CodeVersion":"2020","CustomName":"Nonextensive O.R. Procedure Unrelated to Principal Diagnosis with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"9001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.65","CodeVersion":"2017","CustomName":"OSTEOPATHIC MANIP TX USING INDIRECT FORCES"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.86","CodeVersion":"2017","CustomName":"REMOVAL CAROTID SINUS STIM DEVICE TOTAL SYSTEM"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0259T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0479T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106717","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0088U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0544T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70065","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5053","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH"},{"ServiceGroup":"91657","CodeType":"ICD10P","Code":"10D00Z2","CodeVersion":"2020","CustomName":"EXTRACTION POC EXTRAPERITONEAL OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8698","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND FIXED RETAINER - MAXILLAR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2358","CodeVersion":"2020","CustomName":"INJECTION OLANZAPINE LONG-ACTING 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9150","CodeVersion":"2020","CustomName":"NONPRESCRIPTION DRUG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1732","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX\/ABLAT 3D\/VECTOR MAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1530","CodeVersion":"2020","CustomName":"AIR BUBBLE DETECTOR HEMODIALYSIS EA REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0620","CodeVersion":"2020","CustomName":"ROUTINE OPHTH EXAM INCL REFRACTION; NEW PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3760","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2780","CodeVersion":"2020","CustomName":"INJECTION RANITIDINE HYDROCHLORIDE 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0459","CodeVersion":"2020","CustomName":"CHEST WRAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0304","CodeVersion":"2020","CustomName":"HOS BED EXTRA HEAVY DUTY WT CAP>600 PDS MATTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0003","CodeVersion":"2020","CustomName":"ALCOHL &\/ RX SCR; LAB ANALY PRESENC ALCOHL &\/ RX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2024","CodeVersion":"2020","CustomName":"SP CLCT SARS-COV2 COVID19 FRM SNF\/LAB ANY SPEC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0017","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH; RES W\/O ROOM&BOARD PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5684","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2820","CodeVersion":"2020","CustomName":"INJECTION SARGRAMOSTIM 50 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2401","CodeVersion":"2020","CustomName":"REPR URIN TRACT OBST FETUS PROC PRFRM UTERO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2670","CodeVersion":"2020","CustomName":"INJECTION TOLAZOLINE HCL UP TO 25 MG"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4104","CodeVersion":"2020","CustomName":"INTEGRA BILAYER MATRIX WOUND DRESSING PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1786","CodeVersion":"2020","CustomName":"INJECTION IMIGLUCERASE 10 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0422","CodeVersion":"2020","CustomName":"INTENSIVE CARD REHAB; W\/WO CONT ECG MON W\/EXER"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75493","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"10632","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"15788","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"13249","CodeType":"REV","Code":"0615","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Head and Neck"},{"ServiceGroup":"3205","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"107733","CodeType":"DRG","Code":"788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.24","CodeVersion":"2017","CustomName":"LAPAROSCOPIC WEDGE RESECTION OF OVARY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0216T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0069U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90375","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107185","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0707T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85963","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0109U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0243U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.35","CodeVersion":"2017","CustomName":"OTHER DIAGNOSTIC PROCEDURES ON FETUS AND AMNION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0013A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7038","CodeVersion":"2020","CustomName":"FILTER DISPBL USED W\/POS ARWAY PRESSURE DEVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1040","CodeVersion":"2020","CustomName":"CRANIAL REMOLDING ORTHOSIS PED RIGID CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0422","CodeVersion":"2020","CustomName":"AMB OXYGEN&O2 SUPPLIES LIFE SUSTAINING SITUATION"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0491","CodeVersion":"2020","CustomName":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3212","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR INFANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9950","CodeVersion":"2020","CustomName":"INJECTION SULFUR HEXAFLUORIDE LIPID MSS PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6004","CodeVersion":"2020","CustomName":"RAD TX DEL 1 TX AREA PORT\/PL OPP PORTS: 6-10 MEV"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3246","CodeVersion":"2020","CustomName":"INJECTION TIROFIBAN HCI 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4199","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB > 100 GMS PPAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1010","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS AXILLA SLING"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4234","CodeVersion":"2020","CustomName":"XCELLERATE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4281","CodeVersion":"2020","CustomName":"TUBING FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2300","CodeVersion":"2020","CustomName":"INJECTION NALBUPHINE HCL PER 10 MG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6624","CodeVersion":"2020","CustomName":"RETAINER INLAY - TITANIUM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P7001","CodeVersion":"2020","CustomName":"CULT BACTERL URINE; QUAN SENSITIVITY STUDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2782","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7946","CodeVersion":"2020","CustomName":"LEFORT I MAXILLA TOTAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8711","CodeVersion":"2020","CustomName":"PRESCRIBED OR DISPENSED ANTIBIOTIC ON W\/IN 3 DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2613","CodeVersion":"2020","CustomName":"LUNG BIOPSY PLUG WITH DELIVERY SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9004","CodeVersion":"2020","CustomName":"DEPART VETERANS AFFAIR WHOLE HEALTH PARTNER SERV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0422","CodeVersion":"2020","CustomName":"COLLECTION & PREPARATION OF GENETIC SAMPLE MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0328","CodeVersion":"2020","CustomName":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0613","CodeVersion":"2020","CustomName":"ANNUAL GYN EXAM CLIN BREAST EXAM W\/O PELV EXAM"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0277","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2983","CodeVersion":"2020","CustomName":"VENEER REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1652","CodeVersion":"2020","CustomName":"INJECTION FONDAPARINUX SODIUM 0.5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7306","CodeVersion":"2020","CustomName":"LEVONORGESTREL CNTRACPTV IMPL SYS INCL IMPL&SPL"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9213","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-2A RECOMBINANT 3 M U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0166","CodeVersion":"2020","CustomName":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0918","CodeVersion":"2020","CustomName":"SATISFACTION W\/CARE NOT ACHV 90 DAY FLW CAT SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9472","CodeVersion":"2020","CustomName":"CARD REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0603","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING HIGH RISK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0918","CodeVersion":"2020","CustomName":"SATISFACTION W\/CARE NOT ACHV 90 DAY FLW CAT SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1610","CodeVersion":"2020","CustomName":"RVRS OSMOSIS H2O PURIFICATION SYSTEM HEMODIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9700","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON STOMACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3395F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4248F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7304","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0291","CodeVersion":"2020","CustomName":"HOSPITAL BED FIX HT W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8033","CodeVersion":"2020","CustomName":"NIPPLE PROSTH CSTM FAB REUSABL ANY MATL ANY T EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1650","CodeVersion":"2020","CustomName":"INJECTION ENOXAPARIN SODIUM 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7251","CodeVersion":"2020","CustomName":"CORONECTOMY - INTENTIONAL PARTIAL TOOTH REMOVAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7314","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9380","CodeVersion":"2020","CustomName":"PATIENT OFFERED ASSIST ROF ISSUES DUR MSR PRD"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34549","CodeType":"ICD9P","Code":"88.38","CodeVersion":"2017","CustomName":"OTHER COMPUTERIZED AXIAL TOMOGRAPHY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0733T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100287","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77585","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103301","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0041A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0173U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6711","CodeVersion":"2020","CustomName":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0273","CodeVersion":"2020","CustomName":"BITEWINGS - THREE RADIOGRAPHIC IMAGES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9353","CodeVersion":"2020","CustomName":"INJECTION MARGETUXIMAB-CMKB 5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9226","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT SUPPRELIN LA 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7201","CodeVersion":"2020","CustomName":"INJECTION FAC IX FC FUS PROTEIN ALPROLIX 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0419","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9351","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS ORD\/REC 90 DAY AFTR DX"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4157","CodeVersion":"2020","CustomName":"REVITALON PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8693","CodeVersion":"2020","CustomName":"AUD OSSEOINTEGRATED DEVC ABUT LENGTH REPL ONLY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1746","CodeVersion":"2020","CustomName":"INJECTION IBALIZUMAB-UIYK 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0875","CodeVersion":"2020","CustomName":"INJECTION DALBAVANCIN 5MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1757","CodeVersion":"2020","CustomName":"CATHETER THROMBECTOMY\/EMBOLECTOMY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0032","CodeVersion":"2020","CustomName":"INJECTION NAFCILLIN SODIUM 2 GRAMS"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1087","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARMS DTACH LEGRST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1931","CodeVersion":"2020","CustomName":"INJECTION LARONIDASE 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3766","CodeVersion":"2020","CustomName":"EWHFO INCL 1\/MORE NONTORSION JOINTS CSTM FAB"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8428","CodeVersion":"2020","CustomName":"CUR MEDS NO DOC OBDT UPD\/REV ELIG CLIN RSN N GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9441","CodeVersion":"2020","CustomName":"ASTHMA ED NON-PHYSICIAN PROVIDER PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2105","CodeVersion":"2020","CustomName":"PT AGE 66\/> INST SNP\/RESID LTC >90 D DUR MSR PRD"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13249","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"36991","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0580","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - General Classification"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"080","CodeVersion":"2020","CustomName":"Respiratory infections and inflammations, age greater than 17, without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3570F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0067U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0301U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0579T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3281F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6708","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1731","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 20\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7521","CodeVersion":"2020","CustomName":"I & D ABSC XTRAORAL SOFT TISS COMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2060","CodeVersion":"2020","CustomName":"LOBAR LUNG TRANSPLANTATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1645","CodeVersion":"2020","CustomName":"INJECTION DALTEPARIN SODIUM PER 2500 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4166","CodeVersion":"2020","CustomName":"CYTAL PER SQ CM"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4161","CodeVersion":"2020","CustomName":"ENTRAL F PED HYDROLYZED\/AA&PEPTIDE CHAIN PROTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3710","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ELASTIC W\/METAL JOINTS PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5650","CodeVersion":"2020","CustomName":"ADD TOOTH EXISTING PARTIAL DENTURE"},{"ServiceGroup":"46731","CodeType":"ICD10P","Code":"3E0F3SD","CodeVersion":"2020","CustomName":"INTRODUCTION NITRIC OXIDE GAS RESP TRACT PERQ"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9712","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN FOR PRESCRIB\/DISPENS ABX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9363","CodeVersion":"2020","CustomName":"SKIN SUBST INTEGRA MESH BILAYER MATRIX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9946","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5287","CodeVersion":"2020","CustomName":"ASSISTIVE LISTENING DEVC PERS FM\/DM RECEIVER NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4206","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 1 CC OR LESS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2220","CodeVersion":"2020","CustomName":"ADD LW EXTRM DORSIFLX&PLANTR ASST\/RSIST EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4005","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST ADULT PLASTER"},{"ServiceGroup":"51543","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"80260","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0610","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"10035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3321F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40403","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88161","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91590","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0148U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98586","CodeType":"CPT","Code":"64569","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4201F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62","CodeType":"ICD9P","Code":"33.6","CodeVersion":"2017","CustomName":"COMBINED HEART-LUNG TRANSPLANTATION"},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47593","CodeType":"ICD9P","Code":"74.1","CodeVersion":"2017","CustomName":"LOW CERVICAL CESAREAN SECTION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0235T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14654","CodeType":"ICD10P","Code":"0SW90JZ","CodeVersion":"2020","CustomName":"REVISION SYNTH SUBST RT HIP JOINT OPEN APPRCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5781","CodeVersion":"2020","CustomName":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0179","CodeVersion":"2020","CustomName":"MEGESTROL ACETATE ORAL 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9648","CodeVersion":"2020","CustomName":"PATIENTS WITH 90 DAY MRS SCORE GREATER THAN 2"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0190","CodeVersion":"2020","CustomName":"CERV MX POST COLLR OCCIP\/MAND SUPP ADJ CERV BARS"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10D07Z4","CodeVersion":"2020","CustomName":"EXTRACTION POC MID FORCEPS NATURAL\/ARTIF OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4010","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3260","CodeVersion":"2020","CustomName":"SURGICAL BOOT\/SHOE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5955","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTHESIS DEFINITIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1260","CodeVersion":"2020","CustomName":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5093","CodeVersion":"2020","CustomName":"OSTOMY ACCESSORY; CONVEX INSERT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6609","CodeVersion":"2020","CustomName":"RETAINER ONLAY - PORCELAIN\/CERAMIC 3\/MORE SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2227","CodeVersion":"2020","CustomName":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4226","CodeVersion":"2020","CustomName":"SPL MAINT INS IP DR ADJ USING TX CONT G SENS WK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7230","CodeVersion":"2020","CustomName":"REMOVAL IMPACT TOOTH - PARTLY BONY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9912","CodeVersion":"2020","CustomName":"HBV STS ASSESS & RSLT INTERP PRIOR ANTI-TNF TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8841","CodeVersion":"2020","CustomName":"SLEEP APNEA SX NOT ASSESSED REASON NOT GIVEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4366","CodeVersion":"2020","CustomName":"OSTOMY VENT ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1353","CodeVersion":"2020","CustomName":"REGULATOR"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5521","CodeVersion":"2020","CustomName":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6003","CodeVersion":"2020","CustomName":"RAD TX DEL 2 TX AREA PORT\/PL OPP PORTS:TO 5 MEV"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3207","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE HIGHTOP W\/SUPINATOR\/PRONATOR JR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5290","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC TRANSMITT MICROPHONE ANY TYPE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3316F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88023","CodeType":"CPT","Code":"22855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83898","CodeType":"HCPCS","Code":"G0104","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; FLEXSIG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2207","CodeVersion":"2020","CustomName":"RSN NOT ADM ADJ TX COURSE INCL CHEMO & HER2-TT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0950","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY TRAY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5999","CodeVersion":"2020","CustomName":"LOWER EXTREMITY PROSTHESIS NOS"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1845","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF PREFAB"},{"ServiceGroup":"14404","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"17069","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0541","CodeVersion":"2020","CustomName":"Ambulance - Supplies"},{"ServiceGroup":"34551","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"19633","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.31","CodeVersion":"2017","CustomName":"HIGH FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.4","CodeVersion":"2017","CustomName":"MANUAL REMOVAL OF RETAINED PLACENTA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3492F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0567T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0578T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107037","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.91","CodeVersion":"2017","CustomName":"ARTERIAL CATHETERIZATION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0167U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0586T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.4","CodeVersion":"2017","CustomName":"REPAIR OF HEART AND PERICARDIUM"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4026","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7036","CodeVersion":"2020","CustomName":"CHINSTRAP USED W\/POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2214","CodeVersion":"2020","CustomName":"BIFOCAL SPHERE OVER +\/-12.00D PER LENS"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3870","CodeVersion":"2020","CustomName":"CGD MICROARRAY TEST DD ASD &\/OR INTELL DISABILTY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4031","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0530","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9085","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9117","CodeVersion":"2020","CustomName":"BACK SCHOOL PER VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0764","CodeVersion":"2020","CustomName":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8511","CodeVersion":"2020","CustomName":"SCREEN DEPR DOC POS F\/U PLN NOT DOC RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0373","CodeVersion":"2020","CustomName":"NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2001","CodeVersion":"2020","CustomName":"INJECTION LIDOCAINE HCL INTRAVENOUS INFUS 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9438","CodeVersion":"2020","CustomName":"CESAREAN BIRTH CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2030","CodeVersion":"2020","CustomName":"KAFO DBL UPRT SOLID STIRUP W\/O KNEE JNT CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6533","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK THIGH LEN 18-30 MMHG EA"},{"ServiceGroup":"91722","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2794","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0250","CodeVersion":"2020","CustomName":"COMP GERIATRIC ASSESS&TX PLAN PRFRM ASSESS TEAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9876","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF IN MO 7-9 UND MDPP EM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9071","CodeVersion":"2020","CustomName":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9845","CodeVersion":"2020","CustomName":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX"},{"ServiceGroup":"29977","CodeType":"HCPCS","Code":"A7000","CodeVersion":"2020","CustomName":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9771","CodeVersion":"2020","CustomName":"NASAL\/SINUS ENDO CRYO NSL TISS &\/ NERVE UNIL\/BIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4638","CodeVersion":"2020","CustomName":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"17861","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"98661","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4168F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86606","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73979","CodeType":"ICD9P","Code":"43.82","CodeVersion":"2017","CustomName":"LAPAROSCOPIC VERTICAL SLEEVE GASTRECTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3452F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3476F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0111A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0210U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.52","CodeVersion":"2017","CustomName":"OTHER REPAIR OF ANEURYSM"},{"ServiceGroup":"64761","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81561","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35261","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90743","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0112U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9208","CodeVersion":"2020","CustomName":"INJECTION IFOSFAMIDE 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6647","CodeVersion":"2020","CustomName":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7336","CodeVersion":"2020","CustomName":"CAPSAICIN 8% PATCH PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9178","CodeVersion":"2020","CustomName":"INJECTION EPIRUBICIN HCL 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4118","CodeVersion":"2020","CustomName":"MATRISTEM MICROMATRIX 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2341","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7647","CodeVersion":"2020","CustomName":"ISOETHARINE HCL INHAL CP PROD THRU DME PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1237","CodeVersion":"2020","CustomName":"WHLCHAIR PED SZ RIGD ADJUSTBL W\/O SEATING SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3927","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS PIP\/DIP W\/O JOINT PREFABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2126","CodeVersion":"2020","CustomName":"PT 66-80 YOA AL 1 CLAIM FOR FRAILTY DUR MSR PRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4183","CodeVersion":"2020","CustomName":"SURGIGRAFT PER SQ CM"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"28624","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9189","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY PRSC\/CURRENTLY BEING TAKEN"},{"ServiceGroup":"103897","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7005","CodeVersion":"2020","CustomName":"ADMN SET W\/SM VOL NONFILTR NEBULIZR NON-DISPBL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0330","CodeVersion":"2020","CustomName":"PET IMAGING INITIAL DIAGNOSIS CERVICAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3730","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/CUFF EXT\/FLX ASST CSTM FAB"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3372F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7185","CodeVersion":"2020","CustomName":"ELEC ELB ADOLES VRITY VILLAGE\/EQUAL SWITCH CNTRL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9248","CodeVersion":"2020","CustomName":"INJECTION CLEVIDIPINE BUTYRATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1560","CodeVersion":"2020","CustomName":"BLOOD LEAK DETECTOR HEMODIALYSIS EA REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8863","CodeVersion":"2020","CustomName":"PATIENTS NOT ASSESSED RISK BONE LOSS RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1502","CodeVersion":"2020","CustomName":"ADMIN ORL IM&\/SUBQ MED HLTH CARE AGCY\/PROF-VISIT"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0472","CodeVersion":"2020","CustomName":"HEPATITIS C ABO SC IND HIGH RISK&OTH CVRD INDIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9459","CodeVersion":"2020","CustomName":"CURRENTLY A TOBACCO NON-USER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2351","CodeVersion":"2020","CustomName":"DISKECT ANT W\/OSTEOPHYTECT; LUMB EA ADD INTRSP"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1885","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY LASER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0740","CodeVersion":"2020","CustomName":"EEG (Electroencephalogram) - General Classification"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"191","CodeVersion":"2020","CustomName":"Pancreas, liver, and shunt procedures with CC"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0124A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"299","CodeType":"ICD9P","Code":"92.30","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY NOS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107836","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.25","CodeVersion":"2017","CustomName":"OPEN & OTH REPLACEMENT PULM VALVE W\/TISSUE GRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.25","CodeVersion":"2017","CustomName":"AORTA-ILIAC-FEMORAL BYPASS"},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0010M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3060","CodeVersion":"2020","CustomName":"INJECTION TALIGLUCERACE ALFA 10 UNITS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7179","CodeVersion":"2020","CustomName":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2179","CodeVersion":"2020","CustomName":"CLIN DOC PT MED RSN NOT PRFM LW EXT NEURO EXAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5284","CodeVersion":"2020","CustomName":"ASSIST LIST DEVICE PERS FM\/DM EAR LEVEL RECEIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0604","CodeVersion":"2020","CustomName":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7681","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4231","CodeVersion":"2020","CustomName":"ANAT CROWN EXP 1-3 TEETH\/BND TOOTH SP PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0694","CodeVersion":"2020","CustomName":"UV MX DIR LT TX SYS 6 FT CABINET W\/BULB\/LAMP TMR"},{"ServiceGroup":"104327","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4355","CodeVersion":"2020","CustomName":"FULL M DEBRID ENBL COMP OR EVAL & DX SUBQ VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1833","CodeVersion":"2020","CustomName":"INJECTION ISAVUCONAZONIUM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4193","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 52-73 GMS PROT"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9894","CodeVersion":"2020","CustomName":"ANDROGEN DEP TX RX\/ADMN COMB EXT BEAM RT TO PROS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5678","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1559","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9261","CodeVersion":"2020","CustomName":"INJECTION NELARABINE 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9004","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED LOW INITIAL"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5260","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6051","CodeVersion":"2020","CustomName":"INTERIM IMPLANT ABUTMENT PLACEMENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4177F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98720","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3316","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4990","CodeVersion":"2020","CustomName":"NICOTINE PATCHES LEGEND"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8121","CodeVersion":"2020","CustomName":"OXYGEN CONTENTS LIQUID 1 UNIT EQUALS 1 POUND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8430","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0882","CodeVersion":"2020","CustomName":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9961","CodeVersion":"2020","CustomName":"DUPLICATE\/COPY PATIENT'S RECORDS"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"43891","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"32560","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"73849","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"42434","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0995","CodeVersion":"2020","CustomName":"Patient Convenience Items - Non-patient Room Rentals"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"22403","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"224","CodeVersion":"2020","CustomName":"Shoulder, elbow, or forearm procedures except major joint procedures, without CC"},{"ServiceGroup":"88138","CodeType":"DRG","Code":"620","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W NORMAL NEWB DIAG-NYDRG"},{"ServiceGroup":"29600","CodeType":"DRG","Code":"263","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement for skin ulcer or cellulitis with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105550","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106669","CodeType":"CPT","Code":"22610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0271U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0379T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12587","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25518","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98496","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106711","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0504T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0144A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0211U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.68","CodeVersion":"2017","CustomName":"INSERTION PERQ EXTERNAL HEART ASSIST DEVICE"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5585","CodeVersion":"2020","CustomName":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0328","CodeVersion":"2020","CustomName":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9844","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV ANTI-EGFR MONOCLONAL ABO TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0395","CodeVersion":"2020","CustomName":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1874","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITH DELIVERY SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3601","CodeVersion":"2020","CustomName":"EMERG STAT LAB CHARGE PT HOMBOUND\/RESID NRS FACL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1820","CodeVersion":"2020","CustomName":"KO ELAST W\/CONDYLR PADS&JNT PRFAB INCL FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9488","CodeVersion":"2020","CustomName":"INJECTION CONIVAPTAN HYDROCHLORIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4155","CodeVersion":"2020","CustomName":"NEOXFLO OR CLARIXFLO 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9206","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0511","CodeVersion":"2020","CustomName":"RHC\/FQHC ONLY GEN CARE MGMT 20 M\/>CLIN TM-CAL MO"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1071","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE CYPIONATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7260","CodeVersion":"2020","CustomName":"ORAL ANTRAL FISTULA CLOSURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1305","CodeVersion":"2020","CustomName":"INJECTION EVINACUMAB-DGNB 5MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0294","CodeVersion":"2020","CustomName":"HOSPITAL BED SEMI-ELEC W\/O SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5161","CodeVersion":"2020","CustomName":"EMERGENCY RESPONSE SYSTEM; SERVICE FEE PER MONTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4714","CodeVersion":"2020","CustomName":"TREATED WATER FOR PERITONEAL DIALYSIS PER GALLON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7309","CodeVersion":"2020","CustomName":"METHYL AMINOLEVULINATE MAL TOP ADMIN 16.8% 1 G"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1699","CodeVersion":"2020","CustomName":"DIALYSIS EQUIPMENT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3265","CodeVersion":"2020","CustomName":"INJECTION TORSEMIDE 10 MG\/ML"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7170","CodeVersion":"2020","CustomName":"ELECTRONIC ELBOW HOSMER\/EQUAL SWITCH CONTROLLED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2700","CodeVersion":"2020","CustomName":"BALANCE LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9119","CodeVersion":"2020","CustomName":"INJECTION CEMIPLIMAB-RWLC 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P2038","CodeVersion":"2020","CustomName":"MUCOPROTEIN BLOOD"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8839","CodeVersion":"2020","CustomName":"SLEEP APNEA SYMP ASSESS PRES\/ABS SNOR DAY SSS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113693","CodeType":"CPT","Code":"66030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0425","CodeVersion":"2020","CustomName":"GROUND MILEAGE PER STATUTE MILE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1025","CodeVersion":"2020","CustomName":"NONPNEUMATIC SEQUENTIAL COMPRES GARMENT FULL ARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0710","CodeVersion":"2020","CustomName":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7511","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2394","CodeVersion":"2020","CustomName":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0256","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG"},{"ServiceGroup":"27249","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0371","CodeVersion":"2020","CustomName":"Anesthesia - Anesthesia Incident to Radiology"},{"ServiceGroup":"14174","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0917","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Bio Feedback"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"50942","CodeType":"REV","Code":"0618","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRA - Other"},{"ServiceGroup":"12154","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"103","CodeVersion":"2020","CustomName":"Heart Transplant or Implant of Heart Assist System"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS TO ASSIST DELIVERY"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35558","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4245F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32096","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0345T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103329","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3760F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3750F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0677T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9044","CodeVersion":"2020","CustomName":"PLASMA CRYOPRECIPITATE REDUCED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6890","CodeVersion":"2020","CustomName":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W\/FIT&ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2205","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6642","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8101","CodeVersion":"2020","CustomName":"HOLDING CHAMB\/SPACR W\/AN INHAL\/NEBULIZR; W\/MASK"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4125","CodeVersion":"2020","CustomName":"ARTHROFLEX PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9960","CodeVersion":"2020","CustomName":"AMB SERVICE AIR NONEMERGENCY 1 WAY FIXED WING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6940","CodeVersion":"2020","CustomName":"STRESS BREAKER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0807","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9124","CodeVersion":"2020","CustomName":"ONC; CML; ACCEL PHASE NOT HEMA CYT\/MOL REMISS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1270","CodeVersion":"2020","CustomName":"INJECTION DOXERCALCIFEROL 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2934","CodeVersion":"2020","CustomName":"PREFB ESTHET COAT STNLSS STEEL CRWN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0498","CodeVersion":"2020","CustomName":"CHEMOTX ADM IV INF TECH; INI INF OFFICE\/CLIN SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0433","CodeVersion":"2020","CustomName":"INF ANTIBODY ELISA TECH ANTIBODY HIV-1\/HIV-2 SCR"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9952","CodeVersion":"2020","CustomName":"OCCLUSAL ADJUSTMENT - COMPLETE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H1004","CodeVersion":"2020","CustomName":"PRENATAL CARE AT-RISK ENHNCD SRVC; F\/U HOM VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7980","CodeVersion":"2020","CustomName":"SURGICAL SIALOLITHOTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1812","CodeVersion":"2020","CustomName":"DYN KNEE EXT\/FLEX DEVC W\/ACTV RESISTANCE CONTROL"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9909","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PROV TOB CESS INT IDENT TOB USER"},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9899","CodeVersion":"2020","CustomName":"IMPL PROS DEVC PAYBLE IP WHO DO NOT HAVE IP COV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0120","CodeVersion":"2020","CustomName":"INJECTION TETRACYCLINE UP TO 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9948","CodeVersion":"2020","CustomName":"ADJUSTMENT OF CUSTOM SLEEP APNEA APPLIANCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4521","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER SM EA"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7183","CodeVersion":"2020","CustomName":"INJ VON WILLEBRAND FACTR COMPLEX WILATE 1 IU:RCO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1033","CodeVersion":"2020","CustomName":"NONPNEU SEQUENTIAL COMPRESSION GARMENT HALF LEG"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"44883","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"3987","CodeType":"REV","Code":"0689","CodeVersion":"2020","CustomName":"Trauma Response - Other Trauma Response"},{"ServiceGroup":"220","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"73483","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"103264","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"75502","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"69747","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"573","CodeVersion":"2020","CustomName":"Major Bladder Procedures"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111584","CodeType":"CPT","Code":"15769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1183F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0654T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26205","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0395T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13294","CodeType":"ICD9P","Code":"88.92","CodeVersion":"2017","CustomName":"MRI CHEST MYOCARDIUM EVAL HILAR MEDIAST LYMPH"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0142U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98603","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.51","CodeVersion":"2017","CustomName":"REPAIR OF CURRENT OBSTETRIC LACERATION OF CERVIX"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61556","CodeType":"CPT","Code":"25608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3345F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0320U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1267","CodeVersion":"2020","CustomName":"INJECTION DORIPENEM 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9972","CodeVersion":"2020","CustomName":"EXTERNAL BLEACHING - PER ARCH - PERFORMED OFFICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0420","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2204","CodeVersion":"2020","CustomName":"PT BTWN 50 & 85 YOA RCVD SCR COLO DUR PFRF PER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5990","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0180","CodeVersion":"2020","CustomName":"DOLASETRON MESYLATE 100 MG ORL NOT >48 HR DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0040","CodeVersion":"2020","CustomName":"ASSERTIVE COMMUNITY TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0896","CodeVersion":"2020","CustomName":"INJECTION LUSPATERCEPT-AAMT 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5140","CodeVersion":"2020","CustomName":"BINAURAL BEHIND THE EAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9541","CodeVersion":"2020","CustomName":"FILTER REMOVED WITHIN 3 MONTHS OF PLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7473","CodeVersion":"2020","CustomName":"REMOVAL OF TORUS MANDIBULARIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2367","CodeVersion":"2020","CustomName":"PWR WC ACSS BATT CHRGR DUL MODE W\/EITHER BATT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2932","CodeVersion":"2020","CustomName":"PREFABRICATED RESIN CROWN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9030","CodeVersion":"2020","CustomName":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8429","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE EXTERIOR WRAP"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2066","CodeVersion":"2020","CustomName":"INTG DVC EVAL RMT TO 30 D;RCPT TRANS & TECH RVW"},{"ServiceGroup":"30218","CodeType":"ICD10P","Code":"0FT44ZZ","CodeVersion":"2020","CustomName":"RESECTION GALLBLADDER PERQ ENDOSCOPIC APPROACH"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8031","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS SILICONE\/EQUAL W\/NTEGRAL ADHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1302","CodeVersion":"2020","CustomName":"INJECTION SUTIMLIMAB-JOME 10 MG"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2219","CodeVersion":"2020","CustomName":"BIFOCAL SEG WIDTH OVER 28MM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3999","CodeVersion":"2020","CustomName":"UPPER LIMB ORTHOSIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7188","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER I.U."},{"ServiceGroup":"28623","CodeType":"HCPCS","Code":"J9206","CodeVersion":"2020","CustomName":"INJECTION IRINOTECAN 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7501","CodeVersion":"2020","CustomName":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5246","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG MONAURAL ITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1843","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1835","CodeVersion":"2020","CustomName":"INJECTION ITRACONAZOLE 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8901","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST ABDOMEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0040","CodeVersion":"2020","CustomName":"INJ TICARCILLIN DISODIUM&CLAVULANATE K+ 3.1 GMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1006","CodeVersion":"2020","CustomName":"DISEASE ACTIVITY NOT ASSESSED REASON NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3761","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB OTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1001","CodeVersion":"2020","CustomName":"NURSING ASSESSMENT\/EVALUATION"},{"ServiceGroup":"14609","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"105282","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"562","CodeVersion":"2020","CustomName":"Seizure, Age Greater than 17 with CC"},{"ServiceGroup":"47250","CodeType":"DRG","Code":"885","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"826","CodeVersion":"2020","CustomName":"FULL THICK BURN W\/O SKIN GRAFT OR INHAL INJ W\/O CC OR SIG TR-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90375","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11188","CodeType":"ICD9P","Code":"37.85","CodeVersion":"2017","CustomName":"REPLCMT PACEMAKER W\/SNGL CHAMBR-NOT RATE RESPONS"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0257T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105490","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0691T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0336U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79758","CodeType":"CPT","Code":"00160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1570","CodeVersion":"2020","CustomName":"INJECTION GANCICLOVIR SODIUM 500 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4024","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7875","CodeVersion":"2020","CustomName":"ARTHROSCOPY: SYNOVECTOMY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5960","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6602","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST HIGH NOBLE METAL 2 SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2325","CodeVersion":"2020","CustomName":"PWR WC ACSS SIP&PUFF INTERFCE NONPROPRTNAL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7685","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8969","CodeVersion":"2020","CustomName":"DOC PT RSN NOT PRSCR ORAL AC FDA APPRVD PREV TE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9489","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 40 MINS"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5146","CodeVersion":"2020","CustomName":"FOSTER CARE THERAPEUTIC CHILD; PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0288","CodeVersion":"2020","CustomName":"INJ AMPHOTERICIN B CHOLESTRYL SULFAT CMPLX 10 MG"},{"ServiceGroup":"103609","CodeType":"HCPCS","Code":"S9140","CodeVersion":"2020","CustomName":"DIABETIC MGMT PROGM F\/U VISIT NON-MD PROVIDER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0274","CodeVersion":"2020","CustomName":"BITEWINGS - FOUR RADIOGRAPHIC IMAGES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2070","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL UNI ROTAT STRAPS CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0060","CodeVersion":"2020","CustomName":"ALLERGY\/IMMUNOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2252","CodeVersion":"2020","CustomName":"BRIEF COM TECH-B SRVC VR C\/I PHYS\/OTH QUAL HCP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2503","CodeVersion":"2020","CustomName":"CONTACT LENS PMMA COLOR VISION DEFIC PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2010","CodeVersion":"2020","CustomName":"KAFO 1 UPRT SOLID STIRUP W\/O KNEE JNT CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7520","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0018","CodeVersion":"2020","CustomName":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2320","CodeVersion":"2020","CustomName":"INJECTION NANDROLONE DECANOATE UP TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4611","CodeVersion":"2020","CustomName":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"27726","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0695","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - INPATIENT CARE"},{"ServiceGroup":"62717","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"13236","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"68820","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"50842","CodeType":"REV","Code":"871","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Cell Collection"},{"ServiceGroup":"66561","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0854","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"36138","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"51271","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"14114","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"68510","CodeType":"REV","Code":"0303","CodeVersion":"2020","CustomName":"Laboratory - Renal Patient (Home)"},{"ServiceGroup":"54966","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"16034","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"028","CodeVersion":"2020","CustomName":"Traumatic stupor and coma, coma less than one hour, age greater than 17, with CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"544","CodeVersion":"2020","CustomName":"MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"495","CodeVersion":"2020","CustomName":"Lung transplant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3503F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91043","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.21","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION WITHOUT EXTRACTION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78663","CodeType":"CPT","Code":"58558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27316","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107021","CodeType":"CPT","Code":"21209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98456","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0429T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80533","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3374F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104450","CodeType":"CPT","Code":"52442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4167F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0103A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4041F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0660T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"61868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112112","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.22","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION WITH EXTRACTION"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0157T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90363","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29971","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0031","CodeVersion":"2020","CustomName":"MENTAL HEALTH ASSESSMENT BY NON-PHYSICIAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0169","CodeVersion":"2020","CustomName":"PROMETHAZINE HCL 12.5 MG ORAL NOT>48 HR DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3471","CodeVersion":"2020","CustomName":"INE HYALURONIDASE OVINE PRES FREE 1 USP UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3357","CodeVersion":"2020","CustomName":"USTEKINUMAB FOR SUBCUTANEOUS INJECTION 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4211","CodeVersion":"2020","CustomName":"SUPPLIES FOR SELF-ADMINISTERED INJECTIONS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2221","CodeVersion":"2020","CustomName":"LENTICULAR LENS PER LENS BIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2037","CodeVersion":"2020","CustomName":"THERAPEUTIC CAMPING DAY WAIVER; EACH SESSION"},{"ServiceGroup":"90854","CodeType":"HCPCS","Code":"H0011","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SERVICES; ACUTE DTOX RES PROG IP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5682","CodeVersion":"2020","CustomName":"ADD LW EXTRM BELW KNEE THI LACER GLUTL\/ISCH MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1020","CodeVersion":"2020","CustomName":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0454","CodeVersion":"2020","CustomName":"PHYS DOC FACE--FACE VST DME DETRM PERF NP PA\/CNS"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9993","CodeVersion":"2020","CustomName":"DENTAL CASE MANAGEMENT - MOTIVATIONAL INTV"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9842","CodeVersion":"2020","CustomName":"PATIENT HAS METASTATIC DISEASE AT DIAGNOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1503","CodeVersion":"2020","CustomName":"ADMN MED NOT ORAL & OR INJ HLTH AGENCY\/PROF VST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5523","CodeVersion":"2020","CustomName":"HIT INSERT MIDLINE CVC NRS SRVC ONLY"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1310","CodeVersion":"2020","CustomName":"WHIRLPOOL NONPORTABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9774","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/PERQ TIB\/PER ART;IVASC LITH&ATHREC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8885","CodeVersion":"2020","CustomName":"BIOPSY RESULTS NOT REVIEW COMMUNICATE TRACK\/DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2606","CodeVersion":"2020","CustomName":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5271","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0390","CodeVersion":"2020","CustomName":"ALS MILEAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9765","CodeVersion":"2020","CustomName":"DOC PT DECLINED CHG MED\/ALT THERAPIES UNAVBL"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2042","CodeVersion":"2020","CustomName":"HOSPICE ROUTINE HOME CARE; PER DIEM"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1733","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP NOT COOL-TIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0200","CodeVersion":"2020","CustomName":"INJECTION ALATROFLOXACIN MESYLATE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2391","CodeVersion":"2020","CustomName":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4459","CodeVersion":"2020","CustomName":"MANUAL PUMP-OPERATED ENEMA SYS REUSABLE ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5937","CodeVersion":"2020","CustomName":"TRISMUS APPLIANCE NOT TMD TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1021","CodeVersion":"2020","CustomName":"HOME HEALTH AIDE\/CERTIFIED NURSE ASST PER VISIT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.32","CodeVersion":"2017","CustomName":"PERCUTANEOUS [ENDOSCOPIC] GASTROJEJUNOSTOMY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3386F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0649","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1620","CodeVersion":"2020","CustomName":"INJECTION GONADORELIN HYDROCHLORIDE PER 100 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0130","CodeVersion":"2020","CustomName":"SEXA BN DNSITY STDY 1\/> SITE; APPNDICULR SKEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5093","CodeVersion":"2020","CustomName":"OSTOMY ACCESSORY; CONVEX INSERT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6221","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0171","CodeVersion":"2020","CustomName":"INJECTION BUMETANIDE 0.5 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4166","CodeVersion":"2020","CustomName":"CYTAL PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5990","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1720","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2050","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL TORSION CABLES CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4100","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE FDA CLEARED AS A DEVICE NOS"},{"ServiceGroup":"104924","CodeType":"HCPCS","Code":"C1769","CodeVersion":"2020","CustomName":"GUIDE WIRE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0036","CodeVersion":"2020","CustomName":"PATIENT OR CARE PARTNER DECLINE ASSESSMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9654","CodeVersion":"2020","CustomName":"MONITORED ANESTHESIA CARE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9594","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2125","CodeVersion":"2020","CustomName":"PT 81 YOA & OLDR AL 1 CLM FRAILTY DUR MSR PRD"},{"ServiceGroup":"65645","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7941","CodeVersion":"2020","CustomName":"OSTEOTOMY - MANDIBULAR RAMI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9938","CodeVersion":"2020","CustomName":"PT 66\/> INST SNP\/RESID LTC >90 DAYS DUR MSR PRD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0879","CodeVersion":"2020","CustomName":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0390","CodeVersion":"2020","CustomName":"ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND COMPONENTS-GENERAL CLASS"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"66168","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"73656","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"180","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"31931","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0800","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - General Classification"},{"ServiceGroup":"38422","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"48085","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"437","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3000F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3284F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107061","CodeType":"CPT","Code":"42210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83838","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1127F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104856","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0640T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3317F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4067F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90381","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0011M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0044A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0114U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0477T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99148","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90428","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106670","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.23","CodeVersion":"2017","CustomName":"COMBINED RIGHT&LEFT HEART CARD CATHETERIZATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1460F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12197","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0352T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0149","CodeVersion":"2020","CustomName":"WALKER HEAVY DUTY WHEELED RIGID\/FOLD ANY TYPE EA"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8688","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7187","CodeVersion":"2020","CustomName":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0051","CodeVersion":"2020","CustomName":"CAM RLS ASSEM FOOTREST\/LEGREST REPL ONLY EACH"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9477","CodeVersion":"2020","CustomName":"SRVC PERF CARE COORDINATOR HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8210","CodeVersion":"2020","CustomName":"MUCUS TRAP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2036","CodeVersion":"2020","CustomName":"THERAPEUTIC CAMPING OVERNIGHT WAIVER; EA SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1700","CodeVersion":"2020","CustomName":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0916","CodeVersion":"2020","CustomName":"SATISFACTION W\/CARE ACHV W\/I 90 DAY FLW CAT SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9281","CodeVersion":"2020","CustomName":"SCREEN PERFORM DOC VACC NOT INDICATED\/PT REFUSAL"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0278","CodeVersion":"2020","CustomName":"ILIAC ARTERY ANGIO AT TIME CARDIAC CATH RAD S&I"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3396","CodeVersion":"2020","CustomName":"INJECTION VERTEPORFIN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3530","CodeVersion":"2020","CustomName":"NASAL VACCINE INHALATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7230","CodeVersion":"2020","CustomName":"REMOVAL IMPACT TOOTH - PARTLY BONY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0396","CodeVersion":"2020","CustomName":"ALCOHOL &\/SUB MISUSE ST ASMT & BRF INT 15-30 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0497","CodeVersion":"2020","CustomName":"BATT CLPS FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8131","CodeVersion":"2020","CustomName":"INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL"},{"ServiceGroup":"35419","CodeType":"HCPCS","Code":"A0436","CodeVersion":"2020","CustomName":"ROTARY WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9351","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY CONT ANTI-EMETIC; PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5701","CodeVersion":"2020","CustomName":"REPL SOCKT ABVE KNEE\/KNEE DISARTIC W\/ATTCH PLAT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3396","CodeVersion":"2020","CustomName":"INJECTION VERTEPORFIN 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6069","CodeVersion":"2020","CustomName":"ABUT RETN PORCLN MTL FPD HI NOBL MT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2126","CodeVersion":"2020","CustomName":"KAFO FEM FX CAST ORTHOS THERMOPLSTC CSTM FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1930","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2625","CodeVersion":"2020","CustomName":"ENLARGEMENT OF OCULAR PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1325","CodeVersion":"2020","CustomName":"INJECTION EPOPROSTENOL 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4115","CodeVersion":"2020","CustomName":"ALLOSKIN PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9626","CodeVersion":"2020","CustomName":"DOCUMENTED MED RSN NOT REPORTING BLADDER INJURY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7949","CodeVersion":"2020","CustomName":"LEFORT II\/LEFORT III - W\/BONE GRAFT"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1650","CodeVersion":"2020","CustomName":"INJECTION ENOXAPARIN SODIUM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8967","CodeVersion":"2020","CustomName":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4541","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPOSABLE UNDPAD LARGE EA"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7178","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONC NOS 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3398","CodeVersion":"2020","CustomName":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4707","CodeVersion":"2020","CustomName":"BICARBONATE CONCENTRATE POWDER HEMODIAL-PACKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1951","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3031","CodeVersion":"2020","CustomName":"INJECTION FREMANEZUMAB-VFRM 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4690","CodeVersion":"2020","CustomName":"DIALYZER ALL TYPES ALL SIZES HEMODIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8490","CodeVersion":"2020","CustomName":"INSULIN SYRINGES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0731","CodeVersion":"2020","CustomName":"FORM-FITTING CONDUCTIVE GARMENT DELIV TENS\/NMES"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3080F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100278","CodeType":"HCPCS","Code":"J1094","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE ACETATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1303","CodeVersion":"2020","CustomName":"INJECTION RAVULIZUMAB-CWVZ 10 MG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0040","CodeVersion":"2020","CustomName":"ASSERTIVE COMMUNITY TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1749","CodeVersion":"2020","CustomName":"ENDO RETRO IMAG\/ILLUMINATION COLONOSCOPE DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4613","CodeVersion":"2020","CustomName":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1831","CodeVersion":"2020","CustomName":"PERSONALIZED ANTERIOR&LAT INTERBODY CAGE IMPLANT"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"22402","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0224","CodeVersion":"2020","CustomName":"Special Charges - Late Discharge, Medically Necessary"},{"ServiceGroup":"109234","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"10639","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"110579","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"58462","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"114010","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"818","CodeVersion":"2020","CustomName":"HIP REPLACEMENT EXCEPT FOR COMPLICATIONS-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88538","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104258","CodeType":"CPT","Code":"14061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0560T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12054","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.41","CodeVersion":"2017","CustomName":"CONTROL OF HEMORRHAGE FOLLOWING VASCULAR SURGERY"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0137U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88820","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0600T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7204","CodeVersion":"2020","CustomName":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6380","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2185","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4023","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5958","CodeVersion":"2020","CustomName":"PALATAL LIFT PROSTHESIS INTERIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1980","CodeVersion":"2020","CustomName":"AFO 1 UPRT FREE PLANTR DORSIFLX SOLID STIRUP FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9155","CodeVersion":"2020","CustomName":"INJECTION DEGARELIX 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2790","CodeVersion":"2020","CustomName":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0367","CodeVersion":"2020","CustomName":"CONE BEAM CT CAPTURE & INTERP FD VIEW BOTH JAWS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9942","CodeVersion":"2020","CustomName":"REPAIR &\/ RELINE OF OCCLUSAL GUARD"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2715","CodeVersion":"2020","CustomName":"PRISM PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9694","CodeVersion":"2020","CustomName":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7980","CodeVersion":"2020","CustomName":"SURGICAL SIALOLITHOTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4265","CodeVersion":"2020","CustomName":"BIOL MATL AID SOFT & OSSEOUS TISS REGEN PER SITE"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7770","CodeVersion":"2020","CustomName":"ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2325","CodeVersion":"2020","CustomName":"PWR WC ACSS SIP&PUFF INTERFCE NONPROPRTNAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9768","CodeVersion":"2020","CustomName":"ENDO UG DIR MSR HEP PORTOSYS PRESS GRAD ANY METH"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8501","CodeVersion":"2020","CustomName":"TRACHEOSTOMY SPEAKING VALVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9695","CodeVersion":"2020","CustomName":"LONG-ACTING INHALED BRONCHODILATOR PRESCRIBED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1028","CodeVersion":"2020","CustomName":"DOC PT PRIM HA DX & IMAG OTH THAN CT\/MRI OBTAIND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4169","CodeVersion":"2020","CustomName":"ARTACENT WOUND PER SQ CM"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7511","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG"},{"ServiceGroup":"147","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0962","CodeVersion":"2020","CustomName":"Professional Fees - Ophthalmology"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"80260","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"58463","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63466","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91590","CodeType":"CPT","Code":"92921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69685","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0540T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0661T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83646","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.38","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTROENTEROSTOMY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0115U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"16035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100287","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"72.31","CodeVersion":"2017","CustomName":"HIGH FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"99148","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0011U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87059","CodeType":"CPT","Code":"23415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106184","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5550","CodeVersion":"2020","CustomName":"INSULIN RAPID ONSET; 5 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0555","CodeVersion":"2020","CustomName":"HUMDIFIR DURABLE GLASS\/AUTOCLAVABLE PLSTC BOTTLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9610","CodeVersion":"2020","CustomName":"THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5935","CodeVersion":"2020","CustomName":"MANDIB RES PROSTH W\/O GUIDE FLANGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9990","CodeVersion":"2020","CustomName":"CERTI TRANSL\/SIGN-LANG SERVICES PER VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2620","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B9002","CodeVersion":"2020","CustomName":"ENTERAL NUTRITION INFUSION PUMP ANY TYPE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0244","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 1200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9813","CodeVersion":"2020","CustomName":"PT DID NOT DIE W\/I 30 DA OF PROC\/DUR INDEX HOSP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1015","CodeVersion":"2020","CustomName":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8916","CodeVersion":"2020","CustomName":"PT PREOP ORD IV ABX PROPH ABX INITIATED TIME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7110","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 75500 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9291","CodeVersion":"2020","CustomName":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC\/NSCLC-NOS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103948","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5685","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS BELW KNEE SUSP\/SEAL SLEEVE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2299","CodeVersion":"2020","CustomName":"SPECIALTY BIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0485","CodeVersion":"2020","CustomName":"MONITOR CONTROL CABLE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0565","CodeVersion":"2020","CustomName":"COMPRS AIR PWR EQP NOT SLF-CONTAIND\/CYL DRIVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9876","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF IN MO 7-9 UND MDPP EM"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5987","CodeVersion":"2020","CustomName":"ALL LW XTRM PRSTH SHNK FT SYS W\/VRTCL LOAD PYLN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6262","CodeVersion":"2020","CustomName":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9060","CodeVersion":"2020","CustomName":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0989","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - PRIVATE DUTY NURSE"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"33830","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1461F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0631T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2027F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01464","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111946","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0352U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0033A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0138U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34871","CodeType":"ICD9P","Code":"11.60","CodeVersion":"2017","CustomName":"CORNEAL TRANSPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24095","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9044","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB NOS 0.1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0246","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION BAMLANIVIMAB & ETESEVIMAB;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9632","CodeVersion":"2020","CustomName":"PATIENT IS NOT ELIG E.G. GYN\/OTH PELV MALIG DOC"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8000","CodeVersion":"2020","CustomName":"BREAST PROS MASTECTOMY BRA W\/O INTEG PROS FORM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7624","CodeVersion":"2020","CustomName":"BETAMETHASONE INHAL CP PROD DME UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6638","CodeVersion":"2020","CustomName":"UP EXT ADD PROS ELEC LOCK ONLY W\/MNL PWR ELB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2270","CodeVersion":"2020","CustomName":"INJECTION MORPHINE SULFATE UP TO 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9399","CodeVersion":"2020","CustomName":"UNCLASSIFIED DRUGS OR BIOLOGICALS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0111","CodeVersion":"2020","CustomName":"WET MOUNTS INCL PREP VAGINAL CERV\/SKIN SPECIMENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7016","CodeVersion":"2020","CustomName":"DOME&MOUTHPIECE USED W\/SMALL VOLUME US NEBULIZR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9704","CodeVersion":"2020","CustomName":"AJCC BREAST CANCER STAGE I T1 MIC OR T1A DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4226","CodeVersion":"2020","CustomName":"MYOWN SKIN INCL HARVEST & PREP PROC PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9917","CodeVersion":"2020","CustomName":"DOC ADV STAGE DEMENTIA & CAREGIVER KNWL LIMITED"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8624","CodeVersion":"2020","CustomName":"LIB CI\/AUD OSSEOINTEG DEVC SP EAR LEVEL REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2712","CodeVersion":"2020","CustomName":"CROWN 3\/4 RESNBASED COMPOS INDIRECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5001","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG BRAND NAME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4204","CodeVersion":"2020","CustomName":"XWRAP PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0060","CodeVersion":"2020","CustomName":"ALLERGY\/IMMUNOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7202","CodeVersion":"2020","CustomName":"INJECTION FAC IX ALBUMIN FUS PRT IDELVION 1 I.U."},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1267","CodeVersion":"2020","CustomName":"INJECTION DORIPENEM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9027","CodeVersion":"2020","CustomName":"INJECTION CLOFARABINE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0071","CodeVersion":"2020","CustomName":"PMT CMNCT TECH-BASED SERVICES; RHC OR FQHC ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0425","CodeVersion":"2020","CustomName":"GROUND MILEAGE PER STATUTE MILE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107757","CodeType":"CPT","Code":"43282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5920","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS AK\/HIP DISARTIC ALIGNABLE SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0668","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL ARM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5105","CodeVersion":"2020","CustomName":"BELOW KNEE PLSTC SOCKT JNT&THIGH LACER SACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6063","CodeVersion":"2020","CustomName":"ABUT SUPP CAST METL CROWN BASE METL"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9368","CodeVersion":"2020","CustomName":"AT LEAST 2 ORDERS HIGH-RISK MEDS SM CLS NOT ORD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1895","CodeVersion":"2020","CustomName":"LEAD CARDIOVERT-DEFIB ENDOCARDIAL DUAL COIL"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"9938","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0526","CodeVersion":"2020","CustomName":"Free-Standing Clinic - Urgent Care Clinic"},{"ServiceGroup":"9978","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"12597","CodeType":"REV","Code":"0880","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - General Classification"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"101501","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"39870","CodeType":"DRG","Code":"620","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W NORMAL NEWB DIAG-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"689","CodeVersion":"2020","CustomName":"Kidney and Urinary Tract Infections with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.1","CodeVersion":"2017","CustomName":"LOW FORCEPS OPERATION WITH EPISIOTOMY"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"43568","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1137F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90398","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.2","CodeVersion":"2017","CustomName":"INTERNAL AND COMBINED VERSION AND EXTRACTION"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0170U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92194","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98601","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91862","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6628","CodeVersion":"2020","CustomName":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK\/="},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0501","CodeVersion":"2020","CustomName":"RESOURCE-INT SRVC PT SPZ M-ASST TECH MED NEC"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0936","CodeVersion":"2020","CustomName":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0610","CodeVersion":"2020","CustomName":"INJECTION CALCIUM GLUCONATE PER 10 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1149","CodeVersion":"2020","CustomName":"PT UNABLE TO COMPL NECK FS PROM INIT EVAL&\/D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0694","CodeVersion":"2020","CustomName":"INJECTION CEFOXITIN SODIUM 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9930","CodeVersion":"2020","CustomName":"TX COMPS - UNUSUL CIRCUMSTANCES RPT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8912","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST LOWER EXTREMITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9295","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4225","CodeVersion":"2020","CustomName":"AMNIOBIND PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9965","CodeVersion":"2020","CustomName":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9600","CodeVersion":"2020","CustomName":"INJECTION PORFIMER SODIUM 75 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0419","CodeVersion":"2020","CustomName":"ASSESSMENT OF SALIVARY FLOW BY MEASUREMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0431","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9766","CodeVersion":"2020","CustomName":"REV EVAC LE AA; IV LITHOTRIPSY & ATHERECTOMY"},{"ServiceGroup":"81859","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9485","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 60 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2643","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAMIC - 3 SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1904","CodeVersion":"2020","CustomName":"ANKLE ORTH ANKLE GAUNTLET\/SIMILAR CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6965","CodeVersion":"2020","CustomName":"SHLDR DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7324","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV ORTHOVISC IA INJ PER DOSE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"75572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106322","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9772","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/PERC TIB\/PER ART IVASC LITHOTRIPSY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7460","CodeVersion":"2020","CustomName":"REMV BEN NONODONTGN TUMR-TO 1.25 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0290","CodeVersion":"2020","CustomName":"INJECTION AMPICILLIN SODIUM 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4208","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 3 CC EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3841","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR RETINOBLASTOMA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7007","CodeVersion":"2020","CustomName":"LG VOL NEBULIZR DISPBL UNFIL USED W\/AROSL COMPRS"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0814","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unsuccessful Organ Search - Donor Bank Charges"},{"ServiceGroup":"73559","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0997","CodeVersion":"2020","CustomName":"Patient Convenience Items - Admission Kits"},{"ServiceGroup":"12834","CodeType":"REV","Code":"0456","CodeVersion":"2020","CustomName":"Emergency Room - Urgent Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"88432","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"941","CodeType":"REV","Code":"0174","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level IV"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"881","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV 96+ HRS -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"784","CodeVersion":"2020","CustomName":"ACQUIRED HEMOLYTIC ANEMIA OR SICKLE CELL CRISIS AGE UNDER 18-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"38573","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100254","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103081","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3496F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0727T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0095U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0575F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90398","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0020U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0584F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0106U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27781","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104337","CodeType":"CPT","Code":"90989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"75.35","CodeVersion":"2017","CustomName":"OTHER DIAGNOSTIC PROCEDURES ON FETUS AND AMNION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0131U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6670","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9302","CodeVersion":"2020","CustomName":"INJECTION OFATUMUMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0465","CodeVersion":"2020","CustomName":"AUTOLOG PRP DIAB CHRON WOUND\/ULCER FDA CLEAR DEV"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5250","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1450","CodeVersion":"2020","CustomName":"INJECTION FLUCONAZOLE 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9474","CodeVersion":"2020","CustomName":"ENTRSTML TX REGISTERED NRS CERT ENTRSTML TX-DIEM"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9260","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1028","CodeVersion":"2020","CustomName":"ASSESSMENT HOME PHYSICAL & FAMILY ENVIRONMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0052","CodeVersion":"2020","CustomName":"PT PERITONEAL DIALYSIS ANY PORTION REPORT MONTH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1743","CodeVersion":"2020","CustomName":"INJECTION IDURSULFASE 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9035","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB 10 MG"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0164","CodeVersion":"2020","CustomName":"PROCHLORPERAZINE MALEATE 5 MG ORL NOT>48 HR DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4201","CodeVersion":"2020","CustomName":"MATRION PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7521","CodeVersion":"2020","CustomName":"I & D ABSC XTRAORAL SOFT TISS COMP"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9955","CodeVersion":"2020","CustomName":"CASES WHICH AN INHALATION ANES USED ONLY FOR IND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9130","CodeVersion":"2020","CustomName":"ONC; LTD MX MYELOMA SYS DZ EXTENT UNKN UND EVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8186","CodeVersion":"2020","CustomName":"SWIVEL ADAPTOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2329","CodeVersion":"2020","CustomName":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0178","CodeVersion":"2020","CustomName":"INJECTION AFLIBERCEPT 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2332","CodeVersion":"2020","CustomName":"RESIN COMPOS - 3 SURFACES ANTERIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2523","CodeVersion":"2020","CustomName":"CONTACT LENS HYDROPHILIC EXTENDED WEAR PER LENS"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"17274","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"883","CodeVersion":"2020","CustomName":"LAPROSCOPIC APPENDECTOMY -NYDRG"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"896","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy with MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93793","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77579","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103771","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"79440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1460F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108692","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3752F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0324T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3078F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4141","CodeVersion":"2020","CustomName":"ALLOSKIN AC PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0084","CodeVersion":"2020","CustomName":"CHEMOTHERAPY ADMIN INFUS TECHNIQUE ONLY VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2304","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 2.25-4.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9276","CodeVersion":"2020","CustomName":"DOCUMENTATION PATIENT IS A CURRENT TOBACCO USER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8941","CodeVersion":"2020","CustomName":"ELD MALTX SCR POS F\/U NOT DOC NOT ELG F\/U PLN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4009","CodeVersion":"2020","CustomName":"HOSPITALISTS MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4226","CodeVersion":"2020","CustomName":"MYOWN SKIN INCL HARVEST & PREP PROC PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0207","CodeVersion":"2020","CustomName":"INJECTION AMIFOSTINE 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2394","CodeVersion":"2020","CustomName":"RESIN COMPOS - 4\/MORE SURFACES POST"},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10T23ZZ","CodeVersion":"2020","CustomName":"RESECTION PRODUCTS OF CONCEPTION ECTOPIC PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5673","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM MOLD\/PRFAB FOR USE W\/LOCK MECH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8507","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4921","CodeVersion":"2020","CustomName":"GINGIVAL IRRIGATION - PER QUADRANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2003","CodeVersion":"2020","CustomName":"MODERATE 45 MINS IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5655","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1016","CodeVersion":"2020","CustomName":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0041","CodeVersion":"2020","CustomName":"LARGE SIZE FOOTPLATE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6697","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB CSTM NOT CNGN\/TRAUM AMP INIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2760","CodeVersion":"2020","CustomName":"SCRATCH RESISTANT COATING PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3355","CodeVersion":"2020","CustomName":"PULPAL REGENERATION - INITIAL VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9708","CodeVersion":"2020","CustomName":"WOMEN WHO HAD BIL MASTECTOMY\/HX BIL MASTECTOMY"},{"ServiceGroup":"27569","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"73606","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"87684","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"70046","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"188","CodeType":"REV","Code":"0253","CodeVersion":"2020","CustomName":"Pharmacy - Take Home Drugs"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0802","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)"},{"ServiceGroup":"43740","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"188","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"579","CodeVersion":"2020","CustomName":"Postoperative or Post-traumatic Infections with O.R. Procedure"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4041F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101301","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65","CodeType":"ICD9P","Code":"74.4","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF OTHER SPECIFIED TYPE"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0075T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68102","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3323F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3756F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0061U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"33.6","CodeVersion":"2017","CustomName":"COMBINED HEART-LUNG TRANSPLANTATION"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110757","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0239U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0468","CodeVersion":"2020","CustomName":"FEDERALLY QUALIFIED HEALTH CENTER VISIT IPPE\/AWV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8042","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0574","CodeVersion":"2020","CustomName":"BUPRENORPHINE\/NLX ORAL >6 MG BUT <\/=TO 10 MG BPN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0474","CodeVersion":"2020","CustomName":"ACSS TISS GR&MIC SURG MARG PREP\/RPT"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9035","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2174","CodeVersion":"2020","CustomName":"URI EPI PT ACTIVE RX ABX 30 DAYS PRI\/ON EPI DT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3000","CodeVersion":"2020","CustomName":"DIABETIC INDICATOR; RETINAL EYE EXAM DILATED BIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4114","CodeVersion":"2020","CustomName":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9208","CodeVersion":"2020","CustomName":"INJECTION IFOSFAMIDE 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7970","CodeVersion":"2020","CustomName":"EXC HYPERPLASTIC TISSUE-PER ARCH"},{"ServiceGroup":"64318","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70439","CodeType":"CPT","Code":"99285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0400","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0343","CodeVersion":"2020","CustomName":"LAPAROT ISLET CELL TPLNT W\/PORTL VEIN CATH&INFUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E8001","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ UPRT SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9134","CodeVersion":"2020","CustomName":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5686","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE BACK CHECK"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2372","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4651","CodeVersion":"2020","CustomName":"CALIBRATED MICROCAPILLARY TUBE EACH"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4270","CodeVersion":"2020","CustomName":"DISPOSABLE ENDOSCOPE SHEATH EACH"},{"ServiceGroup":"13476","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"68362","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"71244","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"45965","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"15150","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"28002","CodeType":"DRG","Code":"253","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of upper arm and lower leg, except foot, age greater than 17, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3351F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0011A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91454","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0497T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0692T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3376F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0044U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0142U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9720","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4397","CodeVersion":"2020","CustomName":"STATIC\/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3470","CodeVersion":"2020","CustomName":"HEEL THOMAS EXTENDED TO BALL"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C1716","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED GOLD-198 PER SOURCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0179","CodeVersion":"2020","CustomName":"MEGESTROL ACETATE ORAL 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7220","CodeVersion":"2020","CustomName":"REMOVAL IMPACT TOOTH - SOFT TISSUE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1008","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT TILT&RECLINE W\/PWR SHEAR RDUC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9615","CodeVersion":"2020","CustomName":"CATHETERIZATION FOR COLLECTION OF SPECIMEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6646","CodeVersion":"2020","CustomName":"UP EXT ADD SHLDR JNT MX PSTN W\/BDY\/EXT PWR SYS"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6069","CodeVersion":"2020","CustomName":"ABUT RETN PORCLN MTL FPD HI NOBL MT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9261","CodeVersion":"2020","CustomName":"INJECTION NELARABINE 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5671","CodeVersion":"2020","CustomName":"REPL ALL TEETH&ACRYLC FRMEWRK MAND"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3090","CodeVersion":"2020","CustomName":"INJECTION TEDIZOLID PHOSPHATE 1 MG"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0705","CodeVersion":"2020","CustomName":"TRANSER DEVICE ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6198","CodeVersion":"2020","CustomName":"REMOVE INTERIM IMPLANT COMPONENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2358","CodeVersion":"2020","CustomName":"INJECTION OLANZAPINE LONG-ACTING 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2169","CodeVersion":"2020","CustomName":"SERVICES PRFRM BY OT ASST HH SETTING EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4627","CodeVersion":"2020","CustomName":"SPACR BAG\/RESRVOR W\/WO MASK W\/METRD DOSE INHAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7025","CodeVersion":"2020","CustomName":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8426","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE CUSTOM HEAVY WEIGHT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74.91","CodeVersion":"2017","CustomName":"HYSTEROTOMY TO TERMINATE PREGNANCY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5855","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3260","CodeVersion":"2020","CustomName":"SURGICAL BOOT\/SHOE EACH"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2205","CodeVersion":"2020","CustomName":"PATIENTS WITH PREGNANCY DURING ADJUVANT TX CRS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0960","CodeVersion":"2020","CustomName":"WC ACSS SHLDR HRNSS\/STRAPS\/CHST STRAP W\/TYPE MOU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7524","CodeVersion":"2020","CustomName":"TRACHEOSTOMA STENT\/STUD\/BUTTON EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2301","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8465","CodeVersion":"2020","CustomName":"PROSTHETIC SHRINKER UPPER LIMB EACH"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2037","CodeVersion":"2020","CustomName":"THERAPEUTIC CAMPING DAY WAIVER; EACH SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0080","CodeVersion":"2020","CustomName":"NONEMERG TRNSPRT-MILE-VEH VOLUN W\/NO VESTED INT"},{"ServiceGroup":"12791","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"73008","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0850","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"47260","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"12197","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"12670","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"701","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"9571","CodeType":"DRG","Code":"550","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3572F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104760","CodeType":"CPT","Code":"58262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98591","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.42","CodeVersion":"2017","CustomName":"CREATION OF SEPTAL DEFECT IN HEART"},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0197","CodeVersion":"2020","CustomName":"AIR PRESS PAD MATTRSS STD MATTRSS LENGTH&WIDTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2460","CodeVersion":"2020","CustomName":"INJECTION OXYTETRACYCLINE HCL UP TO 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C5271","CodeVersion":"2020","CustomName":"APPL SKN GRFT TRUNK ARM LEG 100 CM; 1ST 25 CM\/<"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0704","CodeVersion":"2020","CustomName":"3-D PHOTOGRAPHIC IMAGE - IMAGE CAPTURE ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0601","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING LOW RISK"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0497","CodeVersion":"2020","CustomName":"BATT CLPS FOR ELEC OR ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9868","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMT ASYNC IMAGES <10 MINS"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0460","CodeVersion":"2020","CustomName":"AUTOLOGOUS PLATELET-RICH PLASMA CHRONIC WOUND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1010","CodeVersion":"2020","CustomName":"MEALS FOR IND REC ALCOHOL&\/SUBSTANCE ABUSE SRVC"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.53","CodeVersion":"2017","CustomName":"TOTAL BREECH EXTRAC W\/FORCEPS AFTERCOMING HEAD"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.96","CodeVersion":"2017","CustomName":"OTHER OXYGEN ENRICHMENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2031","CodeVersion":"2020","CustomName":"MENTAL HEALTH CLUBHOUSE SERVICES PER DIEM"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7181","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII A-SUBUNIT PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1280","CodeVersion":"2020","CustomName":"ADDITION TO TLSO RIB GUSSET EACH"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8682","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR RADIOFREQ RECEIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0669","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS HALF LEG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2335","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7330","CodeVersion":"2020","CustomName":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5151","CodeVersion":"2020","CustomName":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0166","CodeVersion":"2020","CustomName":"GRANISETRON HCL 1 MG ORL NOT >48 HR DOSE REGIMEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2547","CodeVersion":"2020","CustomName":"INJECTION PERAMIVIR 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7503","CodeVersion":"2020","CustomName":"TACROLIMUS EXTENDED RELEASE ORAL 0.25 MG"},{"ServiceGroup":"104745","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9107","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; UNRESECTBL M1 MET LOC RECUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7032","CodeVersion":"2020","CustomName":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7875","CodeVersion":"2020","CustomName":"ARTHROSCOPY: SYNOVECTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9125","CodeVersion":"2020","CustomName":"ONC; CML BP NOT HEMAT CYTOGENIC\/MOLECULAR REMISS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1006","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS TILT&RECLINE NO SHEAR RDUC"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3211","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH JUNIOR"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"30401","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"26036","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"73605","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"693","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - EVALUATION"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"15789","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"62722","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"73601","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"70046","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0389","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Blood and Blood Components"},{"ServiceGroup":"44105","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"3029","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"604","CodeVersion":"2020","CustomName":"NEONATE, BIRTHWT 750-999G, DISCHARGED ALIVE-NYDRG"},{"ServiceGroup":"33793","CodeType":"DRG","Code":"250","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of forearm, hand, or foot, age greater than 17, with CC"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"407","CodeVersion":"2020","CustomName":"Myeloproliferative disorders or poorly differentiated neoplasms with major operating room procedures without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3353F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3265F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72379","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93014","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13739","CodeType":"ICD9P","Code":"20.96","CodeVersion":"2017","CustomName":"IMPL\/REPLACEMENT COCHLEAR PROSTHETIC DEVICE NOS"},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3496F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0175T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0136U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0245U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67073","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109120","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69688","CodeType":"CPT","Code":"93622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0188U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0165U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80281","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28992","CodeType":"CPT","Code":"99504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0295","CodeVersion":"2020","CustomName":"HOSP BED SEMI-ELEC W\/O SIDE RAILS W\/O MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0021","CodeVersion":"2020","CustomName":"AMB SERVICE OUTSIDE STATE PER MILE TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0914","CodeVersion":"2020","CustomName":"PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9269","CodeVersion":"2020","CustomName":"INJECTION TAGRAXOFUSP-ERZS 10 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0380","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAG CAP W\/LTD FD VIEW-<1 WHOLE JAW"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0506","CodeVersion":"2020","CustomName":"BIFOCAL VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2644","CodeVersion":"2020","CustomName":"ONLAY - PORCELN\/CERAM - 4\/MORE SURF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C5274","CodeVersion":"2020","CustomName":"APPL SG TRNK ARM LEG AREA>\/=100 CM;EA ADD 100 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9385","CodeVersion":"2020","CustomName":"DOC PT REASON NOT RECEIVING ANNUAL SCR HCV INF"},{"ServiceGroup":"27856","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9021","CodeVersion":"2020","CustomName":"RED BLOOD CELLS EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0163","CodeVersion":"2020","CustomName":"COMMODE CHAIR MOBILE OR STATIONARY W\/FIXED ARMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9113","CodeVersion":"2020","CustomName":"INJECTION PANTOPRAZOLE SODIUM PER VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5530","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC\/=MOLD MDL"},{"ServiceGroup":"106602","CodeType":"HCPCS","Code":"V5261","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL BTE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2260","CodeVersion":"2020","CustomName":"INJECTION MILRINONE LACTATE 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1290","CodeVersion":"2020","CustomName":"INJECTION ECALLANTIDE 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3299","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0172","CodeVersion":"2020","CustomName":"INJECTION, ADUCANUMAB-AVWA 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9752","CodeVersion":"2020","CustomName":"EMERGENCY SURGERY"},{"ServiceGroup":"93919","CodeType":"HCPCS","Code":"H0018","CodeVersion":"2020","CustomName":"BHVAL HEALTH; SHORT-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0279","CodeVersion":"2020","CustomName":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI\/BIL"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3503","CodeVersion":"2020","CustomName":"SURG EXP RS NO APICOECT\/REPR RT RESORPTN - MOLAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7009","CodeVersion":"2020","CustomName":"RESRVOR BOTTLE NON-DISPBL W\/LG VOL US NEBULIZR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3230","CodeVersion":"2020","CustomName":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7880","CodeVersion":"2020","CustomName":"OCCLUSAL ORTHOTIC APPLIANCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4590","CodeVersion":"2020","CustomName":"SPECIAL CASTING MATERIAL"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1848","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ADJUSTABLE JOINT AIR SUPP PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9395","CodeVersion":"2020","CustomName":"INJECTION FULVESTRANT 25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2051","CodeVersion":"2020","CustomName":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; PD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0365","CodeVersion":"2020","CustomName":"INJECTION APROTONIN 10000 KIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8480","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9591","CodeVersion":"2020","CustomName":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5932","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS DEFINITIVE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98639","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0265","CodeVersion":"2020","CustomName":"HOSP BED TOT ELEC W\/ANY TYPE SIDE RAIL W\/MATTRSS"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9274","CodeVersion":"2020","CustomName":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4561","CodeVersion":"2020","CustomName":"PESSAR RUBBER ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8999","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL CHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2610","CodeVersion":"2020","CustomName":"INLAY - PORCELN\/CERAMIC - 1 SURFACE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5056","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE EXT WEAR BARRIER W\/FILTER EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6782","CodeVersion":"2020","CustomName":"RETAINER CROWN - 3\/4 CAST NOBLE METAL"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0667","CodeVersion":"2020","CustomName":"SEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL LEG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4140","CodeVersion":"2020","CustomName":"BIODFENCE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0315","CodeVersion":"2020","CustomName":"DISEASE MANAGEMENT PROGM; INIT ASSESS&INIT PROGM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9487","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M ESTABLISHED PT 15 MINS"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"10927","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"12918","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"17967","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0819","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Other Donor"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"977","CodeType":"REV","Code":"0339","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Other Radiology - Therapeutic"},{"ServiceGroup":"32108","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"180","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"9537","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"722","CodeVersion":"2020","CustomName":"Malignancy, Male Reproductive System with MCC"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107133","CodeType":"CPT","Code":"41870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107078","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"0237T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0134U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61751","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.9","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON VESSELS"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0251","CodeVersion":"2020","CustomName":"EXTRA-ORAL POSTERIOR DENTAL RADIOGRAPHIC IMAGE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9003","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJUSTED HIGH INITIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9609","CodeVersion":"2020","CustomName":"DOCUMENTATION OF ORDER FOR ANTIPLATELET AGENTS"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0561","CodeVersion":"2020","CustomName":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9147","CodeVersion":"2020","CustomName":"OP IV INSULIN TX MEASURE: RQ; &\/UUN; &\/GLU; &\/K+"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9948","CodeVersion":"2020","CustomName":"ADJUSTMENT OF CUSTOM SLEEP APNEA APPLIANCE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7669","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP UNIT DOSE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2990","CodeVersion":"2020","CustomName":"RESIN INFILTRATION INCIPIENT SMOOTH SURFACE LES"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10A08ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION NAT\/ART OPG ENDO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0555","CodeVersion":"2020","CustomName":"HUMDIFIR DURABLE GLASS\/AUTOCLAVABLE PLSTC BOTTLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3807","CodeVersion":"2020","CustomName":"WRIST HAND FINGR ORTHOS W\/O JNT PREFAB CSTM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3221","CodeVersion":"2020","CustomName":"PULPAL DEBRID PRIMARY&PERM TEETH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9254","CodeVersion":"2020","CustomName":"DOC PT D\/C HOME LATER THAN POST-OP DA 2 FLW CAS"},{"ServiceGroup":"103974","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1445","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE SOL 0.1 MG IRON"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6615","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3853","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR MYOTONIC MUSCULAR DYSTROPHY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9223","CodeVersion":"2020","CustomName":"DEEP SEDAT\/GEN ANESTHESIA-EA SUBSQT 15 MIN INCR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7342","CodeVersion":"2020","CustomName":"INSTALLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG"},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9310","CodeVersion":"2020","CustomName":"UNPLANNED HOSP READMISSION W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2778","CodeVersion":"2020","CustomName":"INJECTION RANIBIZUMAB 0.1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4189","CodeVersion":"2020","CustomName":"ARTACENT AC 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2300","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9948","CodeVersion":"2020","CustomName":"PT ADD SPINE PROC SAME DT LUMB DISCECTOMY\/LAMI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75495","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"10956","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"3458","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0840","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0694","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - CONSULTATION AND EDUCATION"},{"ServiceGroup":"1259","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"9511","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"22817","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"627","CodeVersion":"2020","CustomName":"NEONATE, BWT OVER 2499G, W\/O SIGNIF OR PROC, W MAJOR PROB-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"876","CodeVersion":"2020","CustomName":"CHEMO W ACUTE LEUK AS SDX OR W USE OF HIGH DOSE CHEMO AGENT-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0239T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82720","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0659T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90377","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.49","CodeVersion":"2017","CustomName":"OTHER REPAIR OF HEART AND PERICARDIUM"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0114U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.24","CodeVersion":"2017","CustomName":"AORTA-RENAL BYPASS"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91890","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"2015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39604","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"14061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79589","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0026U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON STOMACH"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0470T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10618","CodeType":"CPT","Code":"99344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4067F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98584","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3756F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100919","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62259","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91593","CodeType":"CPT","Code":"33223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91590","CodeType":"CPT","Code":"92929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0080U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0207U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26494","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"15820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35733","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0189U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0325U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0118","CodeVersion":"2020","CustomName":"CRUTCH SUBST LOWER LEG PLATFORM W\/WO WHEELS EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6120","CodeVersion":"2020","CustomName":"IMPL SUPP RETAIN - PORCELN FUSD TO TIT & TIT ALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1250","CodeVersion":"2020","CustomName":"LGHTWT WHLCHAIR; FIX FULL ARMS DTACHBL FOOTRESTS"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6715","CodeVersion":"2020","CustomName":"TERM DEV MX ARTIC DIGIT W\/MOTORS INIT ISSUE\/REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9754","CodeVersion":"2020","CustomName":"A FINDING OF AN INCIDENTAL PULMONARY NODULE"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34872","CodeType":"ICD9P","Code":"13.71","CodeVersion":"2017","CustomName":"INSRT IOL PROSTH W\/CATARACT EXTRACT-1-STAGE"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103970","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92363","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.93","CodeVersion":"2017","CustomName":"INJECTION THERAPEUTIC SUBSTANCE INTO PERICARDIUM"},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9490","CodeVersion":"2020","CustomName":"CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6238","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS > 16 BUT <\/= 48 SQ W\/ADHES EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0696","CodeVersion":"2020","CustomName":"INJECTION CEFTRIAXONE SODIUM PER 250 MG"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"80920","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5611","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W\/FRICT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1051","CodeVersion":"2020","CustomName":"PT CA AC FX\/INF REL LS\/PT HD IDIO\/CONG SCOLIOSIS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3031","CodeVersion":"2020","CustomName":"INJECTION FREMANEZUMAB-VFRM 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2011","CodeVersion":"2020","CustomName":"CRISIS INTERVENTION SERVICE PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7177","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2150","CodeVersion":"2020","CustomName":"BN MARROW\/BLD DERIVD STEM CELLS HARV TPLNT&COMP;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0494","CodeVersion":"2020","CustomName":"SKILLED SRVC LPN OBS & ASMT PT COND EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0160","CodeVersion":"2020","CustomName":"DTL&EXT ORAL EVAL - PROB FOCUS RPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3430","CodeVersion":"2020","CustomName":"INJECTION PHYTONADIONE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5220","CodeVersion":"2020","CustomName":"ABVE KNEE SHRT PROSTH W\/ARTIC ANK\/FOOT DYN"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2403","CodeVersion":"2020","CustomName":"REPR EXTRALOBAR PULM SEQUEST FETUS-UTERO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2720","CodeVersion":"2020","CustomName":"CROWN - RESIN WITH HIGH NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5710","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3570","CodeVersion":"2020","CustomName":"LAETRILE AMYGDALIN VITAMIN B17"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9019","CodeVersion":"2020","CustomName":"PLATELETS EACH UNIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7204","CodeVersion":"2020","CustomName":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9198","CodeVersion":"2020","CustomName":"INJ GEMCITABINE HYDROCHLORIDE INFUGEM 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9947","CodeVersion":"2020","CustomName":"CUSTOM SLEEP APNEA APPL FABRICATION & PLACEMENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4755","CodeVersion":"2020","CustomName":"BLOOD TUBING ART&VENOUS COMBINED HEMODIALYSIS EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4033","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CYCLE CAST ADULT PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8965","CodeVersion":"2020","CustomName":"CARD SS IMAG PRIM PER L CHD RSK PT DET RSK ASMT"},{"ServiceGroup":"81424","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"10648","CodeType":"HCPCS","Code":"S5498","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT SIMPLE PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9089","CodeVersion":"2020","CustomName":"BUPIVACAINE COLLAGEN-MATRIX IMPLANT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0480","CodeVersion":"2020","CustomName":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"10040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25696","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"16777","CodeType":"REV","Code":"0811","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Living Donor"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"27155","CodeType":"REV","Code":"0270","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - General Classification"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0660","CodeVersion":"2020","CustomName":"Respite Care - General Classification"},{"ServiceGroup":"70049","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0621","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - Supplies Incident to Radiology"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3754F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107027","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93722","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"55071","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3025F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0185T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64795","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41.02","CodeVersion":"2017","CustomName":"ALLOGENEIC BONE MARROW TRANSPLANT WITH PURGING"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0670T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0641T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62737","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0248","CodeVersion":"2020","CustomName":"INJECTION REMDESIVIR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0452","CodeVersion":"2020","CustomName":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9039","CodeVersion":"2020","CustomName":"INJECTION BLINATUMOMAB 1 MICROGRAM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0120","CodeVersion":"2020","CustomName":"INJECTION TETRACYCLINE UP TO 250 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1932","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4080","CodeVersion":"2020","CustomName":"REPLACE METAL BANDS KAFO PROXIMAL THIGH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6210","CodeVersion":"2020","CustomName":"PONTIC - CAST HIGH NOBLE METAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2049","CodeVersion":"2020","CustomName":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8510","CodeVersion":"2020","CustomName":"BUSULFAN ORAL 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0078","CodeVersion":"2020","CustomName":"INJECTION FOSPHENYTOIN SODIUM 750 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2087","CodeVersion":"2020","CustomName":"OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0470","CodeVersion":"2020","CustomName":"INJECTION DIMERCAPROL PER 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2030","CodeVersion":"2020","CustomName":"KAFO DBL UPRT SOLID STIRUP W\/O KNEE JNT CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7015","CodeVersion":"2020","CustomName":"AREO MASK USED W\/ DME NEB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9961","CodeVersion":"2020","CustomName":"AMB SERVICE AIR NONEMERGENCY 1 WAY ROTARY WING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1040","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOSIS ORTHOSIS LUMB\/LUMB RIB PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1825","CodeVersion":"2020","CustomName":"GEN NEUROSTIM NONRCHRGBL W\/CAR SIN BR STIM LEAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2142","CodeVersion":"2020","CustomName":"CORD BLD-DERIVED STEM-CELL TPLNT ALLOGENEIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9985","CodeVersion":"2020","CustomName":"SALES TAX"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6512","CodeVersion":"2020","CustomName":"COMPRESSION BURN GARMENT NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8630","CodeVersion":"2020","CustomName":"METACARPOPHALANGEAL JOINT IMPLANT"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10675","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"10906","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"31099","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0543","CodeVersion":"2020","CustomName":"Ambulance - Heart Mobile"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"75489","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0516","CodeVersion":"2020","CustomName":"Clinic - Urgent Care Clinic"},{"ServiceGroup":"107733","CodeType":"DRG","Code":"787","CodeVersion":"2020","CustomName":"LAPAROSCOPIC CHOLECYSTECTOMY W CDE-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"615","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W SIG OR PROC, W MUL MAJOR PROB-NYDRG"},{"ServiceGroup":"88138","CodeType":"DRG","Code":"989","CodeVersion":"2020","CustomName":"Nonextensive O.R. Procedure Unrelated to Principal Diagnosis without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0212T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4196F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26205","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0051A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58775","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93186","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0678T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0052U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4168F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101114","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13692","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21978","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9263","CodeVersion":"2020","CustomName":"INJECTION OXALIPLATIN 0.5 MG"},{"ServiceGroup":"58848","CodeType":"HCPCS","Code":"T2045","CodeVersion":"2020","CustomName":"HOSPICE GENERAL INPATIENT CARE; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1012","CodeVersion":"2020","CustomName":"ALCOHOL&\/SUBSTANCE ABS SERVICES SKILLS DVLP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9721","CodeVersion":"2020","CustomName":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9807","CodeVersion":"2020","CustomName":"PATIENTS WHO DID NOT RECV CERV CYTOLOGY\/HPV TEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3976","CodeVersion":"2020","CustomName":"SEWHFO ABDUCT PSTN THOR CMPNT W\/O JOINTS CUS FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9377","CodeVersion":"2020","CustomName":"HOME INFUS THERAPY HYDRATION TX; >3 LITERS DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9740","CodeVersion":"2020","CustomName":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 4\/> IMPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1039","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LSP REG INF AT TIME OF PROC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9212","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFACON-1 RECOMBINANT 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2650","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELV&THOR CONTROL GLUTEAL PAD EA"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1239","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR PEDIATRIC SIZE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2531","CodeVersion":"2020","CustomName":"CONTACT LENS SCLERAL GAS PERMEABLE PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6623","CodeVersion":"2020","CustomName":"UP EXT ADD SPRNG ASST ROTATL WRST U W\/LATCH RLSE"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2501","CodeVersion":"2020","CustomName":"INJECTION PARICALCITOL 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0246","CodeVersion":"2020","CustomName":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W\/LOPS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1200","CodeVersion":"2020","CustomName":"INJECTION DIPHENHYDRAMINE HCL UP TO 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4554","CodeVersion":"2020","CustomName":"DISPOSABLE UNDERPADS ALL SIZES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7507","CodeVersion":"2020","CustomName":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8875","CodeVersion":"2020","CustomName":"CLINICIAN DX BREAST CA PREOP MIN INVAS BX METHOD"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"38705","CodeType":"ICD10P","Code":"3E053KZ","CodeVersion":"2020","CustomName":"INTRODUCTION OTH DX SUBSTANCE PERIPH ART PERQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1690","CodeVersion":"2020","CustomName":"COMB BIL LUMBO-SAC HIP FEM ORTHO PRFAB W\/FIT&ADJ"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86663","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"68190","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0853","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0511","CodeVersion":"2020","CustomName":"Clinic - Chronic Pain Center"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0251","CodeVersion":"2020","CustomName":"Pharmacy - Generic Drugs"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"30623","CodeType":"DRG","Code":"788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30623","CodeType":"DRG","Code":"784","CodeVersion":"2020","CustomName":"ACQUIRED HEMOLYTIC ANEMIA OR SICKLE CELL CRISIS AGE UNDER 18-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"488","CodeVersion":"2020","CustomName":"HIV with extensive operating room procedure"},{"ServiceGroup":"83901","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91","CodeType":"ICD9P","Code":"55.69","CodeVersion":"2017","CustomName":"OTHER KIDNEY TRANSPLANTATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88354","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0720T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90386","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77580","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3001","CodeVersion":"2020","CustomName":"FOOT INSERT REMOVABLE MOLDED PT MODEL SPENCO EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9285","CodeVersion":"2020","CustomName":"LIDOCAINE 70 MG\/TETRACAINE 70 MG PER PATCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2619","CodeVersion":"2020","CustomName":"REPL COVER WHEELCHAIR SEAT CUSHN\/BACK CUSHN EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1250","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ANTERIOR ASIS PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8881","CodeVersion":"2020","CustomName":"STAGE BREAST CANCER GREATER THAN T1N0M0\/T2N0M0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2020","CodeVersion":"2020","CustomName":"INJECTION LINEZOLID 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9761","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0787","CodeVersion":"2020","CustomName":"EXTERNAL AMB INFUS PUMP INSULIN DOS RATE ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H0038","CodeVersion":"2020","CustomName":"SELF-HELP\/PEER SERVICES PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5922","CodeVersion":"2020","CustomName":"NASAL SEPTAL PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9087","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; M1 MET W\/CURR EVIDENCE DZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5912","CodeVersion":"2020","CustomName":"FACIAL MOULAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8958","CodeVersion":"2020","CustomName":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4199","CodeVersion":"2020","CustomName":"CYGNUS MATRIX PER SQ CM"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6696","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB CSTM CNGN\/TRAUMAT AMP INIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0481","CodeVersion":"2020","CustomName":"INTRAPULM PERCUSSIVE VENT SYSTEM&REL ACSSORIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9726","CodeVersion":"2020","CustomName":"PLCMT & REMV AA INTO BRST IORT ADD-ON BRST PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9450","CodeVersion":"2020","CustomName":"CASE PRSATION DTL&EXT TX PLANNING"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6690","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D2393","CodeVersion":"2020","CustomName":"RESIN COMPOS - 3 SURFACES POSTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3918","CodeVersion":"2020","CustomName":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0660","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL LEG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9371","CodeVersion":"2020","CustomName":"INJECTION VINCRISTINE SULFATE LIPOSOME 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2934","CodeVersion":"2020","CustomName":"PREFB ESTHET COAT STNLSS STEEL CRWN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9150","CodeVersion":"2020","CustomName":"EVALUATION BY OCCULARIST"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7659","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4371","CodeVersion":"2020","CustomName":"OSTOMY SKIN BARRIER POWDER PER OZ"},{"ServiceGroup":"88978","CodeType":"ICD10P","Code":"10D07Z3","CodeVersion":"2020","CustomName":"EXTRACTION POC LOW FORCEPS NATURAL\/ARTIF OPENING"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22402","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0689","CodeVersion":"2020","CustomName":"Trauma Response - Other Trauma Response"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0973","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - THERAPEUTIC"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0989","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - PRIVATE DUTY NURSE"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0402","CodeVersion":"2020","CustomName":"Other Imaging Services - Ultrasound"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"086","CodeVersion":"2020","CustomName":"Pleural effusion without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"474","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.09","CodeVersion":"2017","CustomName":"OTHER ARTIFICIAL RUPTURE OF MEMBRANES"},{"ServiceGroup":"12523","CodeType":"ICD9P","Code":"92.3","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY"},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104611","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87385","CodeType":"CPT","Code":"67010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90427","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91460","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.19","CodeVersion":"2017","CustomName":"OTHER BYPASS ANASTOMOSIS HEART REVASCULARIZATION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0179U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0019U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14096","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0715T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0332U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4107","CodeVersion":"2020","CustomName":"GRAFTJACKET PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2795","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3002","CodeVersion":"2020","CustomName":"FOOT INSRT REMV MOLDED PT MDL PLASTAZOTE\/EQUL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3720","CodeVersion":"2020","CustomName":"EO DBL UPRT W\/FORARM\/ARM CUFF FREE MOT CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9055","CodeVersion":"2020","CustomName":"INJECTION CETUXIMAB 10 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5H7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION LUNG LINGULA NATURAL\/ARTFICL OPENING"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7649","CodeVersion":"2020","CustomName":"ISOETHARINE HCI NON-COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6792","CodeVersion":"2020","CustomName":"RETAINER CROWN - FULL CAST NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9484","CodeVersion":"2020","CustomName":"REMOTE IN-HOME VISIT E\/M NEW PATIENT 45 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0288","CodeVersion":"2020","CustomName":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0049","CodeVersion":"2020","CustomName":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0421","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6020","CodeVersion":"2020","CustomName":"PARTIAL HAND NO FINGER REMAINING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9362","CodeVersion":"2020","CustomName":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9176","CodeVersion":"2020","CustomName":"INJECTION ELOTUZUMAB 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4278","CodeVersion":"2020","CustomName":"FREE SFT TSS GFT EA ADD CNTIG T\/EDNT T SAME SITE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0309","CodeVersion":"2020","CustomName":"RMVL IMPL INT GLU SNSR INS 180 D IMPL SNSR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9554","CodeVersion":"2020","CustomName":"FINAL RPT CT CTA MRI\/MRA CHST\/NCK F\/U IMAG RECOM"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8396","CodeVersion":"2020","CustomName":"LEFT VENTRICULAR EJECT FRACTION NOT PERFORM\/DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2787","CodeVersion":"2020","CustomName":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2756","CodeVersion":"2020","CustomName":"EYE GLASS CASE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9180","CodeVersion":"2020","CustomName":"PEDICULOSIS TX TOPICAL ADMIN PATIENT\/CARETAKER"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75495","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"24808","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"51543","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"12791","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"13052","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"965","CodeVersion":"2020","CustomName":"Other Multiple Significant Trauma without CC\/MCC"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"456","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"29609","CodeType":"DRG","Code":"232","CodeVersion":"2020","CustomName":"Arthroscopy"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106226","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83843","CodeType":"CPT","Code":"21453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5062F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0306U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4063F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0022A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1071F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76421","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0348U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.52","CodeVersion":"2017","CustomName":"REPAIR CURRENT OBSTETRIC LACERATION CORPUS UTERI"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0052A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0014M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0482","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/INTERFCE LINER CSTM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8047","CodeVersion":"2020","CustomName":"NASAL SEPTAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0181","CodeVersion":"2020","CustomName":"UNS ORAL DOSAGE ANTI-EMETIC NOT >48 HR DOSE REG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0278","CodeVersion":"2020","CustomName":"INJECTION AMIKACIN SULFATE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4100","CodeVersion":"2020","CustomName":"SKIN SUBSTITUTE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"103903","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9746","CodeVersion":"2020","CustomName":"PT HAS MS\/PROS HEART VLV\/PT TSNT\/R CAUSE OF AF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1832","CodeVersion":"2020","CustomName":"AGRFT SUSP INCL CELL PROC & APPL & ALL SYST COMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9013","CodeVersion":"2020","CustomName":"ESRD DEMO BASIC BUNDLE LEVEL I"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0643","CodeVersion":"2020","CustomName":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0920","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7350","CodeVersion":"2020","CustomName":"VESTBULPLSTY-RIDGE EXT SFT TISS GFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0245","CodeVersion":"2020","CustomName":"TUB STOOL OR BENCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1030","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1955","CodeVersion":"2020","CustomName":"INJECTION LEVOCARNITINE PER 1 G"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0187","CodeVersion":"2020","CustomName":"WATER PRESSURE MATTRESS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"93100","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3380","CodeVersion":"2020","CustomName":"CLUBFOOT WEDGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9690","CodeVersion":"2020","CustomName":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4114","CodeVersion":"2020","CustomName":"INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3209","CodeVersion":"2020","CustomName":"SURGICAL BOOT EACH CHILD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7620","CodeVersion":"2020","CustomName":"MAXILLA-CLOSED REDUCTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2011","CodeVersion":"2020","CustomName":"ALCOHOL &\/SUBST MISUSE ST ASMT & BRF INT 5-14 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0057","CodeVersion":"2020","CustomName":"PROP ADOPT BST PRACT PROM SFTY EMER MED MIPS VAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2620","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH <22 IN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4159F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22809","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"81023","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"9228","CodeType":"REV","Code":"0419","CodeVersion":"2020","CustomName":"Respiratory Services - Other Respiratory Services"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"3132","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"12670","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0382","CodeVersion":"2020","CustomName":"Blood and Blood Components - Whole Blood"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0520","CodeVersion":"2020","CustomName":"Free-Standing Clinic - General Classification"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"461","CodeVersion":"2020","CustomName":"Operating room procedures with diagnoses of other contact with health services"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107181","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0105U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0496T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0604T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0198T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0714T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101526","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0342U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90368","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106767","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5125","CodeVersion":"2020","CustomName":"ATTENDANT CARE SERVICES; PER 15 MINUTES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3000","CodeVersion":"2020","CustomName":"INJECTION STREPTOMYCIN UP TO 1 G"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2149","CodeVersion":"2020","CustomName":"DOCUMENT MEDICAL REASON NOT USNG MULTIMODAL PAIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0586","CodeVersion":"2020","CustomName":"INJECTION ABOBOTULINUMTOXINA 5 UNITS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6253","CodeVersion":"2020","CustomName":"SPCLTY ABSORB DRESS STERL >48 SQ NO ADHES BORDR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0583","CodeVersion":"2020","CustomName":"INJECTION BIVALIRUDIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3809","CodeVersion":"2020","CustomName":"WRIST HAND FINGER W\/O JOINT PREFAB ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5730","CodeVersion":"2020","CustomName":"RELINE COMPLETE MAXILLARY DENTURE DIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4730","CodeVersion":"2020","CustomName":"FISTULA CANNULATION SET FOR HEMODIALYSIS EACH"},{"ServiceGroup":"82810","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5298","CodeVersion":"2020","CustomName":"HEARING AID NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9894","CodeVersion":"2020","CustomName":"ANDROGEN DEP TX RX\/ADMN COMB EXT BEAM RT TO PROS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6442","CodeVersion":"2020","CustomName":"CONFORMING BANDGE NON-ELAST KNITTED\/WOVEN NON-ST"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6935","CodeVersion":"2020","CustomName":"BELW ELB OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2232","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS ROCKR BOTTOM TOT CNTC CSTM"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76321","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"29280","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0185","CodeVersion":"2020","CustomName":"Leave Of Absence - Nursing Home (for Hospitalization)"},{"ServiceGroup":"51276","CodeType":"DRG","Code":"008","CodeVersion":"2020","CustomName":"Peripheral and cranial nerve and other nervous system procedures without CC"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"595","CodeVersion":"2020","CustomName":"Major Skin Disorders with MCC"},{"ServiceGroup":"30623","CodeType":"DRG","Code":"785","CodeVersion":"2020","CustomName":"OTHER RED BLOOD CELL DISORDERS AGE UNDER 18-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17987","CodeType":"ICD9P","Code":"88.54","CodeVersion":"2017","CustomName":"COMBINED RIGHT AND LEFT HEART ANGIOCARDIOGRAPHY"},{"ServiceGroup":"115056","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46884","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16301","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3318F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0264U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0437T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0713T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1123F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82748","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.69","CodeVersion":"2017","CustomName":"REPAIR OF OTHER CURRENT OBSTETRIC LACERATION"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2029F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112026","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0267U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0085","CodeVersion":"2020","CustomName":"EXTENSIVE CARE MANAGEMENT HOME VISIT FOR EXST PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2218","CodeVersion":"2020","CustomName":"ANISEIKONIC PER LENS BIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2632","CodeVersion":"2020","CustomName":"WC ACCESS ADD MOBIL ARM SUPP OFFSET\/LAT RCKR ARM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9359","CodeVersion":"2020","CustomName":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9123","CodeVersion":"2020","CustomName":"ONC; CML; CHRON PHASE NOT HEMATOL CYT\/MOL REMISS"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9250","CodeVersion":"2020","CustomName":"METHOTREXATE SODIUM 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4638","CodeVersion":"2020","CustomName":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1675","CodeVersion":"2020","CustomName":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2623","CodeVersion":"2020","CustomName":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN\/> ANY DEPTH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7181","CodeVersion":"2020","CustomName":"ELEC ELB MICROPRC SIMULTAN CNTRL ELB&TERM DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0860","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9881","CodeVersion":"2020","CustomName":"MDPP BNF ACHV AL 9% WL B WT MO 1-24 UND MDPP EM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7636","CodeVersion":"2020","CustomName":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9870","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMOTE ASYNC IMAGES 20\/> MINS"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4465","CodeVersion":"2020","CustomName":"NONELASTIC BINDER FOR EXTREMITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9891","CodeVersion":"2020","CustomName":"MDPP SESS RPT AS LN-I ON CLM FOR PAYABL MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2185","CodeVersion":"2020","CustomName":"DOCUMENTATION CAREGIV IS TRN & CERT IN DEM CARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L7191","CodeVersion":"2020","CustomName":"ELEC ELB CHLD VRITY VILL\/= MYOELECTRNICALY CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7402","CodeVersion":"2020","CustomName":"MOMETASONE FUROATE SINUS IMPLANT SINUVA 10 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0416","CodeVersion":"2020","CustomName":"VIRAL CULTURE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7330","CodeVersion":"2020","CustomName":"AUTOLOGOUS CULTURED CHONDROCYTES IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9607","CodeVersion":"2020","CustomName":"DOC MED RSN NOT PERF IO CYSTO\/IN CASE PT DEATH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7294","CodeVersion":"2020","CustomName":"SEGESTER ACET ETH ESTR 0.15MG 0.013MG\/24H YR VAG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0451","CodeVersion":"2020","CustomName":"DEVELPMNT TESTING I&R STANDARDIZD INSTRUMNT FORM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9294","CodeVersion":"2020","CustomName":"PATH RPT W\/PT CAT THICKNESS ULCERATION PT1 MR"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3916","CodeVersion":"2020","CustomName":"WRIST HAND ORTHOSIS 1\/> NONTORSION JOINT PREFAB"},{"ServiceGroup":"80919","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9513","CodeVersion":"2020","CustomName":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4637","CodeVersion":"2020","CustomName":"REPLACEMENT TIP CANE CRUTCH WALKER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9213","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4429","CodeVersion":"2020","CustomName":"OST POUCH URIN BLT-IN CONVXI W\/FAUCET TAP VALVE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3465","CodeVersion":"2020","CustomName":"INJECTION VORICONAZOLE 10 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104588","CodeType":"CPT","Code":"62321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35683","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1020","CodeVersion":"2020","CustomName":"PERSONAL CARE SERVICES PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9537","CodeVersion":"2020","CustomName":"IMAG NEEDED AS PART CLIN TRL;\/OTH CLIN ORD STUDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2205","CodeVersion":"2020","CustomName":"MIN INVASV DIR CAB SURG; ART GFT 1 COR ART GFT"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2632","CodeVersion":"2020","CustomName":"POSTERIOR CHAMBER INTRAOCULAR LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0380","CodeVersion":"2020","CustomName":"INJECTION METARAMINOL BITARTRATE PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7630","CodeVersion":"2020","CustomName":"MANDIBLE-OPEN REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0161","CodeVersion":"2020","CustomName":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G6009","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:11-19 MEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4015","CodeVersion":"2020","CustomName":"NEUROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9280","CodeVersion":"2020","CustomName":"ALERT OR ALARM DEVICE NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4421","CodeVersion":"2020","CustomName":"OSTOMY SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2066","CodeVersion":"2020","CustomName":"BREAST RECON W\/GLUTEAL ART PERFORATOR FLAP UNI"},{"ServiceGroup":"1168","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"24027","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0731","CodeVersion":"2020","CustomName":"EKG\/ECG (Electrocardiogram) - Holter Monitor"},{"ServiceGroup":"9937","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"44392","CodeType":"REV","Code":"0570","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - General Classification"},{"ServiceGroup":"405","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"10419","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"42434","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"45966","CodeType":"REV","Code":"0560","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - General Classification"},{"ServiceGroup":"3577","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"33236","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"1137","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"58456","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0998","CodeVersion":"2020","CustomName":"Patient Convenience Items - Beauty Shop\/Barber"},{"ServiceGroup":"39871","CodeType":"DRG","Code":"621","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W OTHER PROB-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"24370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2616","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED YTTRIUM-90 PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2800","CodeVersion":"2020","CustomName":"INJECTION METHOCARBAMOL UP TO 10 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6230","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL> 48 SQ NO ADHES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7300","CodeVersion":"2020","CustomName":"INTRAUTERINE COPPER CONTRACEPTIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0824","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HEVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6086","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - PREDOMINANTLY BASE ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2357","CodeVersion":"2020","CustomName":"INJECTION OMALIZUMAB 5 MG"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6614","CodeVersion":"2020","CustomName":"RETAINER ONLAY - CAST NOBLE METAL TWO SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0138","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111810","CodeType":"CPT","Code":"27445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"14197","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"26916","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"42869","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0380","CodeVersion":"2020","CustomName":"Blood and Blood Components - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0135","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Hospice"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"270","CodeVersion":"2020","CustomName":"Other skin, subcutaneous tissue, and breast procedures without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108690","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"CPT","Code":"61799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98407","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0298U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0351T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46887","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105491","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.66","CodeVersion":"2017","CustomName":"PERCUTANEOUS CARDIOPULMONARY BYPASS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4229","CodeVersion":"2020","CustomName":"COGENEX AMNIOTIC MEMBRANE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2115","CodeVersion":"2020","CustomName":"OSTEOTOMY PERIACETABULAR WITH INTERNAL FIXATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1143","CodeVersion":"2020","CustomName":"INITIATED EPI REHAB TH MED\/CHIRO CARE NCK IMPAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0887","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2430","CodeVersion":"2020","CustomName":"INJECTION PAMIDRONATE DISODIUM PER 30 MG"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105731","CodeType":"CPT","Code":"63043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71779","CodeType":"CPT","Code":"95806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20074","CodeType":"CPT","Code":"99183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0441T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93026","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3755F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0394T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3317F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0215U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0123T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3870","CodeVersion":"2020","CustomName":"CGD MICROARRAY TEST DD ASD &\/OR INTELL DISABILTY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7036","CodeVersion":"2020","CustomName":"CHINSTRAP USED W\/POSITIVE AIRWAY PRESSURE DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5670","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE MOLD SUPRACONDYLR SUSP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0215","CodeVersion":"2020","CustomName":"ELECTRIC HEAT PAD MOIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2006","CodeVersion":"2020","CustomName":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1652","CodeVersion":"2020","CustomName":"INJECTION FONDAPARINUX SODIUM 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7327","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE MONOVISC IA INJ PER DOSE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0179","CodeVersion":"2020","CustomName":"PHYS\/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4031","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5858","CodeVersion":"2020","CustomName":"ADD LW EXT PROS KNEE SHIN SYS STANCE PHASE ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1572","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"103946","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9410","CodeVersion":"2020","CustomName":"HOUSE\/EXTENDED CARE FACILITY CALL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0487","CodeVersion":"2020","CustomName":"LEADS FOR ANY TYPE ELEC\/PNEUMAT VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6386","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/EARLY FIT EA ADD CAST CHG&REALIGN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0500","CodeVersion":"2020","CustomName":"INJECTION DICYCLOMINE HCL UP TO 20 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q2043","CodeVersion":"2020","CustomName":"SIPULEUCEL-T AUTO CD54+"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2060","CodeVersion":"2020","CustomName":"LOBAR LUNG TRANSPLANTATION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3141F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4187F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2392","CodeVersion":"2020","CustomName":"RESIN COMPOS - 2 SURFACES POSTERIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2041","CodeVersion":"2020","CustomName":"SUPPORTS BROKERAGE SELF-DIRECTED WAIVER; 15 MIN"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4316","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH 3-WAY CONT IRRIG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0509","CodeVersion":"2020","CustomName":"MISC SPL\/ACSS IMPL VAD NO PAYMENT MEDICARE PRT A"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2510","CodeVersion":"2020","CustomName":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2430","CodeVersion":"2020","CustomName":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1005","CodeVersion":"2020","CustomName":"DISPOSABLE COLL & STRG BAG BM ANY SIZE ANY T EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5181","CodeVersion":"2020","CustomName":"HOME HEALTH RESPIRATORY THERAPY NOS PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1212","CodeVersion":"2020","CustomName":"INJECTION DMSO DIMETHYL SULFOXIDE 50% 50 ML"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"167","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0387","CodeVersion":"2020","CustomName":"Blood and Blood Components - Other Derivatives (Cryoprecipitates)"},{"ServiceGroup":"75522","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101280","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"16035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3330F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53066","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.10","CodeVersion":"2017","CustomName":"ENDARTERECTOMY UNSPECIFIED SITE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0108T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0850","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9679","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES W\/PNE BILLD SID-BENEF"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9353","CodeVersion":"2020","CustomName":"INJECTION MARGETUXIMAB-CMKB 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9728","CodeVersion":"2020","CustomName":"PLCMT INTERSTITIAL DEV NOT ABD PELV PROS RP THOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3999","CodeVersion":"2020","CustomName":"UPPER LIMB ORTHOSIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"24","CodeType":"ICD10P","Code":"4A020N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0180","CodeVersion":"2020","CustomName":"CERV MX POST COLLAR OCCIP\/MAND SUPPORTS ADJUSTBL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2613","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN POST WIDTH < 22 IN ANY HEIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8433","CodeVersion":"2020","CustomName":"SCREENING FOR DEPR NOT COMPL DOCUMENT PT REASON"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1027","CodeVersion":"2020","CustomName":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT <3M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0127","CodeVersion":"2020","CustomName":"TRIMMING OF DYSTROPHIC NAILS ANY NUMBER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2980","CodeVersion":"2020","CustomName":"CROWN REPAIR NECESSITATED RESTORATIVE MATL FAIL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0128","CodeVersion":"2020","CustomName":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46028","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD9P","Code":"74.3","CodeVersion":"2017","CustomName":"REMOVAL OF EXTRATUBAL ECTOPIC PREGNANCY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90378","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1285","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; FIX ARMS DTACHBLE FOOTRESTS"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5090","CodeVersion":"2020","CustomName":"DISPENSING FEE UNSPECIFIED HEARING AID"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2547","CodeVersion":"2020","CustomName":"INJECTION PERAMIVIR 1 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9352","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX NO RSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0370","CodeVersion":"2020","CustomName":"MAXILLOFACIAL ULTRASOUND CAPTURE&INTERPRETATION"},{"ServiceGroup":"114930","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4220","CodeVersion":"2020","CustomName":"PARENTERAL NUTRITION SUPPLY KIT; PREMIX PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"U0003","CodeVersion":"2020","CustomName":"INF AGT DET DNA\/RNA;SARS-COV-2 COVID-19 AMP P T"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0980","CodeVersion":"2020","CustomName":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"25665","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"16632","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"87691","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"27536","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"36770","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0530","CodeVersion":"2020","CustomName":"Osteopathic Services - General Classification"},{"ServiceGroup":"44123","CodeType":"REV","Code":"0255","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Radiology"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"342","CodeVersion":"2020","CustomName":"Circumcision, age greater than 17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.93","CodeVersion":"2017","CustomName":"INCISION OF CERVIX TO ASSIST DELIVERY"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0101U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0220U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90797","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101186","CodeType":"CPT","Code":"22630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57222","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91590","CodeType":"CPT","Code":"92937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1017","CodeVersion":"2020","CustomName":"HEVY DUTY SHOCK ABSORBR HEVY\/XTRA HEVY MNL WC EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3570","CodeVersion":"2020","CustomName":"LAETRILE AMYGDALIN VITAMIN B17"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0365","CodeVersion":"2020","CustomName":"INJECTION APROTONIN 10000 KIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9430","CodeVersion":"2020","CustomName":"OV OBS - NO OTH SERVICES PERFORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0236","CodeVersion":"2020","CustomName":"PUMP FOR WATER CIRCULATING PAD"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0896","CodeVersion":"2020","CustomName":"INJECTION LUSPATERCEPT-AAMT 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0300","CodeVersion":"2020","CustomName":"PED CRIB HOS GRADE FULLY ENC W\/WO TOP ENC"},{"ServiceGroup":"68260","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1100","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHOSONE SODIUM PHOSPHATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2025","CodeVersion":"2020","CustomName":"ONGOING SUPPORT MAINTAIN EMPLOYMENT PER 15 MIN"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0091","CodeVersion":"2020","CustomName":"SCREEN PAP SMEAR; OBTAIN PREP &C ONVEY TO LAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4630","CodeVersion":"2020","CustomName":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5620","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4234","CodeVersion":"2020","CustomName":"XCELLERATE PER SQ CM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2355","CodeVersion":"2020","CustomName":"INJECTION OPRELVEKIN 5 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1427","CodeVersion":"2020","CustomName":"INJECTION VILTOLARSEN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2167","CodeVersion":"2020","CustomName":"RISK-ADJUSTED CHNG RS NCK IMPR SUC CALC & SC <0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1910","CodeVersion":"2020","CustomName":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9971","CodeVersion":"2020","CustomName":"ODONTOPLASTY - PER TOOTH"},{"ServiceGroup":"10519","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4135","CodeVersion":"2020","CustomName":"MEDISKIN PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0300","CodeVersion":"2020","CustomName":"PED CRIB HOS GRADE FULLY ENC W\/WO TOP ENC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4013F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1755","CodeVersion":"2020","CustomName":"CATHETER INTRASPINAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6632","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1833","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ADJUSTABLE JOINT RIGD SUPP PREFAB"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6099","CodeVersion":"2020","CustomName":"IMPLANT SUPP RTNR FOR FPD - PORCELAIN FU NBL ALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4048","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9175","CodeVersion":"2020","CustomName":"INJECTION ELLIOTTS B SOLUTION 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3763","CodeVersion":"2020","CustomName":"EWHO RIGID W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0747","CodeVersion":"2020","CustomName":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9400","CodeVersion":"2020","CustomName":"INJECTION ZIV-AFLIBERCEPT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0248","CodeVersion":"2020","CustomName":"IV INF SOTROVIMAB INC INF & POST ADM MON H\/RES;"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"38444","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"12709","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91579","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0062U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3083F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0488T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14514","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24","CodeType":"ICD9P","Code":"37.23","CodeVersion":"2017","CustomName":"COMBINED RIGHT&LEFT HEART CARD CATHETERIZATION"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0658T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"CPT","Code":"59622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.51","CodeVersion":"2017","CustomName":"PART BREECH EXTRAC W\/FORCEPS AFTERCOMING HEAD"},{"ServiceGroup":"75002","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0465","CodeVersion":"2020","CustomName":"HOME VENTILATOR ANY TYPE USED W\/INVASIVE INTF"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3303","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0482","CodeVersion":"2020","CustomName":"MICROPROCESSOR CU FOR ELEC\/PNEUMAT VAD REPL ONL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4648","CodeVersion":"2020","CustomName":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9114","CodeVersion":"2020","CustomName":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9726","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2810","CodeVersion":"2020","CustomName":"INJECTION THEOPHYLLINE PER 40 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1054","CodeVersion":"2020","CustomName":"PATIENT HAD ONLY URGENT CARE VISITS DUR PERF PER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4036","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; GRAVITY FED PER DAY"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0856","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO &=300 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4648","CodeVersion":"2020","CustomName":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0475","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9631","CodeVersion":"2020","CustomName":"PT SUSTAIN URETER INJ SURG\/DISC 30 DAY POST SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2034","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG ABS HALFWAY HOUSE SRVC PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7414","CodeVersion":"2020","CustomName":"EXCISION MALIGNANT LESION > 1.25 CM"},{"ServiceGroup":"104745","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1221","CodeVersion":"2020","CustomName":"WHEELCHAIR WITH FIXED ARM FOOTRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7520","CodeVersion":"2020","CustomName":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9787","CodeVersion":"2020","CustomName":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1028","CodeVersion":"2020","CustomName":"ASSESSMENT HOME PHYSICAL & FAMILY ENVIRONMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2150","CodeVersion":"2020","CustomName":"AMALGAM-TWO SURFACES PRIMARY\/PERM"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8500","CodeVersion":"2020","CustomName":"ARTIFICIAL LARYNX ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2602","CodeVersion":"2020","CustomName":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN\/GT DEPTH"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0604","CodeVersion":"2020","CustomName":"ANTIGEN TESTING FOR PH RELATED PATHOGEN INCL COV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5600","CodeVersion":"2020","CustomName":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7501","CodeVersion":"2020","CustomName":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH"},{"ServiceGroup":"12359","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"40820","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0861","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - MEG"},{"ServiceGroup":"44012","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"50905","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"29121","CodeType":"REV","Code":"0303","CodeVersion":"2020","CustomName":"Laboratory - Renal Patient (Home)"},{"ServiceGroup":"22812","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"794","CodeVersion":"2020","CustomName":"DIAG FOR MULTIPLE SIGNIF TRAUMA W NON-TRAUMATIC MAJOR CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104743","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36608","CodeType":"CPT","Code":"45330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106713","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10624","CodeType":"CPT","Code":"99347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"0292T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4194F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0495T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0084U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113480","CodeType":"CPT","Code":"43845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2724","CodeVersion":"2020","CustomName":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1830","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1B 0.25 MG"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D00Z0","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION HIGH OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8913","CodeVersion":"2020","CustomName":"PT DOC NO WRONG SITE SIDE PT PROC\/IMPLANT EVENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6614","CodeVersion":"2020","CustomName":"RETAINER ONLAY - CAST NOBLE METAL TWO SURFACES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S1016","CodeVersion":"2020","CustomName":"NON-PVC IV ADMN SET W\/RX THAT ARE NOT STABL PVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H1011","CodeVersion":"2020","CustomName":"FAM ASSESS LIC BHVAL HLTH PROF STATE DEFINED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2785","CodeVersion":"2020","CustomName":"INJECTION REGADENOSON 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9354","CodeVersion":"2020","CustomName":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2725","CodeVersion":"2020","CustomName":"INJECTION PROTIRELIN PER 250 MCG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6071","CodeVersion":"2020","CustomName":"ABUT SUPP RETN PORCLN FUSD METL FPD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7633","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL NON-CP CONC FORM PER 0.25 MG"},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10D00Z1","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION LOW OPEN"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"24","CodeType":"ICD10P","Code":"4A020N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8482","CodeVersion":"2020","CustomName":"INFLUENZA IMMUNIZATION ADMIN\/PREVIOUSLY RECEIVED"},{"ServiceGroup":"103949","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7720","CodeVersion":"2020","CustomName":"MAXILLA CLOSED REDUCTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4263","CodeVersion":"2020","CustomName":"PERM LONG-TERM NONDISSOLVABLE LAC DUCT IMPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0770","CodeVersion":"2020","CustomName":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4031","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0218","CodeVersion":"2020","CustomName":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8826","CodeVersion":"2020","CustomName":"PT D\/C HOME NO LATER THAN POSTOP DAY #2 FLW EVAR"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9311","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE"},{"ServiceGroup":"15789","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"21805","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"104960","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"3271","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0661","CodeVersion":"2020","CustomName":"Respite Care - Hourly Charge - Nursing"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"29893","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"51323","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"274","CodeVersion":"2020","CustomName":"Malignant breast disorders with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"56420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94164","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0060U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0569T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8601","CodeVersion":"2020","CustomName":"IV ALTEPLASE NOT INIT<= 180 MIN LKW RSN DOC CLIN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7642","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0049U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106227","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52946","CodeType":"CPT","Code":"90807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0051U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0284T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.6","CodeVersion":"2017","CustomName":"EPISIOTOMY"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0003U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93597","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"79300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0513F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0766","CodeVersion":"2020","CustomName":"ELEC STIM DVC U CANCER TX INCL ALL ACC ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4090","CodeVersion":"2020","CustomName":"REPLACE METAL BANDS KAFO-AFO CALF\/DISTAL THIGH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4320","CodeVersion":"2020","CustomName":"IRRIGATION TRAY W\/BULB\/PISTON SYRINGE ANY PRPOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2319","CodeVersion":"2020","CustomName":"TRIFOCAL SEG WIDTH OVER 28 MM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5570","CodeVersion":"2020","CustomName":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC\/=DIR FORMED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1745","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2995","CodeVersion":"2020","CustomName":"INJECTION STREPTOKINASE PER 250000 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3708","CodeVersion":"2020","CustomName":"GASTROINTESTINAL FAT ABSORPTION STUDY"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4192","CodeVersion":"2020","CustomName":"RESTORIGIN 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5116","CodeVersion":"2020","CustomName":"HOME CARE TRAINING NON-FAMILY; PER SESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6213","CodeVersion":"2020","CustomName":"FOAM DRESS >16 SQ BUT <\/= 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2066","CodeVersion":"2020","CustomName":"INTG DVC EVAL RMT TO 30 D;RCPT TRANS & TECH RVW"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2039","CodeVersion":"2020","CustomName":"INFLUENZA VIRUS VACCINE NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1569","CodeVersion":"2020","CustomName":"INJ IG GAMMAGARD LIQ IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0600","CodeVersion":"2020","CustomName":"RESP SUCTION PUMP HOME MODEL PRTBLE\/STATION ELEC"},{"ServiceGroup":"95441","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0243","CodeVersion":"2020","CustomName":"TOILET RAIL EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2530","CodeVersion":"2020","CustomName":"ADD LOW EXTREM THIGH\/WEIGHT BEAR LACER NONMOLDED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1230","CodeVersion":"2020","CustomName":"INJECTION METHADONE HCL UP TO 10 MG"},{"ServiceGroup":"82450","CodeType":"HCPCS","Code":"A0433","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT LEVEL 2"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1898","CodeVersion":"2020","CustomName":"LEAD PACEMKR OTH THAN TRNS VDD SINGLE PASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2791","CodeVersion":"2020","CustomName":"INJ RHO D IG HUMAN RHOPHYLAC IM\/IV 10 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4027","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5695","CodeVersion":"2020","CustomName":"ADD LW EXTRM ABVE KNEE PELV CNTRL SLV NEOPRENE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12995","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"9774","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"15157","CodeType":"REV","Code":"0914","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Individual Therapy"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"3378","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0305","CodeVersion":"2020","CustomName":"Laboratory - Hematology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"791","CodeVersion":"2020","CustomName":"WOUND DEBRIDEMENTS FOR OPEN WOUND INJURIES-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3294F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38747","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116021","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3471F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0237U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0282U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.21","CodeVersion":"2017","CustomName":"OPEN & OTH REPLACMNT AORTIC VALVE W\/TISSUE GRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0010U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56242","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0215","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE, ALS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9995","CodeVersion":"2020","CustomName":"TELEDENTISTRY - SYNCHRONOUS; REAL-TIME ENCOUNTER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7627","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4250","CodeVersion":"2020","CustomName":"URINE TEST OR REAGENT STRIPS OR TABLETS"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9478","CodeVersion":"2020","CustomName":"SRVC PERF OTH QUAL THERAPIST HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0140","CodeVersion":"2020","CustomName":"CERVICAL SEMI-RIGID ADJUSTABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7610","CodeVersion":"2020","CustomName":"MAXILLA-OPEN REDUCTION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8498","CodeVersion":"2020","CustomName":"ANTIEMETIC DRUG RECTAL\/SUPPOSITORY NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9539","CodeVersion":"2020","CustomName":"INTENT FOR POTENTIAL REMOVAL TIME OF PLACEMENT"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8415","CodeVersion":"2020","CustomName":"FOOTWEAR EVALUATION WAS NOT PERFORMED"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3111","CodeVersion":"2020","CustomName":"INJECTION ROMOSOZUMAB-AQQG 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3095","CodeVersion":"2020","CustomName":"INJECTION TELAVANCIN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9970","CodeVersion":"2020","CustomName":"HEALTH CLUB MEMBERSHIP ANNUAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8702","CodeVersion":"2020","CustomName":"REPAIR FIXED RETAINER INCL REATTACHMENT - MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8430","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0715","CodeVersion":"2020","CustomName":"INJECTION CEFTIZOXIME SODIUM PER 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0550","CodeVersion":"2020","CustomName":"HUMDIFIR DURBLE EXT SUPLMNTL DUR IPPB TX\/O2 DEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2627","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB M ARM SUPP ADJUSTBL RANCHO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8415","CodeVersion":"2020","CustomName":"FOOTWEAR EVALUATION WAS NOT PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5984","CodeVersion":"2020","CustomName":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8430","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0453","CodeVersion":"2020","CustomName":"CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J8565","CodeVersion":"2020","CustomName":"GEFITINIB ORAL 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0431","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9596","CodeVersion":"2020","CustomName":"PED PT HEAD CT TRAUMA ORD OTH ECP OR REAS OTH TR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9316","CodeVersion":"2020","CustomName":"INJ PERTUZUMAB TRASTUZUMAB & HYAL-ZZXF PER 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1335","CodeVersion":"2020","CustomName":"INJECTION ERTAPENEM SODIUM 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1143","CodeVersion":"2020","CustomName":"INITIATED EPI REHAB TH MED\/CHIRO CARE NCK IMPAIR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109151","CodeType":"REV","Code":"0117","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Oncology"},{"ServiceGroup":"61516","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"15480","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"10014","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0482","CodeVersion":"2020","CustomName":"Cardiology - Stress Test"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0835","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"12590","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"3987","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"85570","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"223","CodeVersion":"2020","CustomName":"Major shoulder\/elbow procedures, or other upper extremity procedures, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"081","CodeVersion":"2020","CustomName":"Respiratory infections and inflammations, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"793","CodeVersion":"2020","CustomName":"PROC FOR MUL SIG TRAUMA EXC CRANIOT W NON-TRAUM MAJOR CC-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"600","CodeVersion":"2020","CustomName":"Nonmalignant Breast Disorders with CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40403","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85000","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.32","CodeVersion":"2017","CustomName":"PERCUTANEOUS [ENDOSCOPIC] GASTROJEJUNOSTOMY"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0330T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0718T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0280T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.7","CodeVersion":"2017","CustomName":"INSRT REV REPL&REM PM LEAD;INSRT TEMP;REV POCKET"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27781","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0029U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107125","CodeType":"CPT","Code":"42405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2036","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0479","CodeVersion":"2020","CustomName":"POWER MODULE ELECTRIC\/PNEUMATIC VAD REPLACE ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0316","CodeVersion":"2020","CustomName":"DZ MANAGEMENT PROGRAM FOLLOW-UP\/REASSESSMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8511","CodeVersion":"2020","CustomName":"SCREEN DEPR DOC POS F\/U PLN NOT DOC RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9965","CodeVersion":"2020","CustomName":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7309","CodeVersion":"2020","CustomName":"METHYL AMINOLEVULINATE MAL TOP ADMIN 16.8% 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2788","CodeVersion":"2020","CustomName":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0281","CodeVersion":"2020","CustomName":"MEDICAL HOME PROGRAM COMP CARE COORD MAINT PLAN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0115","CodeVersion":"2020","CustomName":"POST-COITAL DIRECT QUAL EXAM VAGINAL\/CERV MUCOS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0485","CodeVersion":"2020","CustomName":"INJECTION BELATACEPT 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1172","CodeVersion":"2020","CustomName":"AMPUTEE WHLCHAIR; DTACHBL ARMS W\/O FOOT\/LEGRESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0296","CodeVersion":"2020","CustomName":"HOSPITAL BED TOTAL ELEC W\/O SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9394","CodeVersion":"2020","CustomName":"PT BPD\/PD PERM NH\/HOSPICE\/PALL CARE DUR ASSESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0205","CodeVersion":"2020","CustomName":"INJECTION ALGLUCERASE PER 10 UNITS"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6223","CodeVersion":"2020","CustomName":"GAUZE IMPREG NOT H2O SALINE\/HYDRGEL >16 <\/=48 SQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0171","CodeVersion":"2020","CustomName":"INJECTION BUMETANIDE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0205","CodeVersion":"2020","CustomName":"INJECTION ALGLUCERASE PER 10 UNITS"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1355","CodeVersion":"2020","CustomName":"STAND\/RACK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4672","CodeVersion":"2020","CustomName":"DRAINAGE EXTENSION LINE STERILE DIALYSIS EACH"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2619","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER NON RATE-RESPONSIVE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1786","CodeVersion":"2020","CustomName":"PACEMAKER SINGLE CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9375","CodeVersion":"2020","CustomName":"HIT HYDRATION TX; >1 LITER NO>2 LITERS DAY"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5281","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM SYS MONAURL ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0775","CodeVersion":"2020","CustomName":"INJ COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5199","CodeVersion":"2020","CustomName":"PERSONAL CARE ITEM NOS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8697","CodeVersion":"2020","CustomName":"REPAIR OF ORTHODONTIC APPLIANCE - MANDIBULAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9403","CodeVersion":"2020","CustomName":"CLIN DOC RSN PT NOT CMPL 30 DA F\/U AC INPT D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6056","CodeVersion":"2020","CustomName":"PREFABRICATED ABUTMENT-INCL MOD & PLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9913","CodeVersion":"2020","CustomName":"HBV STS ASSESS INTRP PRI ANTI-TNF TX RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0635","CodeVersion":"2020","CustomName":"PATIENT LIFT ELECTRIC WITH SEAT OR SLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2109","CodeVersion":"2020","CustomName":"1 VISN+\/- 4.25-+\/- 7.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4481F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75545","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"82138","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"34667","CodeType":"REV","Code":"0261","CodeVersion":"2020","CustomName":"IV Therapy - Infusion Pump"},{"ServiceGroup":"42871","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0932","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Full Day"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"79678","CodeType":"DRG","Code":"933","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103563","CodeType":"CPT","Code":"26410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0534T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0197U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"43772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22780","CodeType":"CPT","Code":"55875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90369","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0195U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9322","CodeVersion":"2020","CustomName":"COUNT PREV CT CARD NM NOT DOC 12-MO RSN NOT GVN"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2628","CodeVersion":"2020","CustomName":"CATHETER OCCLUSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0174","CodeVersion":"2020","CustomName":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7020","CodeVersion":"2020","CustomName":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2128","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ON DAILY ASP\/OTH ANTIPLATELET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0828","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB\/>"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6082","CodeVersion":"2020","CustomName":"IMPLANT SUPP CRWN - PORCELAIN FU PREDOM BASE ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5816","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8030","CodeVersion":"2020","CustomName":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3254","CodeVersion":"2020","CustomName":"NONSTANDARD SIZE OR WIDTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9331","CodeVersion":"2020","CustomName":"HIT INTERMIT CHEMOTHAPY INFUS; CARE COORD-DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1982","CodeVersion":"2020","CustomName":"CATHETER PRES GENERAT 1-WAY VALV INTERMIT OCCL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0511","CodeVersion":"2020","CustomName":"PHRM FEE O ANTI-CA ANTI-EMET\/IS RX; 1 PRSC 30-DA"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0019","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM RES W\/O ROOM&BOARD-DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7450","CodeVersion":"2020","CustomName":"REMV BEN ODONTOGNIC TUMR-T0 1.25 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0169","CodeVersion":"2020","CustomName":"CALCITROL 0.25 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2650","CodeVersion":"2020","CustomName":"INLAY-RSN COMPOS COMPOS\/RSN-1 SURF"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0594","CodeVersion":"2020","CustomName":"INJECTION BUSULFAN 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6697","CodeVersion":"2020","CustomName":"ADD UP EXT PROS ELB CSTM NOT CNGN\/TRAUM AMP INIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0144","CodeVersion":"2020","CustomName":"WALKER ENCLOSED 4 SIDED FRAME WHEELD W\/POST SEAT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4258","CodeVersion":"2020","CustomName":"ENVERSE PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6621","CodeVersion":"2020","CustomName":"UP EXTREM PROS ADD FLEXION\/EXTENSION WRIST"},{"ServiceGroup":"59838","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2325","CodeVersion":"2020","CustomName":"INJECTION NESIRITIDE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6940","CodeVersion":"2020","CustomName":"STRESS BREAKER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9021","CodeVersion":"2020","CustomName":"INJECT ASPARAGINASE RECOMBINANT (RYLAZE) 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9010","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL4"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8510","CodeVersion":"2020","CustomName":"VOICE AMPLIFIER"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12146","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"3328","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"30089","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0982","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - OUTPATIENT SERVICES"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0545","CodeVersion":"2020","CustomName":"Ambulance - Air Ambulance"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0640","CodeVersion":"2020","CustomName":"Home IV Therapy Services - General Classification"},{"ServiceGroup":"17077","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0854","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"9938","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"519","CodeVersion":"2020","CustomName":"Cervical fusion with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99172","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0492T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90384","CodeType":"CPT","Code":"27134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113174","CodeType":"CPT","Code":"0002A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79595","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32555","CodeType":"CPT","Code":"96360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3021F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98403","CodeType":"CPT","Code":"30450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9301","CodeVersion":"2020","CustomName":"INJECTION OBINUTUZUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6023","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING STERILE SIZE >48 SQ IN EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1022","CodeVersion":"2020","CustomName":"CONTRACT HOME HEALTH SRVC UNDER CONTRACT DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3212","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR INFANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3900","CodeVersion":"2020","CustomName":"SURFACE ELECTROMYOGRAPHY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6531","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK BELW KNEE 30-40 MMHG EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0365","CodeVersion":"2020","CustomName":"CONE BEAM CT CAP&INT FD VW 1 FULL DENT ARCH-MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0092","CodeVersion":"2020","CustomName":"SET-UP PORTABLE X-RAY EQUIPMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9980","CodeVersion":"2020","CustomName":"RMT IH VST E\/M NP MCR-APVD BPCI ADV EOC TYP 30 M"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9736","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1071","CodeVersion":"2020","CustomName":"PATIENT HAD ADD SP PROC PERF SD L DSKC\/LAMINOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1302","CodeVersion":"2020","CustomName":"INJECTION SUTIMLIMAB-JOME 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8505","CodeVersion":"2020","CustomName":"ARTFICL LARYNX REPLCMT BATTRY\/ACCESS ANY TYPE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7320","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVITIVE GENVISC 850 IA INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9556","CodeVersion":"2020","CustomName":"FNL RPT CT CTA MRI\/MRA CHST\/NCK F\/U IMAG NOT RCM"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9690","CodeVersion":"2020","CustomName":"PATIENT RECV HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"90339","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7520","CodeVersion":"2020","CustomName":"TRACHEOST\/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5200","CodeVersion":"2020","CustomName":"DISPENSING FEE CONTRALATERAL MONAURAL"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0480","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8121","CodeVersion":"2020","CustomName":"OXYGEN CONTENTS LIQUID 1 UNIT EQUALS 1 POUND"},{"ServiceGroup":"90477","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1260","CodeVersion":"2020","CustomName":"INJECTION DOLASETRON MESYLATE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0163","CodeVersion":"2020","CustomName":"COMMODE CHAIR MOBILE OR STATIONARY W\/FIXED ARMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1558","CodeVersion":"2020","CustomName":"REMOVAL FIXED BILATERAL SPACE MAINTAINER - MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9943","CodeVersion":"2020","CustomName":"BP NOT MSR BY VAS W\/I 3 MOS PRE & AT 3 MOS P\/O"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1161","CodeVersion":"2020","CustomName":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2182","CodeVersion":"2020","CustomName":"INJECTION MEPOLIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9931","CodeVersion":"2020","CustomName":"DOC CHA2DS2-VASC RS 0\/1 FOR MN; \/0 1\/ 2 FOR WOMN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0048","CodeVersion":"2020","CustomName":"PT REC PALLIAT CARE DUR INTK PER THR END MEAS YR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0961","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0381","CodeVersion":"2020","CustomName":"Blood and Blood Components - Packed Red Cells"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0942","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Education\/Training"},{"ServiceGroup":"82137","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0189","CodeVersion":"2020","CustomName":"Leave Of Absence - Other LOA"},{"ServiceGroup":"100950","CodeType":"REV","Code":"0126","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Detoxification"},{"ServiceGroup":"88398","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"286","CodeVersion":"2020","CustomName":"Adrenal and pituitary procedures"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"469","CodeVersion":"2020","CustomName":"Principal diagnosis invalid as discharge diagnosis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105550","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78093","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4240F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.51","CodeVersion":"2017","CustomName":"REPAIR OF CURRENT OBSTETRIC LACERATION OF CERVIX"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113813","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35734","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0277U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0159U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0474T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0349U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.61","CodeVersion":"2017","CustomName":"EXTRACORPOREAL CIRC AUXILIARY OPEN HEART SURGERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6118","CodeVersion":"2020","CustomName":"IMPL\/ABUT SPTD INTRM FIX DENTUR EDENT ARCH-MAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3090","CodeVersion":"2020","CustomName":"FOOT ARCH SUPP NONREMV ATTCH SHOE LNGTUDNL\/MT EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2230","CodeVersion":"2020","CustomName":"IMPL MAGNET CMPNT SEMI-IMPL HEARING DEVC MID EAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0244","CodeVersion":"2020","CustomName":"RAISED TOILET SEAT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4241","CodeVersion":"2020","CustomName":"GINGL FLP PROC 1-3 CONTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8101","CodeVersion":"2020","CustomName":"HOLDING CHAMB\/SPACR W\/AN INHAL\/NEBULIZR; W\/MASK"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7030","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 1000 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7195","CodeVersion":"2020","CustomName":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2027","CodeVersion":"2020","CustomName":"PSYCHOEDUCATIONAL SERVICE PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3005","CodeVersion":"2020","CustomName":"PERFORMANCE MSR EVAL PT SELF ASSESS DEPRESSION"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1460","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOBULIN INTRAMUSCULAR 1 CC"},{"ServiceGroup":"411","CodeType":"ICD10P","Code":"4A023N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS LT HEART PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9367","CodeVersion":"2020","CustomName":"AT LEAST 2 ORD FOR HIGH-RISK MED SAME DRUG CLASS"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5289","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM ADPTR\/BOOT CPLG RECV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0481","CodeVersion":"2020","CustomName":"INTRAPULM PERCUSSIVE VENT SYSTEM&REL ACSSORIES"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9209","CodeVersion":"2020","CustomName":"INJECTION MESNA 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2088","CodeVersion":"2020","CustomName":"OFF-BASED TX OUD;EA ADD 30 MIN BYD 1ST 120 MIN"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9744","CodeVersion":"2020","CustomName":"PATIENT NOT ELIGIBLE D\/T ACTIVE DX HYPERTENSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8501","CodeVersion":"2020","CustomName":"APREPITANT ORAL 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2206","CodeVersion":"2020","CustomName":"PT RECEIVED ADJ TX COURSE CHEMO & HER2-TGT TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7405","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS SD\/INTERSCAP THOR ACRYLC MATL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78645","CodeType":"CPT","Code":"77052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1834","CodeVersion":"2020","CustomName":"KO WITHOUT KNEE JOINT RIGID CUSTOM FABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0118","CodeVersion":"2020","CustomName":"CRUTCH SUBST LOWER LEG PLATFORM W\/WO WHEELS EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8501","CodeVersion":"2020","CustomName":"APREPITANT ORAL 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9430","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMIC CUTANEOUS LOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2104","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5818","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN FRICT SWING&STANCE CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8783","CodeVersion":"2020","CustomName":"NORMAL BLOOD PRESS READING DOC F\/U NOT REQUIRED"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1305","CodeVersion":"2020","CustomName":"INJECTION EVINACUMAB-DGNB 5MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0841","CodeVersion":"2020","CustomName":"INJECTION CROTALIDAE IMMUNE F120 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93433","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13368","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"997","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"73000","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"58519","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"32539","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106101","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3077F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4326F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0220T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0041U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.87","CodeVersion":"2017","CustomName":"REPLCMT TYPE PACEMKR DEVICE W\/DUL-CHAMB DEVICE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.6","CodeVersion":"2017","CustomName":"IMPLANTATON HEART & CIRCULATORY ASSIST SYSTEMS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4286","CodeVersion":"2020","CustomName":"LOCKING RING FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2023","CodeVersion":"2020","CustomName":"SUPPORTED EMPLOYMENT PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3900","CodeVersion":"2020","CustomName":"SURFACE ELECTROMYOGRAPHY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1558","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN XEMBIFY 100 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0741","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG\/3MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7364","CodeVersion":"2020","CustomName":"TWELVE VOLT BATTERY EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6538","CodeVersion":"2020","CustomName":"GRADIENT COMPRS STK FULL LEN\/CHAP 40-50 MMHG EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9270","CodeVersion":"2020","CustomName":"INJECTION PLICAMYCIN 2.5 MG"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"23958","CodeType":"HCPCS","Code":"J1562","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN VIVAGLBIN 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9119","CodeVersion":"2020","CustomName":"INJECTION CEMIPLIMAB-RWLC 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5000","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG GENERIC"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9912","CodeVersion":"2020","CustomName":"HBV STS ASSESS & RSLT INTERP PRIOR ANTI-TNF TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3580","CodeVersion":"2020","CustomName":"ORTHOPED SHOE ADD CONVERT INSTEP VELCRO CLOS"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5080","CodeVersion":"2020","CustomName":"GLASSES BONE CONDUCTION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2180","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE&PROMETHAZINE HCL TO 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1041","CodeVersion":"2020","CustomName":"MEDICAID CERT COM BEHAVIORAL HLTH CLINIC SRVC PM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9359","CodeVersion":"2020","CustomName":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0392","CodeVersion":"2020","CustomName":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6021","CodeVersion":"2020","CustomName":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN\/LESS EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2038","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC MX-AXIS ANKLE CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5100","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2941","CodeVersion":"2020","CustomName":"INJECTION SOMATROPIN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1125F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107024","CodeType":"CPT","Code":"21242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104734","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82137","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"10701","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0322","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Arthrography"},{"ServiceGroup":"11312","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"36413","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"24639","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"44107","CodeType":"REV","Code":"0449","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Other Speech Therapy"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"823","CodeVersion":"2020","CustomName":"FULL THICK BURN W SKIN GRAFT OR INHAL INJ W CC OR SIG TRAUMA-NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52947","CodeType":"CPT","Code":"90808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87109","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0072A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"ICD9P","Code":"74.3","CodeVersion":"2017","CustomName":"REMOVAL OF EXTRATUBAL ECTOPIC PREGNANCY"},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104122","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0725T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.3","CodeVersion":"2017","CustomName":"FAILED FORCEPS"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77585","CodeType":"CPT","Code":"58562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0055U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4247","CodeVersion":"2020","CustomName":"BETADINE OR IODINE SWABS\/WIPES PER BOX"},{"ServiceGroup":"112581","CodeType":"HCPCS","Code":"C9758","CodeVersion":"2020","CustomName":"BI PROC NYHA CL III\/IV HF;TRNSCATH IMPL IAS\/PC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0395","CodeVersion":"2020","CustomName":"FUSION 2\/MORE 3D IMAGES VOLUME 1\/MORE MODALITIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0380","CodeVersion":"2020","CustomName":"BLS MILEAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1575","CodeVersion":"2020","CustomName":"DISTAL SHOE SPACE MNTNER - FIXED UNI - PER QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8506","CodeVersion":"2020","CustomName":"PATIENT RECEIVING ACE INHIBITOR\/ARB THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0781","CodeVersion":"2020","CustomName":"AMB INFUS PUMP 1\/MX CHANNL W\/ADMN EQP WORN BY PT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9053","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; EXP MGMT EVIDENCE CA; TX FUTURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2660","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2397","CodeVersion":"2020","CustomName":"POWER WHLCHAIR ACCESSORY LITHIUM-BASED BATTRY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0138","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5920","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS AK\/HIP DISARTIC ALIGNABLE SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4024","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9039","CodeVersion":"2020","CustomName":"INJECTION BLINATUMOMAB 1 MICROGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0266","CodeVersion":"2020","CustomName":"HOS BED TOT ELEC ANY TYPE SIDE RAIL W\/O MATTRSS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0456","CodeVersion":"2020","CustomName":"INJECTION AZITHROMYCIN 500 MG"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2008","CodeVersion":"2020","CustomName":"MODERATE 45 MINS IN-HOME VISIT EXIST PT POST-D\/C"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3331","CodeVersion":"2020","CustomName":"TX RC OBSTRUCTION; NON-SURG ACCESS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7314","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1552","CodeVersion":"2020","CustomName":"RE-CEMENT\/RE-BOND BIL SPACE MAINTAINER - MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9689","CodeVersion":"2020","CustomName":"PATIENT ADM PERFORMED ELECTIVE CAROTID INTERVENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0881","CodeVersion":"2020","CustomName":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE"},{"ServiceGroup":"61197","CodeType":"HCPCS","Code":"J2792","CodeVersion":"2020","CustomName":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1267","CodeVersion":"2020","CustomName":"INJECTION DORIPENEM 10 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93021","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61896","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0404","CodeVersion":"2020","CustomName":"Other Imaging Services - Positron Emission Tomography"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0922","CodeVersion":"2020","CustomName":"OTHER DIAGNOSTIC SERVICES - ELECTROMYOGRAM"},{"ServiceGroup":"68846","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"12597","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"65421","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"841","CodeVersion":"2020","CustomName":"Lymphoma and Nonacute Leukemia with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68742","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82807","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25","CodeType":"ICD9P","Code":"98.59","CodeVersion":"2017","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OTHER SITES"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82747","CodeType":"CPT","Code":"85730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3273F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91460","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34872","CodeType":"ICD9P","Code":"13.7","CodeVersion":"2017","CustomName":"INSERTION OF PROSTHETIC LENS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75506","CodeType":"CPT","Code":"93888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97711","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2310","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4182","CodeVersion":"2020","CustomName":"TRANSCYTE PER SQUARE CM"},{"ServiceGroup":"104713","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8658","CodeVersion":"2020","CustomName":"INTERPHALANGEAL JOINT SPACER SILICONE\/EQUAL EACH"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5221","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE\/BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6050","CodeVersion":"2020","CustomName":"SURG PLACEMENT: TRANSOSTEAL IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7320","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVITIVE GENVISC 850 IA INJ 1 MG"},{"ServiceGroup":"13437","CodeType":"ICD10P","Code":"0WFRXZZ","CodeVersion":"2020","CustomName":"FRAGMENTATION GENITOURINARY TRACT EXTERNAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0395","CodeVersion":"2020","CustomName":"IMPRESSION CASTING FOOT PERFORMED PRACTITIONER"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4102","CodeVersion":"2020","CustomName":"OASIS WOUND MATRIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3398","CodeVersion":"2020","CustomName":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6050","CodeVersion":"2020","CustomName":"SURG PLACEMENT: TRANSOSTEAL IMPLANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9315","CodeVersion":"2020","CustomName":"DOC AMOXICILLIN PRESCRIBED 1ST LINE ABX TIME DX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2780","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2932","CodeVersion":"2020","CustomName":"PREFABRICATED RESIN CROWN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7507","CodeVersion":"2020","CustomName":"TACROLIMUS IMMEDIATE RELEASE ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1040","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOSIS ORTHOSIS LUMB\/LUMB RIB PAD"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0671","CodeVersion":"2020","CustomName":"Outpatient Special Residence Charges - Hospital Owned"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"17861","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"033","CodeVersion":"2020","CustomName":"Concussion, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"564","CodeVersion":"2020","CustomName":"Headaches, Age Greater than 17"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72042","CodeType":"CPT","Code":"99243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80523","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13925","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0213T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"16025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4047F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107656","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3288F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1071F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0324T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.21","CodeVersion":"2017","CustomName":"RIGHT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"104096","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0630T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.33","CodeVersion":"2017","CustomName":"RESECTION OF UPPER LIMB VESSELS WITH ANASTOMOSIS"},{"ServiceGroup":"107113","CodeType":"CPT","Code":"40500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0103U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0051A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9227","CodeVersion":"2020","CustomName":"INJECTION ISATUXIMAB-IRFC 10 MG"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2394","CodeVersion":"2020","CustomName":"RESIN COMPOS - 4\/MORE SURFACES POST"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2314","CodeVersion":"2020","CustomName":"TRIFOCL SPHER OVER +\/-12.00D PER LENS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7190","CodeVersion":"2020","CustomName":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6689","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3470","CodeVersion":"2020","CustomName":"INJECTION HYALURONIDASE UP TO 150 UNITS"},{"ServiceGroup":"87394","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3503","CodeVersion":"2020","CustomName":"SURG EXP RS NO APICOECT\/REPR RT RESORPTN - MOLAR"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2103","CodeVersion":"2020","CustomName":"1 VISN PLANO TO+\/-4.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1238","CodeVersion":"2020","CustomName":"WHLCHAIR PED SZ FOLD ADJUSTBL W\/O SEATING SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0038","CodeVersion":"2020","CustomName":"CLINICIAN DETERMINE PT DOES NOT REQUIRE REFERRAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0383","CodeVersion":"2020","CustomName":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9558","CodeVersion":"2020","CustomName":"HIT GROWTH HORMONE W\/CARE COORDINATION PER DIEM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5107","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1353","CodeVersion":"2020","CustomName":"SEALANT REPAIR - PER TOOTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0220","CodeVersion":"2020","CustomName":"ADVANCED LIFE SUPPORT-1 WAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9983","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 10 M"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6890","CodeVersion":"2020","CustomName":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W\/FIT&ADJ"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A4650","CodeVersion":"2020","CustomName":"IMPLANTABLE RADIATION DOSIMETER EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4450","CodeVersion":"2020","CustomName":"TAPE NON-WATERPROOF PER 18 SQUARE INCHES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0044","CodeVersion":"2020","CustomName":"SUPPORTED HOUSING PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5634","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0170","CodeVersion":"2020","CustomName":"CERVICAL COLLAR MOLDED TO PATIENT MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1130","CodeVersion":"2020","CustomName":"INJECTION DICLOFENAC SODIUM .5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1877","CodeVersion":"2020","CustomName":"STENT NON-COATED\/NON-COVR WITHOUT DELIV SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1020","CodeVersion":"2020","CustomName":"PT 12-17 Y MD\/DYSTH NO REM 12 M PHQ-9\/9M NA\/>\/=5"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"13476","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"485","CodeVersion":"2020","CustomName":"Limb reattachment, hip and femur procedure, for multiple significant trauma"},{"ServiceGroup":"88782","CodeType":"DRG","Code":"914","CodeVersion":"2020","CustomName":"Traumatic Injury without MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"052","CodeVersion":"2020","CustomName":"Cleft lip and palate repair"},{"ServiceGroup":"38980","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"107733","CodeType":"DRG","Code":"784","CodeVersion":"2020","CustomName":"ACQUIRED HEMOLYTIC ANEMIA OR SICKLE CELL CRISIS AGE UNDER 18-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90599","CodeType":"CPT","Code":"66840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"92997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0277T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4145F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9231","CodeVersion":"2020","CustomName":"DOC ESRD DIAL RNA TX BF\/DUR MSR PR\/PG DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1026","CodeVersion":"2020","CustomName":"MECH ALLERGEN PARTIC BAR\/INHL FLTR CRM NASAL TOP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2022","CodeVersion":"2020","CustomName":"MDL PRTCP BENEFICIARY REFUSES SRVC COVR UND MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3250","CodeVersion":"2020","CustomName":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0341","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; 2ND\/3RD QTR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0329","CodeVersion":"2020","CustomName":"HOSPITAL BED PEDIATRIC ELECTRIC INCLUDE MATTRESS"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4400","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6261","CodeVersion":"2020","CustomName":"WOUND FILLER GEL\/PASTE PER FL OZ NOS"},{"ServiceGroup":"50904","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6120","CodeVersion":"2020","CustomName":"IMPL SUPP RETAIN - PORCELN FUSD TO TIT & TIT ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2018","CodeVersion":"2020","CustomName":"PERMEADERM C PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0390","CodeVersion":"2020","CustomName":"INJECTION CHLOROQUINE HCL UP TO 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0243","CodeVersion":"2020","CustomName":"INTRAVENOUS INFUSION CASIRIVIMAB & IMDEVIMAB"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1027","CodeVersion":"2020","CustomName":"ORAL DEV\/APPL RED U AW COL WO F MCH HNG CSTM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3440","CodeVersion":"2020","CustomName":"HEEL COUNTER LEATHER REINFORCED"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15132","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"12692","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"26165","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0249","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - Other All Inclusive Ancillary"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0961","CodeVersion":"2020","CustomName":"Professional Fees - Psychiatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0324","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Chest X-Ray"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"014","CodeVersion":"2020","CustomName":"Intracranial Hemorrhage or Cerebral Infarction"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4165F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69686","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67064","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD9P","Code":"74.4","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF OTHER SPECIFIED TYPE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4115F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41404","CodeType":"ICD9P","Code":"36.04","CodeVersion":"2017","CustomName":"INTRACORONARY ARTERY THROMBOLYTIC INFUSION"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0634T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75639","CodeType":"ICD9P","Code":"94.61","CodeVersion":"2017","CustomName":"ALCOHOL REHABILITATION"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0637","CodeVersion":"2020","CustomName":"INJECTION CASPOFUNGIN ACETATE 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7286","CodeVersion":"2020","CustomName":"BIOPSY OF ORAL TISSUE SOFT"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0051","CodeVersion":"2020","CustomName":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9125","CodeVersion":"2020","CustomName":"ONC; CML BP NOT HEMAT CYTOGENIC\/MOLECULAR REMISS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8755","CodeVersion":"2020","CustomName":"MOST RECENT DIASTOLIC BLOOD PRESSURE >= 90MM HG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9367","CodeVersion":"2020","CustomName":"HIT TPN; > 2 LITERS BUT NOT > 3 LITERS-DA -DIEM"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4011","CodeVersion":"2020","CustomName":"INTERNAL MEDICINE MIPS SPECIALTY SET"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9744","CodeVersion":"2020","CustomName":"PATIENT NOT ELIGIBLE D\/T ACTIVE DX HYPERTENSION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0224","CodeVersion":"2020","CustomName":"INJECTION LUMASIRAN 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6114","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXED DENTURE EDENTULOUS ARCH-MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1814","CodeVersion":"2020","CustomName":"RETINAL TAMPONADE DEVICE SILICONE OIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4125","CodeVersion":"2020","CustomName":"ARTHROFLEX PER SQ CM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6259","CodeVersion":"2020","CustomName":"TRANSPARENT FILM STERL > 48 SQ IN EA DRESSING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0045","CodeVersion":"2020","CustomName":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73004","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"166","CodeType":"REV","Code":"0116","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Detoxification"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0981","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - EMERGENCY ROOM SERVICES"},{"ServiceGroup":"9526","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"50905","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"738","CodeVersion":"2020","CustomName":"CRANITOMY, AGE UNDER 18 W\/ CC-NYDRG"},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"9001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106667","CodeType":"CPT","Code":"63076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64321","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3093F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"44.5","CodeVersion":"2017","CustomName":"REVISION OF GASTRIC ANASTOMOSIS"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4558F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"14177","CodeType":"ICD9P","Code":"44.68","CodeVersion":"2017","CustomName":"LAPAROSCOPIC GASTROPLASTY"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93062","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91419","CodeType":"CPT","Code":"99354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91593","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82571","CodeType":"CPT","Code":"64561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0171","CodeVersion":"2020","CustomName":"INJECTION ADRENALIN EPINEPHRINE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0169","CodeVersion":"2020","CustomName":"PROMETHAZINE HCL 12.5 MG ORAL NOT>48 HR DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0515","CodeVersion":"2020","CustomName":"INJECTION BENZTROPINE MESYLATE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0575","CodeVersion":"2020","CustomName":"NEBULIZER ULTRASONIC LARGE VOLUME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4556","CodeVersion":"2020","CustomName":"ELECTRODES PER PAIR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1454","CodeVersion":"2020","CustomName":"INJ FOSNETUPITANT 235 MG & PALONOSETRON 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2228","CodeVersion":"2020","CustomName":"MNL WC ACCESS WHEEL BRAKING SYS&LOCK COMPLETE EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9459","CodeVersion":"2020","CustomName":"CURRENTLY A TOBACCO NON-USER"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10A00ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION OPEN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9211","CodeVersion":"2020","CustomName":"INJECTION IDARUBICIN HCL 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1785","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7527","CodeVersion":"2020","CustomName":"TRACHEOSTOMY\/LARYNGECTOMY TUBE PLUG\/STOP EACH"},{"ServiceGroup":"30061","CodeType":"ICD10P","Code":"10D00Z2","CodeVersion":"2020","CustomName":"EXTRACTION POC EXTRAPERITONEAL OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9316","CodeVersion":"2020","CustomName":"INJ PERTUZUMAB TRASTUZUMAB & HYAL-ZZXF PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4035","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8905","CodeVersion":"2020","CustomName":"MR IMAG W\/O CONTRST FLWED W\/CONTRST BRST; UNI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1620","CodeVersion":"2020","CustomName":"BLOOD PUMP FOR HEMODIALYSIS REPLACEMENT"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P2038","CodeVersion":"2020","CustomName":"MUCOPROTEIN BLOOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1438","CodeVersion":"2020","CustomName":"INJECTION ETANERCEPT 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9210","CodeVersion":"2020","CustomName":"LOC ANES-NOT CONJUNC W\/OP\/SURG PROC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1444","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE PWD 0.1 MG IRON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0038","CodeVersion":"2020","CustomName":"LEG STRAP EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1773","CodeVersion":"2020","CustomName":"RETRIEVAL DEVICE INSERTABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0856","CodeVersion":"2020","CustomName":"CERVICAL TRACTION DEVICE INFLATABLE AIR BLADDER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4102","CodeVersion":"2020","CustomName":"ENTRAL FORMULA ADLT REPL FLS&LYTES 500 ML = 1 U"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0836","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7340","CodeVersion":"2020","CustomName":"CARBIDOPA 5 MG\/LEVODOPA 20 MG ENTERAL SUSPENSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4378","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1724","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1707","CodeVersion":"2020","CustomName":"JANSSEN COVID-19 VACCINE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4428","CodeVersion":"2020","CustomName":"OST POUCH URIN EXT BARR W\/FAUCET TAP W\/VALVE"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74694","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"72992","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0125","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Hospice"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"665","CodeVersion":"2020","CustomName":"Prostatectomy with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"959","CodeVersion":"2020","CustomName":"Other O.R. Procedures for Multiple Significant Trauma without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93067","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112891","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.5","CodeVersion":"2017","CustomName":"REPAIR OF CURRENT OBSTETRIC LACERATION OF UTERUS"},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93962","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67923","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113692","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.16","CodeVersion":"2017","CustomName":"ENDARTERECTOMY OF ABDOMINAL ARTERIES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0262U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9823","CodeVersion":"2020","CustomName":"ENDOMETRIAL SAMPLE\/HYSTEROSCOPY BX & RSLT DC 12M"},{"ServiceGroup":"75419","CodeType":"HCPCS","Code":"H2036","CodeVersion":"2020","CustomName":"ALCOHOL &OR OTH DRUG TREATMENT PROGRAM PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1570","CodeVersion":"2020","CustomName":"INJECTION GANCICLOVIR SODIUM 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2752","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN FUSED NOBLE METAL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9070","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S3852","CodeVersion":"2020","CustomName":"DNA ANALY APOE EPSILON 4 ALLELE SUSECPT ALZS DZ"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9360","CodeVersion":"2020","CustomName":"DERM SUBST NAT NONDNTRD COL NEO BOV ORIG 0.5 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5710","CodeVersion":"2020","CustomName":"REBASE COMPLETE MAXILLARY DENTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9349","CodeVersion":"2020","CustomName":"INJECTION TAFASITAMAB-CXIX 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6245","CodeVersion":"2020","CustomName":"PONTIC - PORCELAIN\/CERAMIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2425","CodeVersion":"2020","CustomName":"INJECTION PALIFERMIN 50 MICROGRAMS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q5114","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1380","CodeVersion":"2020","CustomName":"INJECTION ESTRADIOL VALERATE UP TO 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4636","CodeVersion":"2020","CustomName":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2038","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLUZONE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2101","CodeVersion":"2020","CustomName":"PT 66&>1 CLM FRLTY&1 AC IP ADV ILL DR\/YR PRI MSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9085","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T4 N0 M0 NO PROGRESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0447","CodeVersion":"2020","CustomName":"PRTB O C LQD 1 MO SPL=1 U PRSC AMT R\/N EXCD 4LPM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0288","CodeVersion":"2020","CustomName":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8687","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 2 ARRAY RECHARGEABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4210","CodeVersion":"2020","CustomName":"AXOLOTL GRAFT OR AXOLOTL DUALGRAFT PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0278","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0604","CodeVersion":"2020","CustomName":"ANTIGEN TESTING FOR PH RELATED PATHOGEN INCL COV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9952","CodeVersion":"2020","CustomName":"OCCLUSAL ADJUSTMENT - COMPLETE"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1035F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0293","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Purchase of Used DME"},{"ServiceGroup":"108043","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"510","CodeVersion":"2020","CustomName":"Non-extensive burns with CC or significant trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"256","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue diagnoses"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107047","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"6100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91596","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4149F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3374F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0225T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"39401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4164F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"55400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0657T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88760","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2056","CodeVersion":"2020","CustomName":"CILTA CEL TO 100 M AUTO BCMA DIR CAR-POS TC DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9582","CodeVersion":"2020","CustomName":"DOOR TO PUNCTURE TIME OF >90 MIN NO REASON GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1035","CodeVersion":"2020","CustomName":"MULTI-PSTN PT TRNSF SYS W\/SEAT PT WT <\/= 300 LBS"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5411","CodeVersion":"2020","CustomName":"ADJUST COMPLETE DENTUR - MANDIBULAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0305","CodeVersion":"2020","CustomName":"POST-D\/C PULM SURG AFTER LVRS MINI 6 DAYS SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2850","CodeVersion":"2020","CustomName":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8044","CodeVersion":"2020","CustomName":"HEMI-FACIAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3809","CodeVersion":"2020","CustomName":"WRIST HAND FINGER W\/O JOINT PREFAB ANY TYPE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1743","CodeVersion":"2020","CustomName":"INJECTION IDURSULFASE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6204","CodeVersion":"2020","CustomName":"COMPOS DRESS >16SQ BUT <\/=48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2407","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN ORBACTIV 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2790","CodeVersion":"2020","CustomName":"INJECTION RHO D IG HUMAN FULL DOSE 300 MCG"},{"ServiceGroup":"41406","CodeType":"ICD10P","Code":"4A020N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART OPEN"},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1720","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9999","CodeVersion":"2020","CustomName":"MISCELLANEOUS DME SUPPLY OR ACCESSORY NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6615","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST NOBLE METAL 3\/MORE SURFACES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0257","CodeVersion":"2020","CustomName":"UNSCHD\/EMERG DIALYSIS TX ESRD PT HOS OP NOT CERT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9488","CodeVersion":"2020","CustomName":"INJECTION CONIVAPTAN HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6880","CodeVersion":"2020","CustomName":"ELEC HND SWTCH\/MYOLELEC CNTRL INDEP ARTC DIG MTR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73000","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"46390","CodeType":"REV","Code":"0424","CodeVersion":"2020","CustomName":"Physical Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"30661","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"28145","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"58456","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"50907","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"33262","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"33263","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"48003","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"19846","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1034F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0158U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64629","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"91305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0190U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87903","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0237T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0342T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112813","CodeType":"CPT","Code":"99001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113855","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0100T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0567T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9604","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG COMB DE IC STNT; 1 VES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2015","CodeVersion":"2020","CustomName":"COMP COMMUNITY SUPPORT SERVICES PER 15 MINUTES"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5230","CodeVersion":"2020","CustomName":"ABVE KNEE PROX FEM FOCAL DEFIC SACH FOOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9522","CodeVersion":"2020","CustomName":"TOT #ED VISITS & IP=\/>2 PAST 12 MO\/NO SCR NO R"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1632","CodeVersion":"2020","CustomName":"INJECTION BREXANOLONE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2250","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2949","CodeVersion":"2020","CustomName":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6502","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9359","CodeVersion":"2020","CustomName":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0001","CodeVersion":"2020","CustomName":"STANDARD WHEELCHAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0078","CodeVersion":"2020","CustomName":"INJECTION FOSPHENYTOIN SODIUM 750 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1728","CodeVersion":"2020","CustomName":"CATHETER BRACHYTHERAPY SEED ADMINISTRATION"},{"ServiceGroup":"59838","CodeType":"HCPCS","Code":"P9047","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 25% 50 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9877","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF MO 10-12 UND MDPP EM"},{"ServiceGroup":"26205","CodeType":"HCPCS","Code":"V5362","CodeVersion":"2020","CustomName":"SPEECH SCREENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4007","CodeVersion":"2020","CustomName":"GENERAL SURGERY MIPSSPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1764","CodeVersion":"2020","CustomName":"EVENT RECORDER CARDIAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0476","CodeVersion":"2020","CustomName":"INF AGT DETECT DNA\/RNA; HPV PERF ADD TO PAP TEST"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90061","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9150","CodeVersion":"2020","CustomName":"INJECTION DAUNORUBICIN 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0033","CodeVersion":"2020","CustomName":"ORAL MEDICATION ADMIN DIRECT OBSERVATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3973","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB"},{"ServiceGroup":"11789","CodeType":"HCPCS","Code":"S9502","CodeVersion":"2020","CustomName":"HIT ABX ANTIVIRAL\/ANTIFUNGAL; Q8 HRS PER DIEM"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"13293","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"17065","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"10904","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0740","CodeVersion":"2020","CustomName":"EEG (Electroencephalogram) - General Classification"},{"ServiceGroup":"13643","CodeType":"DRG","Code":"372","CodeVersion":"2020","CustomName":"Vaginal delivery with complicating diagnoses"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82109","CodeType":"CPT","Code":"64718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"63472","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"65.64","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REMOVAL OF REMAINING OVARY AND TUBE"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12197","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0649T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4192F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"5050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91580","CodeType":"CPT","Code":"36476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100040","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"79005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12258","CodeType":"CPT","Code":"93571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79561","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93024","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0306","CodeVersion":"2020","CustomName":"COMPLETE CBC AUTOMATED&AUTOMATED WBC DIFF COUNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0958","CodeVersion":"2020","CustomName":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0366","CodeVersion":"2020","CustomName":"CONE BM CT CAP&INT FD VIEW 1 FULL DENT ARCH-MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0178","CodeVersion":"2020","CustomName":"LOMUSTINE ORAL 10 MG"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2025","CodeVersion":"2020","CustomName":"PAYMENT TH DSNT SITE SRVC FURN RHC\/FQHC ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6641","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0946","CodeVersion":"2020","CustomName":"FRACTURE FRAME DUAL W\/CROSS BARS ATTACHED TO BED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9608","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL; EA ADD CA CA BR\/BP GFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2176","CodeVersion":"2020","CustomName":"O\/P ED\/OBS VISITS RSLT IN INPATIENT ADMISSION"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9782","CodeVersion":"2020","CustomName":"BLD PROC NYHA CLS II\/III HF\/CCS CLS III\/IV CRA;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6258","CodeVersion":"2020","CustomName":"TRNSPRT FILM STERL >16 SQ BUT<\/= 48 SQ EA DRESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6011","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING; TO 5 MEV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6709","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING"},{"ServiceGroup":"100948","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4337","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY RECTAL INSERT ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9353","CodeVersion":"2020","CustomName":"MORE 1 CT PARANASAL SINUS 90 DAY AFTR DX DOC RSN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0881","CodeVersion":"2020","CustomName":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4037","CodeVersion":"2020","CustomName":"CRYOPRESERVED EMBRYO TRANSFER CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6400","CodeVersion":"2020","CustomName":"BE MOLD SCKT ENDOSKEL SYS W\/SFT PROSTH TISS SHAP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5250","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2100","CodeVersion":"2020","CustomName":"BLD GLU MONITOR W\/INTEGRATED VOICE SYNTHESIZER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2702","CodeVersion":"2020","CustomName":"DELUXE LENS FEATURE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2756","CodeVersion":"2020","CustomName":"EYE GLASS CASE"},{"ServiceGroup":"105604","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"75497","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0669","CodeVersion":"2020","CustomName":"Respite Care - Other Respite Care"},{"ServiceGroup":"74668","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"188","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"43322","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"31125","CodeType":"DRG","Code":"789","CodeVersion":"2020","CustomName":"MAJOR JOINT \"&\" LIMB REATTACH PROC LOW EXT, EXC HIP, FOR COMP-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"699","CodeVersion":"2020","CustomName":"Other Kidney and Urinary Tract Diagnoses with CC"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"188","CodeVersion":"2020","CustomName":"Other digestive system diagnoses, age greater than 17, with CC"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"497","CodeVersion":"2020","CustomName":"Spinal fusion except cervical with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4058F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106173","CodeType":"CPT","Code":"31287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78095","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4063F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64795","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3480","CodeType":"ICD9P","Code":"88.53","CodeVersion":"2017","CustomName":"ANGIOCARDIOGRAPHY OF LEFT HEART STRUCTURES"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93062","CodeType":"CPT","Code":"22510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20305","CodeType":"ICD9P","Code":"44.39","CodeVersion":"2017","CustomName":"OTHER GASTROENTEROSTOMY WITHOUT GASTRECTOMY"},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46283","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41547","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0135U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88748","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"71668","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0112A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0154A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9274","CodeVersion":"2020","CustomName":"EXTERNAL AMB INSULIN DEL SYSTEM DISPOSABLE EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6016","CodeVersion":"2020","CustomName":"COMP-BASED BEAM MOD TX DEL I PLND TX 3 > HR SESS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0314","CodeVersion":"2020","CustomName":"IM CNSL PHYS\/OTH Q HCP COVID-19 AGE <21 16-30 M"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5637","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CNTC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5056","CodeVersion":"2020","CustomName":"OST POUCH DRAINABLE EXT WEAR BARRIER W\/FILTER EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3390","CodeVersion":"2020","CustomName":"OUTFLARE WEDGE"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3475","CodeVersion":"2020","CustomName":"INJECTION MAGNESIUM SULPHATE PER 500 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9515","CodeVersion":"2020","CustomName":"CHOLINE C-11 DX PER STUDY DOSE UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9920","CodeVersion":"2020","CustomName":"SCREENING PERFORMED AND NEGATIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1815","CodeVersion":"2020","CustomName":"DYN ADJ ANKLE EXT\/FLEX DEVC INCL SOFT INTF MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9113","CodeVersion":"2020","CustomName":"ONC;STATUS;OVARIAN CA; ST IA-B GR 1 NO PROGRESSN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3240","CodeVersion":"2020","CustomName":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2061","CodeVersion":"2020","CustomName":"DONOR LOBECTOMY FOR TRANSPLANTATION LIVING DONOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5970","CodeVersion":"2020","CustomName":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT"},{"ServiceGroup":"59414","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2340","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4176","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID 7 THRU 8.5%-HOM MIX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9897","CodeVersion":"2020","CustomName":"PTS NOT RX\/ADM AD TX COM EBRT PROS RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0425","CodeVersion":"2020","CustomName":"CARIES SUSCEPTIBILITY TESTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2037","CodeVersion":"2020","CustomName":"KAFO FULL PLASTIC SINGLE UPRIGHT CUSTOM FAB"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1571","CodeVersion":"2020","CustomName":"INJ HEPATITIS B IG HEPAGAM B IM 0.5 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0400","CodeVersion":"2020","CustomName":"GLOBAL FEE XTRACORP SHOCK WAVE LITH KIDNEY STONE"},{"ServiceGroup":"88429","CodeType":"HCPCS","Code":"Q4107","CodeVersion":"2020","CustomName":"GRAFTJACKET PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1742","CodeVersion":"2020","CustomName":"INJ IBUTILIDE FUMARATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0603","CodeVersion":"2020","CustomName":"BREAST PUMP ELECTRIC ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4037","CodeVersion":"2020","CustomName":"CRYOPRESERVED EMBRYO TRANSFER CASE RATE"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0859","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Other Outpatient CCPD"},{"ServiceGroup":"31539","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0479","CodeVersion":"2020","CustomName":"Audiology - Other Audiology"},{"ServiceGroup":"12157","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"32652","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0975","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OPERATING ROOM"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0987","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - HOSPITAL VISIT"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0391","CodeVersion":"2020","CustomName":"ADMIN, PROC, AND STORAGE BLOOD AND BLOOD COMPONENTS - ADMIN (E.G., TRANSFUS)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"543","CodeVersion":"2020","CustomName":"Craniotomy with Implantation of Chemotherapeutic Agent or Acute Complex Central Nervous System Principal Diagnosis"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"305","CodeVersion":"2020","CustomName":"Kidney, ureter, and major bladder procedures for non-neoplasms without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.37","CodeVersion":"2017","CustomName":"PRENATAL TRAINING"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0276T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0182U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"56620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3340F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0347U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.66","CodeVersion":"2017","CustomName":"INSERTION OF IMPLANTABLE HEART ASSIST SYSTEM"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0686T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3017F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104119","CodeType":"CPT","Code":"49653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0053U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3861","CodeVersion":"2020","CustomName":"GENETIC TESTING SCN5A & VARIANTS FOR SUSPCTED BS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5636","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT"},{"ServiceGroup":"80658","CodeType":"HCPCS","Code":"V5298","CodeVersion":"2020","CustomName":"HEARING AID NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4162","CodeVersion":"2020","CustomName":"WOUNDEX FLOW BIOSKIN FLOW 0.5 CC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7194","CodeVersion":"2020","CustomName":"FACTOR IX COMPLEX PER IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3976","CodeVersion":"2020","CustomName":"SEWHFO ABDUCT PSTN THOR CMPNT W\/O JOINTS CUS FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0295","CodeVersion":"2020","CustomName":"INJECTION AMPCLLN SODIUM\/SULBACTAM SODIUM-1.5 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4250","CodeVersion":"2020","CustomName":"URINE TEST OR REAGENT STRIPS OR TABLETS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6603","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST HIGH NOBLE METAL 3\/MORE SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5248","CodeVersion":"2020","CustomName":"HEARING AID ANALOG BINAURAL CIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2405","CodeVersion":"2020","CustomName":"ADDITION TO KNEE JOINT DROP LOCK EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8578","CodeVersion":"2020","CustomName":"REOP NOT REQ MEDIAST BLEED GFT OCCL\/OTH REASN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4245","CodeVersion":"2020","CustomName":"AMNIOTEXT PER CC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9176","CodeVersion":"2020","CustomName":"INJECTION ELOTUZUMAB 1 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4181","CodeVersion":"2020","CustomName":"AMNIO WOUND PER SQUARE CM"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7902","CodeVersion":"2020","CustomName":"TENSION RING VAC ERECTION DEVC REPLACE ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9780","CodeVersion":"2020","CustomName":"INS CVC THRU CVO VIA INF & SUP APRCH INC IMG GD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0621","CodeVersion":"2020","CustomName":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2307","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER 0.12-2.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2184","CodeVersion":"2020","CustomName":"PATIENT DOES NOT HAVE A CAREGIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0830","CodeVersion":"2020","CustomName":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0821","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD PORT CAPT CHAIR PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8935","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST UPPER EXTREMITY"},{"ServiceGroup":"31970","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0515","CodeVersion":"2020","CustomName":"Clinic - Pediatric Clinic"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"80260","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"9939","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"70134","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"17081","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"63365","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"977","CodeType":"REV","Code":"0402","CodeVersion":"2020","CustomName":"Other Imaging Services - Ultrasound"},{"ServiceGroup":"17065","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91578","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"50949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1183F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13295","CodeType":"ICD9P","Code":"92.18","CodeVersion":"2017","CustomName":"TOTAL BODY SCAN"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88099","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0502T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0155U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107387","CodeType":"CPT","Code":"22899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0175T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3141F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1356","CodeVersion":"2020","CustomName":"O2 ACCESS BTTRY PACK\/CRTRDGE PRTBLE CONC REPL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6611","CodeVersion":"2020","CustomName":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2765","CodeVersion":"2020","CustomName":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0725","CodeVersion":"2020","CustomName":"INJECTION CHORIONIC GONADOTROPIN-1000 USP UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4261","CodeVersion":"2020","CustomName":"CERVICAL CAP FOR CONTRACEPTIVE USE"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0090","CodeVersion":"2020","CustomName":"SILDENAFIL CITRATE 25 MG"},{"ServiceGroup":"103615","CodeType":"HCPCS","Code":"G0108","CodeVersion":"2020","CustomName":"DIAB OP SELF-MGMT TRN SRVC INDIVIDUAL PER 30 MIN"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3981","CodeVersion":"2020","CustomName":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5108","CodeVersion":"2020","CustomName":"HOME CARE TRAINING HOME CARE CLIENT PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4134","CodeVersion":"2020","CustomName":"HMATRIX PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3913","CodeVersion":"2020","CustomName":"HAND FINGER ORTHOTIC W\/O JOINTS CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0270","CodeVersion":"2020","CustomName":"MED NUT TX; REASSESS FLW 2 REF YR W\/PT EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5081","CodeVersion":"2020","CustomName":"STOMA PLUG OR SEAL ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2611","CodeVersion":"2020","CustomName":"GEN WC BACK CUSHN WDTH < 22 IN HT MOUNT HARDWARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1022","CodeVersion":"2020","CustomName":"CLIN DECN SUP MECH INTERMTN CLIN DECN SUP MECH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9760","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5298","CodeVersion":"2020","CustomName":"HEARING AID NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"115582","CodeType":"CPT","Code":"52356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1029","CodeVersion":"2020","CustomName":"ORAL DEVICE\/APPL NM ELEC STIM TONGUE MUSCLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0514","CodeVersion":"2020","CustomName":"PRLNG PREV SRVC OFC\/OTH O\/P DIR CTC;EA ADD 30 M"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7197","CodeVersion":"2020","CustomName":"ANTITHROMBIN III PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9034","CodeVersion":"2020","CustomName":"EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY GALL STONES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8135","CodeVersion":"2020","CustomName":"PT NOT DOC RECV AB PROP 1HR TO INCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P2031","CodeVersion":"2020","CustomName":"HAIR ANALYSIS"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0992","CodeVersion":"2020","CustomName":"Patient Convenience Items - Private Linen Service"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"668","CodeVersion":"2020","CustomName":"Transurethral Procedures with MCC"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"640","CodeVersion":"2020","CustomName":"NEONATE, TRANSFERRED UNDER 5 DAYS OF BIRTH, NOT BORN HERE-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44325","CodeType":"CPT","Code":"40819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"68.15","CodeVersion":"2017","CustomName":"CLOSED BIOPSY OF UTERINE LIGAMENTS"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"95462","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4270F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0481T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1504F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3082F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29993","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1034F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"2040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"23473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30061","CodeType":"ICD9P","Code":"74.4","CodeVersion":"2017","CustomName":"CESAREAN SECTION OF OTHER SPECIFIED TYPE"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4041F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"299","CodeType":"ICD9P","Code":"92.3","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3073F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0167U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4221F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79794","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2218","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACCSS FOAM PROPULSION TIRE ANY SIZE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0328","CodeVersion":"2020","CustomName":"COLOREC CA SCR; FOB TST IMMUNO 1-3 SIMULTANEOUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0417","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9025","CodeVersion":"2020","CustomName":"OMNICARDIOGRAM\/CARDIOINTEGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5501","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT COMPLEX PER DIEM"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9061","CodeVersion":"2020","CustomName":"INJECTION, AMIVANTAMAB-VMJW 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0327","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; BLOOD-BASED BIOMARK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0859","CodeVersion":"2020","CustomName":"ADD HALO PROC MRI COMPAT SYS RINGS&PINS ANY MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0279","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9989","CodeVersion":"2020","CustomName":"SRVC PROVIDED OUTSIDE UNITED STATES OF AMERICA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7631","CodeVersion":"2020","CustomName":"CROMOLYN SODIUM INHALATION SOL NONCP UD P 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4222","CodeVersion":"2020","CustomName":"PROGENAMATRIX PER SQ CM"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0482","CodeVersion":"2020","CustomName":"MICROPROCESSOR CU FOR ELEC\/PNEUMAT VAD REPL ONL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6099","CodeVersion":"2020","CustomName":"IMPLANT SUPP RTNR FOR FPD - PORCELAIN FU NBL ALY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2173","CodeVersion":"2020","CustomName":"URI EP PT COMORBID COND DUR 12 MO PRI\/ON EP DATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4266","CodeVersion":"2020","CustomName":"GUID TISS REGEN-RESORB BARRIER-SITE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3241","CodeVersion":"2020","CustomName":"INJECTION TEPROTUMUMAB-TRBW 10 MG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0117","CodeVersion":"2020","CustomName":"TRETINOIN TOPICAL 5 GRAMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9053","CodeVersion":"2020","CustomName":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0218","CodeVersion":"2020","CustomName":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35556","CodeType":"REV","Code":"0383","CodeVersion":"2020","CustomName":"Blood and Blood Components - Plasma"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"22404","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"9927","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"24808","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"58457","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"548","CodeVersion":"2020","CustomName":"CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3292F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51269","CodeType":"CPT","Code":"77371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"17261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112910","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107867","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3273F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4164F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4242F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0191U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0514T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0563T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87448","CodeType":"CPT","Code":"22515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99147","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105250","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0160U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107793","CodeType":"CPT","Code":"36906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5268","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE TEL AMPLIFIER ANY TYPE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"28623","CodeType":"HCPCS","Code":"J7189","CodeVersion":"2020","CustomName":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG"},{"ServiceGroup":"79177","CodeType":"HCPCS","Code":"V5336","CodeVersion":"2020","CustomName":"REPAIR\/MOD AUGMENTATIV COMMUNICAT SYSTEM\/DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6261","CodeVersion":"2020","CustomName":"WOUND FILLER GEL\/PASTE PER FL OZ NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9119","CodeVersion":"2020","CustomName":"INJECTION CEMIPLIMAB-RWLC 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8650","CodeVersion":"2020","CustomName":"NABILONE ORAL 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4436","CodeVersion":"2020","CustomName":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2941","CodeVersion":"2020","CustomName":"INJECTION SOMATROPIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6930","CodeVersion":"2020","CustomName":"BELW ELB OTTO BOCK\/=SWITCH CNTRL TERM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0042","CodeVersion":"2020","CustomName":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2372","CodeVersion":"2020","CustomName":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9005","CodeVersion":"2020","CustomName":"ADMINISTRATION FEE CHARGE BY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0300","CodeVersion":"2020","CustomName":"PED CRIB HOS GRADE FULLY ENC W\/WO TOP ENC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2469","CodeVersion":"2020","CustomName":"INJECTION PALONOSETRON HCL 25 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2955","CodeVersion":"2020","CustomName":"POST REMOVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2798","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9508","CodeVersion":"2020","CustomName":"DOCUMENTATION PT IS NOT ON A STATIN MEDICATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1454","CodeVersion":"2020","CustomName":"INJ FOSNETUPITANT 235 MG & PALONOSETRON 0.25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0348","CodeVersion":"2020","CustomName":"INJECTION ANIDULAFUNGIN 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"68440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2622","CodeVersion":"2020","CustomName":"PROSTHESIS PENILE NON-INFLATABLE"},{"ServiceGroup":"114752","CodeType":"HCPCS","Code":"H2021","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8948","CodeVersion":"2020","CustomName":"APPLIC MODAL 1\/MORE AREAS; LW-LEVL LASR; EA 15 M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2500","CodeVersion":"2020","CustomName":"SPEECH GEN DEVC DIGITIZED <\/= 8 MINS REC TIME"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2118","CodeVersion":"2020","CustomName":"METL-ON-METL TOT HIP RESRFC ACETAB&FEM CMPNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0879","CodeVersion":"2020","CustomName":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1020","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS KYPHOSIS PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1021","CodeVersion":"2020","CustomName":"CLIN DECN SUP MECH EHLTHLINE CLIN DECN SUP MECH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0707","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL RAD IMG - IMAGE CAP ONLY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19973","CodeType":"REV","Code":"0359","CodeVersion":"2020","CustomName":"CT Scan - CT - Other"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0844","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Maintenance - 100%"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0412","CodeVersion":"2020","CustomName":"Respiratory Services - Inhalation Services"},{"ServiceGroup":"30165","CodeType":"REV","Code":"0385","CodeVersion":"2020","CustomName":"Blood and Blood Components - Leukocytes"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"33237","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0529","CodeVersion":"2020","CustomName":"Free-Standing Clinic - Other Free-Standing Clinic"},{"ServiceGroup":"30222","CodeType":"REV","Code":"0916","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Family Therapy"},{"ServiceGroup":"12146","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"345","CodeVersion":"2020","CustomName":"Other male reproductive system operating room procedures except for malignancy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50204","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0267U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0501T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0331U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0285U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0221U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105251","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0029U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93068","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.46","CodeVersion":"2017","CustomName":"RESECTION OF ABDOMINAL ARTERIES WITH REPLACEMENT"},{"ServiceGroup":"87523","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0069U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0133U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5987","CodeVersion":"2020","CustomName":"ALL LW XTRM PRSTH SHNK FT SYS W\/VRTCL LOAD PYLN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0281","CodeVersion":"2020","CustomName":"MEDICAL HOME PROGRAM COMP CARE COORD MAINT PLAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9965","CodeVersion":"2020","CustomName":"PT DID NOT RECV AT LEAST 1 WCV PCP DUR PRFRM PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6013","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING;11-19 MEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8511","CodeVersion":"2020","CustomName":"SCREEN DEPR DOC POS F\/U PLN NOT DOC RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6539","CodeVersion":"2020","CustomName":"GRADIENT COMPRESSION STK WAIST LEN 18-30 MMHG EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0567","CodeVersion":"2020","CustomName":"INJECTION CERLIPONASE ALFA 1 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2212","CodeVersion":"2020","CustomName":"BIFOCL +\/-7.25-+\/-12.00D SPHER 2.25-4.00D CYL-EA"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2106","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRAILTY & D MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4534","CodeVersion":"2020","CustomName":"YOUTH SZD DISPBL INCONT PROD UNDWEAR\/PULLON EA"},{"ServiceGroup":"78047","CodeType":"HCPCS","Code":"V2799","CodeVersion":"2020","CustomName":"VISION ITEM OR SERVICE MISCELLANEOUS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5930","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM HIGH ACTV KNEE CONTROL FRAME"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6960","CodeVersion":"2020","CustomName":"SHLDR DISARTIC OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1830","CodeVersion":"2020","CustomName":"POWERED BONE MARROW BIOPSY NEEDLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6119","CodeVersion":"2020","CustomName":"IMPL\/ABUT SPTD INT FIX DENTUR EDENT ARCH-MAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1127","CodeVersion":"2020","CustomName":"DOC PT DX DEG NEURO COND DX TM BEFORE\/DUR EOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0802","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4397","CodeVersion":"2020","CustomName":"STATIC\/DYNAMIC ANKL FOOT ORTHOSIS MIN AMB PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1730","CodeVersion":"2020","CustomName":"INJECTION DIAZOXIDE UP TO 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1080","CodeVersion":"2020","CustomName":"ADDITION TO CTLSO\/SCOLIOSIS ORTHOSIS OUTRIGGER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9058","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; MGMT DIFFER PHYS DISAGREE GUIDE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1190","CodeVersion":"2020","CustomName":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107625","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15480","CodeType":"REV","Code":"0422","CodeVersion":"2020","CustomName":"Physical Therapy - Hourly"},{"ServiceGroup":"22410","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"50322","CodeType":"REV","Code":"0660","CodeVersion":"2020","CustomName":"Respite Care - General Classification"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"63058","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0916","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Family Therapy"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"19595","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0306","CodeVersion":"2020","CustomName":"Laboratory - Bacteriology & MICROBIOLOGY"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"70043","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"242","CodeVersion":"2020","CustomName":"Septic arthritis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88749","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110064","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115362","CodeType":"CPT","Code":"43820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101182","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50206","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"25","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3091F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3293F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105732","CodeType":"CPT","Code":"22845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0226T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0697T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.55","CodeVersion":"2017","CustomName":"REIMPLANTATION OF ABERRANT RENAL VESSEL"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98457","CodeType":"CPT","Code":"28005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103901","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1007","CodeVersion":"2020","CustomName":"CLINICAL DEC SUPP MECH AIM DEFINED MCR AUC PROG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4006","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4553","CodeVersion":"2020","CustomName":"NON-DISPOSABLE UNDERPADS ALL SIZES"},{"ServiceGroup":"20012","CodeType":"ICD10P","Code":"0TY00Z2","CodeVersion":"2020","CustomName":"TRANSPLANTATION RT KIDNEY ZOOPLASTIC OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7336","CodeVersion":"2020","CustomName":"CAPSAICIN 8% PATCH PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9358","CodeVersion":"2020","CustomName":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5750","CodeVersion":"2020","CustomName":"RELINE COMPLETE MAXILLARY DENTURE INDIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4222","CodeVersion":"2020","CustomName":"PARNTRAL NUTRITION SUPPLY KIT; HOME MIX PER DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6073","CodeVersion":"2020","CustomName":"ABUT RETN CAST METL FPD BASE METL"},{"ServiceGroup":"108063","CodeType":"HCPCS","Code":"C1778","CodeVersion":"2020","CustomName":"LEAD NEUROSTIMULATOR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5695","CodeVersion":"2020","CustomName":"ADD LW EXTRM ABVE KNEE PELV CNTRL SLV NEOPRENE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9270","CodeVersion":"2020","CustomName":"INJECTION PLICAMYCIN 2.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9929","CodeVersion":"2020","CustomName":"PATIENT WITH TRANSIENT OR REVERSIBLE CAUSE OF AF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4719","CodeVersion":"2020","CustomName":"Y SET TUBING FOR PERITONEAL DIALYSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6100","CodeVersion":"2020","CustomName":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0056","CodeVersion":"2020","CustomName":"OPTIMIZING CHRONIC DISEASE MGMNT MIPS VALUE PTHW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2190","CodeVersion":"2020","CustomName":"PATIENTS CLINICAL IND IMAG HEAD: HA RAD NECK"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3262","CodeVersion":"2020","CustomName":"INJECTION TOCILIZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0451","CodeVersion":"2020","CustomName":"DEVELPMNT TESTING I&R STANDARDIZD INSTRUMNT FORM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1874","CodeVersion":"2020","CustomName":"STENT COATED\/COVERED WITH DELIVERY SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3865","CodeVersion":"2020","CustomName":"COMP GENE SEQ ANALY HYPERTROPHIC CARDIOMYOPATHY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0884","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9632","CodeVersion":"2020","CustomName":"PATIENT IS NOT ELIG E.G. GYN\/OTH PELV MALIG DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8702","CodeVersion":"2020","CustomName":"PWR UE ROM ASST DVC ELB WR HND FNGR SNGL\/DBL UPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0210","CodeVersion":"2020","CustomName":"ELECTRIC HEAT PAD STANDARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9518","CodeVersion":"2020","CustomName":"DOCUMENTATION OF ACTIVE INJECTION DRUG USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2142","CodeVersion":"2020","CustomName":"FUNC ST ODI 1YR PO<=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"94780","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0117","CodeVersion":"2020","CustomName":"TRETINOIN TOPICAL 5 GRAMS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4529","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD BRF\/DIAPER SM\/MED EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2960","CodeVersion":"2020","CustomName":"LABIAL VENEER - DIRECT"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3394F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76321","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0659","CodeVersion":"2020","CustomName":"Hospice Service - Other Hospice Service"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0190","CodeVersion":"2020","CustomName":"Subacute Care - General Classification"},{"ServiceGroup":"9936","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0961","CodeVersion":"2020","CustomName":"Professional Fees - Psychiatric"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"17990","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0658","CodeVersion":"2020","CustomName":"Hospice Service - Hospice Room and Board - Nursing Facility"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0693","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - EVALUATION"},{"ServiceGroup":"12124","CodeType":"REV","Code":"0813","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unknown Donor"},{"ServiceGroup":"21975","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99460","CodeType":"CPT","Code":"97166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4242F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100288","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104119","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0303T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1900","CodeVersion":"2020","CustomName":"LEAD LEFT VENTRICULAR CORONARY VENOUS SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q3031","CodeVersion":"2020","CustomName":"COLLAGEN SKIN TEST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6675","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN"},{"ServiceGroup":"103683","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8610","CodeVersion":"2020","CustomName":"OCULAR IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0180","CodeVersion":"2020","CustomName":"INJECTION AGALSIDASE BETA 1 MG"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7881","CodeVersion":"2020","CustomName":"OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9431","CodeVersion":"2020","CustomName":"PATH RPRT NO PT CAT & STM THK ULCER & MITOTIC RA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2430","CodeVersion":"2020","CustomName":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7366","CodeVersion":"2020","CustomName":"BATTERY CHARGER TWELVE VOLT EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4126","CodeVersion":"2020","CustomName":"MEMODERM DERMASPAN TRANZGRFT\/INTEGUPLY PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4041","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8967","CodeVersion":"2020","CustomName":"FDA APPROVED ORAL ANTICOAGULANT IS PRESCRIBED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5104","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-ABDA BIOSIMILAR 10 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4189","CodeVersion":"2020","CustomName":"PARNTRAL NUT SOL; AMINO ACID&CARB 10-51 GMS PROT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4036","CodeVersion":"2020","CustomName":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106322","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7314","CodeVersion":"2020","CustomName":"INJECTION FA INTRAVITREAL IMPL 0.01 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8703","CodeVersion":"2020","CustomName":"REPLACEMENT OF LOST OR BROKEN RETAINER - MAX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4034","CodeVersion":"2020","CustomName":"ENTERAL FEEDING SUPPLY KIT; SYRINGE FED PER DAY"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4042","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0830","CodeVersion":"2020","CustomName":"AMBULATORY TRACTION DEVICE ALL TYPES EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1000","CodeVersion":"2020","CustomName":"PRIV DUTY\/INDEPEND NRS SERVICE LIC UP 15 MIN"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0516","CodeVersion":"2020","CustomName":"INSERTION NON-BIODEGRADABLE RX DELIVERY IMPL 4\/>"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0467","CodeVersion":"2020","CustomName":"FEDERALLY QUALIFIED HEALTH CENTER VISIT ESTAB PT"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22816","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"31505","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"70043","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"79804","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"68287","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0483","CodeVersion":"2020","CustomName":"Cardiology - Echocardiology"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"333","CodeVersion":"2020","CustomName":"Insertion or replacement of temporary transvenous single chamber cardiac electrode transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"855","CodeVersion":"2020","CustomName":"Infectious and Parasitic Diseases with O.R. Procedure without CC\/MCC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99467","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"5020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19991","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.01","CodeVersion":"2017","CustomName":"INDUCTION LABOR ARTIFICIAL RUPTURE MEMBRANES"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101279","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"43785","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4195F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84932","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD9P","Code":"36.03","CodeVersion":"2017","CustomName":"OPEN CHEST CORONARY ARTERY ANGIOPLASTY"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0038U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3751F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104856","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0099T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5643","CodeVersion":"2020","CustomName":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1833","CodeVersion":"2020","CustomName":"MNTR CARDIAC INC INTRACARDIAC LEAD &ALL SYS COMP"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9305","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED NOS10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2001","CodeVersion":"2020","CustomName":"REHABILITATION PROGRAM PER 1\/2 DAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1300","CodeVersion":"2020","CustomName":"WHIRLPOOL PORTABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2102","CodeVersion":"2020","CustomName":"ADJUNCTIVE CONTINUOUS GLUCOSE MONITOR\/RECEIVER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9416","CodeVersion":"2020","CustomName":"PATIENT HAD 1 TET DT & TDAP ON\/BTW PT 10 & 13 BD"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3230","CodeVersion":"2020","CustomName":"PULPAL THERAPY - ANT PRIMARY TOOTH"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0240","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 600 MG"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0496","CodeVersion":"2020","CustomName":"SKD SRVC LPN TRAIN&\/EDU PT\/FAM HH\/HOSPC E 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7241","CodeVersion":"2020","CustomName":"REMV IMP TOOTH-CMPL BNY W\/SURG COMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4024","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2342","CodeVersion":"2020","CustomName":"NASAL ENDOSCOPIC POSNASAL ENDOSCOPIC POSTOP DEBR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2364","CodeVersion":"2020","CustomName":"PWR WC ACSS U-1 NON-SEALED LEAD ACID BATTRY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2302","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL +\/- 7.12 TO +\/- 20.00 PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3472","CodeVersion":"2020","CustomName":"SURGICAL REPAIR OF ROOT RESORPTION - PREMOLAR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9458","CodeVersion":"2020","CustomName":"PT DOC TOBACCO USER & RECV TOBACCO CESSATION INT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2260","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7710","CodeVersion":"2020","CustomName":"MAXILLA-OPEN REDUCTION"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3374F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46113","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"16778","CodeType":"REV","Code":"0803","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Ambulatory Peritoneal Dialysis (CAPD)"},{"ServiceGroup":"58508","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"361","CodeType":"REV","Code":"0173","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level III"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0403","CodeVersion":"2020","CustomName":"Other Imaging Services - Screening Mammography"},{"ServiceGroup":"78377","CodeType":"REV","Code":"0146","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Detoxification"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"17077","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"61916","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"383","CodeVersion":"2020","CustomName":"Other antepartum diagnoses with medical complications"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.99","CodeVersion":"2017","CustomName":"OTHER OPERATIONS TO ASSIST DELIVERY"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"6110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113671","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"39545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6102F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26776","CodeType":"CPT","Code":"90804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106767","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12043","CodeType":"CPT","Code":"99205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68282","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"74183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9768","CodeVersion":"2020","CustomName":"PATIENTS WHO UTILZ HOSPICE SVC ANY TM DUR MSR PR"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5214","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC\/ITC"},{"ServiceGroup":"76528","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2542","CodeVersion":"2020","CustomName":"ONLAY - METALLIC - TWO SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6092","CodeVersion":"2020","CustomName":"RECEMENT IMPLANT\/ABUTMENT SUPPORTED CROWN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6708","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5498","CodeVersion":"2020","CustomName":"HOME INFUS TX CATH CARE\/MAINT SIMPLE PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1999","CodeVersion":"2020","CustomName":"UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9917","CodeVersion":"2020","CustomName":"DOC ADV STAGE DEMENTIA & CAREGIVER KNWL LIMITED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4235","CodeVersion":"2020","CustomName":"AMNIOREPAIR OR ALTIPLY PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1818","CodeVersion":"2020","CustomName":"INTEGRATED KERATOPROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2624","CodeVersion":"2020","CustomName":"POLISHING\/RESURFACING OF OCULAR PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9073","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS PATHOGEN-REDUCED EACH UNIT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4193","CodeVersion":"2020","CustomName":"COLL-E-DERM PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4210","CodeVersion":"2020","CustomName":"GINGIVECT\/PLSTY 4\/>CNTIG\/TOOTH BOUND SPACES-QUAD"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2792","CodeVersion":"2020","CustomName":"CROWN - FULL CAST NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0068","CodeVersion":"2020","CustomName":"PROF SRVC ADM ANTI-INFEC PM ADM CD IND HM E 15 M"},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0841","CodeVersion":"2020","CustomName":"INJECTION CROTALIDAE IMMUNE F120 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9055","CodeVersion":"2020","CustomName":"INJECTION CETUXIMAB 10 MG"},{"ServiceGroup":"89939","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9134","CodeVersion":"2020","CustomName":"ONC;DZ STS;NHL;STAGE I II NOT RELPSD NOT RFRCTRY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9852","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9876","CodeVersion":"2020","CustomName":"2 MDPP C MS ATD MDPP BENEF IN MO 7-9 UND MDPP EM"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1119F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10679","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0804","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"77180","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"11336","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"21075","CodeType":"DRG","Code":"025","CodeVersion":"2020","CustomName":"Seizure and headache, age greater than 17 without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65624","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88495","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96539","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113697","CodeType":"CPT","Code":"66174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3455F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72121","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.14","CodeVersion":"2017","CustomName":"OPEN HRT VALVULPLSTY TRICUSPID VALV W\/O REPLCMT"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0187T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0101T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0154U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0491T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4495","CodeVersion":"2020","CustomName":"SURGICAL STOCKING THIGH LENGTH EACH"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5D7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION RT MIDDLE LUNG LOBE NAT\/ART OPENING"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2961","CodeVersion":"2020","CustomName":"LABIAL VENEER RESIN LAMINATE - INDIRECT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1296","CodeVersion":"2020","CustomName":"SPECIAL WHEELCHAIR SEAT HEIGHT FROM FLOOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8712","CodeVersion":"2020","CustomName":"ANTIBIOTIC NOT PRESCRIBED OR DISPENSED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9359","CodeVersion":"2020","CustomName":"POROUS PURIFIED COLL MATRIX B VOID FILLR-0.5CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9045","CodeVersion":"2020","CustomName":"INJECTION CARBOPLATIN 50 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1003","CodeVersion":"2020","CustomName":"WHIRLPOOL TUB WALK IN PORTABLE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2060","CodeVersion":"2020","CustomName":"HKAFO TORSION CNTRL BIL TORSION BALL BEAR CSTM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7324","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV ORTHOVISC IA INJ PER DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2065","CodeVersion":"2020","CustomName":"SIMULTANEOUS PANCREAS KIDNEY TRANSPLANTATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0108","CodeVersion":"2020","CustomName":"OTHER ACCESSORIES"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1052","CodeVersion":"2020","CustomName":"HEMOSTATIC AGENT GASTROINTESTINAL TOPICAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9305","CodeVersion":"2020","CustomName":"INTRVENTION LEAK ENDOLUMINAL CNT ANASTOM NOT REQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8648","CodeVersion":"2020","CustomName":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE <0"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7640","CodeVersion":"2020","CustomName":"FORMOTEROL INHAL COMP PROD UNIT DOSE FORM 12 MCG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9526","CodeVersion":"2020","CustomName":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4113","CodeVersion":"2020","CustomName":"GRAFTJACKET XPRESS INJECTABLE 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0250","CodeVersion":"2020","CustomName":"IV TCZ HP 2 & > COVID-19 INC INF & PA MON 2ND D"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1205","CodeVersion":"2020","CustomName":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0600","CodeVersion":"2020","CustomName":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4124","CodeVersion":"2020","CustomName":"OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQ CM"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33827","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"44105","CodeType":"REV","Code":"0977","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - PHYSICAL THERAPY"},{"ServiceGroup":"58508","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"45882","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"9501","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"9444","CodeType":"REV","Code":"0548","CodeVersion":"2020","CustomName":"Ambulance - EKG Transmission"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74664","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93078","CodeType":"CPT","Code":"22552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93006","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83542","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52950","CodeType":"CPT","Code":"90818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106714","CodeType":"CPT","Code":"54161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79177","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3325F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"56631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"62351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106291","CodeType":"HCPCS","Code":"A0426","CodeVersion":"2020","CustomName":"AMB SERVICE ALS NONEMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4028","CodeVersion":"2020","CustomName":"MICROSURGICAL EPIDIDYMAL SPERM ASPIRATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0424","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0225","CodeVersion":"2020","CustomName":"HYDROCOLLATOR UNIT INCLUDES PADS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2993","CodeVersion":"2020","CustomName":"INJECTION RETEPLASE 18.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4427","CodeVersion":"2020","CustomName":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W\/FLTR EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4009","CodeVersion":"2020","CustomName":"HOSPITALISTS MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9797","CodeVersion":"2020","CustomName":"PATIENT IS NOT ON A STATIN THERAPY"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7627","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0705","CodeVersion":"2020","CustomName":"EXTRA-ORAL POST DENTAL RAD IMG - IMG CAP ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9608","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL; EA ADD CA CA BR\/BP GFT"},{"ServiceGroup":"20012","CodeType":"ICD10P","Code":"0TY00Z0","CodeVersion":"2020","CustomName":"TRANSPLANTATION RT KIDNEY ALLOGENEIC OPEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9098","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7799","CodeVersion":"2020","CustomName":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1023","CodeVersion":"2020","CustomName":"SCR CONSIDER IND PARTICIP SPEC PROG PROJ\/TX PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4013","CodeVersion":"2020","CustomName":"MENTAL\/BEHAVIORAL HEALTH MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8908","CodeVersion":"2020","CustomName":"MR IMAG W\/O CONTRST FLWED W\/CONTRST BRST; BIL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9922","CodeVersion":"2020","CustomName":"SAFETY CNCRNS SCR PROV & IF POS THEN DOC MIT REC"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8100","CodeVersion":"2020","CustomName":"HOLDING CHAMB\/SPACR W\/INHAL\/NEBULIZR; W\/O MASK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0558","CodeVersion":"2020","CustomName":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1790","CodeVersion":"2020","CustomName":"INJECTION DROPERIDOL UP TO 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2044","CodeVersion":"2020","CustomName":"HOSPICE INPATIENT RESPITE CARE; PER DIEM"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4195","CodeVersion":"2020","CustomName":"PURAPLY PER SQ CM"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9030","CodeVersion":"2020","CustomName":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46028","CodeType":"CPT","Code":"99215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82884","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"89337","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"034","CodeVersion":"2020","CustomName":"Other disorders of nervous system with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26277","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1071F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0349T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0476T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0103U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0347T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2028F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33988","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46029","CodeType":"CPT","Code":"43770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87843","CodeType":"CPT","Code":"43860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1101F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7110","CodeVersion":"2020","CustomName":"INFUSION DEXTRAN 75500 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2017","CodeVersion":"2020","CustomName":"PERMEADERM GLOVE EACH"},{"ServiceGroup":"44303","CodeType":"HCPCS","Code":"V5363","CodeVersion":"2020","CustomName":"LANGUAGE SCREENING"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2083","CodeVersion":"2020","CustomName":"OFF\/OTH OP E&M EST PT PROV>56 MG ESKETAMINE N SA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6955","CodeVersion":"2020","CustomName":"ABVE ELB OTTO BOCK\/=MYOELEC CNTRL TERM DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6095","CodeVersion":"2020","CustomName":"REPAIR IMPLANT ABUTMENT BY REPORT"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9231","CodeVersion":"2020","CustomName":"INJECTION DECITABINE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4153","CodeVersion":"2020","CustomName":"DERMAVEST AND PLURIVEST PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9061","CodeVersion":"2020","CustomName":"HOME ADMIN AEROSOLIZED DRUG THERAPY PER DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"83379","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9649","CodeVersion":"2020","CustomName":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2366","CodeVersion":"2020","CustomName":"PWR WC ACSS BATTRY CHRGR 1 MODE W\/ONLY 1 BATTRY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2106","CodeVersion":"2020","CustomName":"1 VISN PLANO-+\/- 4.00D SPHER OVER 6.00D CYL-LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4436","CodeVersion":"2020","CustomName":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"Q9982","CodeVersion":"2020","CustomName":"FLUTEMETAMOL F18 DX P STUDY DO TO 5 MILLICURIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6059","CodeVersion":"2020","CustomName":"ABUT PORCLN TO MTL CRWN HI NOBL MTL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0223","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9275","CodeVersion":"2020","CustomName":"DOCUMENTATION PATIENT CURRENT NON-TOBACCO USER"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0945","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Alcohol Rehabilitation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0832","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0142","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Obstetrics (OB)"},{"ServiceGroup":"50905","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"74928","CodeType":"REV","Code":"0561","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Visit Charge"},{"ServiceGroup":"10903","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"58458","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"76947","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"92561","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"3499","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"005","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"262","CodeVersion":"2020","CustomName":"Breast biopsy and local excision for non-malignancy"},{"ServiceGroup":"21826","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"494","CodeVersion":"2020","CustomName":"Laparoscopic cholecystectomy without common duct exploration without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12099","CodeType":"ICD9P","Code":"74.2","CodeVersion":"2017","CustomName":"EXTRAPERITONEAL CESAREAN SECTION"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82728","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88160","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37593","CodeType":"ICD9P","Code":"41.06","CodeVersion":"2017","CustomName":"CORD BLOOD STEM CELL TRANSPLANT"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12041","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0562T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90382","CodeType":"CPT","Code":"29906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75639","CodeType":"ICD9P","Code":"94.64","CodeVersion":"2017","CustomName":"DRUG REHABILITATION"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3496F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0435T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9710","CodeVersion":"2020","CustomName":"PATIENT WAS PROV HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6094","CodeVersion":"2020","CustomName":"ABUTMENT SUPP CROWN - TITANIUM & TITANIUM ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5710","CodeVersion":"2020","CustomName":"REBASE COMPLETE MAXILLARY DENTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9991","CodeVersion":"2020","CustomName":"SERVICES PROVIDED AS PART PHASE III CLIN TRIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5299","CodeVersion":"2020","CustomName":"HEARING SERVICE MISCELLANEOUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5705","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8599","CodeVersion":"2020","CustomName":"ASPIRIN\/OTH ANTITHROMBOTIC NOT USED RSN NOT GVN"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5262","CodeVersion":"2020","CustomName":"HEARING AID DISPOSABLE ANY TYPE MONAURAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1113","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLINC INDICAT PT ND HM PRG ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8415","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH UPPER LIMB EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0167","CodeVersion":"2020","CustomName":"PAIL OR PAN USE W\/COMMODE CHAIR REPLACEMENT ONLY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1556","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7668","CodeVersion":"2020","CustomName":"METAPROTERENOL SULF INHAL NON-CP CONC PER 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7872","CodeVersion":"2020","CustomName":"ARTHROSCOPY DIAGNOSIS W\/WO BIOPSY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1892","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH INTRCARD EP FIX-CURVE PEEL-AWAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2014","CodeVersion":"2020","CustomName":"SKILLS TRAINING AND DEVELOPMENT PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9762","CodeVersion":"2020","CustomName":"PT HAD 2 HPV\/3 HPV VACC ON\/BTWN PT 9TH &13TH BD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K1021","CodeVersion":"2020","CustomName":"EXSUFFLATION BELT INCLUDES ALL SUPPLIES & ACCES"},{"ServiceGroup":"59838","CodeType":"HCPCS","Code":"P9041","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 5% 50 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0030","CodeVersion":"2020","CustomName":"PT SCR TOBACCO USE RECV TOB CESS INTRV W\/IN 12MO"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26901","CodeType":"ICD9P","Code":"93.9","CodeVersion":"2017","CustomName":"RESPIRATORY THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2840","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOS TIB LENGTH SOCK FX\/= EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4038","CodeVersion":"2020","CustomName":"VASCULAR SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1886","CodeVersion":"2020","CustomName":"CATH EXTRAVASCULAR TISSUE ABLAT MODAL INSERTABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5927","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0221","CodeVersion":"2020","CustomName":"MED CONF PHYS W\/TEAM HLTH PROF PT CARE; 60 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1290","CodeVersion":"2020","CustomName":"INJECTION ECALLANTIDE 1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6582","CodeVersion":"2020","CustomName":"PREP WRST DISRTC\/BELW ELB 1 WALL SCKT DIR FORMED"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D07Z4","CodeVersion":"2020","CustomName":"EXTRACTION POC MID FORCEPS NATURAL\/ARTIF OPENING"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8855","CodeVersion":"2020","CustomName":"OBJ MSR ADHERENCE TO PAP TX NOT PRF RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0221","CodeVersion":"2020","CustomName":"MED CONF PHYS W\/TEAM HLTH PROF PT CARE; 60 MIN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7517","CodeVersion":"2020","CustomName":"MYCOPHENOLATE MOFETIL ORAL 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0192","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"69801","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"36144","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"10675","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0949","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Other Therapeutic Service"},{"ServiceGroup":"3138","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"11663","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0911","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Rehabilitation"},{"ServiceGroup":"68846","CodeType":"REV","Code":"0192","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level II"},{"ServiceGroup":"3066","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"31214","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"14617","CodeType":"REV","Code":"0519","CodeVersion":"2020","CustomName":"Clinic - Other Clinic"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"28002","CodeType":"DRG","Code":"254","CodeVersion":"2020","CustomName":"Fractures, sprains, strains, and dislocations of upper arm and lower leg, except foot, age greater than 17, without CC"},{"ServiceGroup":"51263","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"915","CodeVersion":"2020","CustomName":"Allergic Reactions with MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115169","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.25","CodeVersion":"2017","CustomName":"OTH LAPAROSCOPIC LOCAL EXCISION\/DESTRUC OVARY"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65093","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0558T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62296","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107169","CodeType":"CPT","Code":"31051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3514F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6689","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2810","CodeVersion":"2020","CustomName":"INJECTION THEOPHYLLINE PER 40 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9444","CodeVersion":"2020","CustomName":"PARENTING CLASSES NON-PHYSICIAN PER SESS"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M0201","CodeVersion":"2020","CustomName":"COVID-19 VACCINE ADM INSIDE PATIENT'S HOME;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4240","CodeVersion":"2020","CustomName":"GINGL FLP PROC 4\/> CONTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9726","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3640","CodeVersion":"2020","CustomName":"TRNS ORTHOS SHOE TO ANOTH DENNIS BRWNE BTH SHOES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0475","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 10 MG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0207","CodeVersion":"2020","CustomName":"INJECTION AMIFOSTINE 500 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4235","CodeVersion":"2020","CustomName":"AMNIOREPAIR OR ALTIPLY PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1018","CodeVersion":"2020","CustomName":"SCHOOL-BASED IND EDUCATION PROGRAM SERV BUNDLED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8648","CodeVersion":"2020","CustomName":"ISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE <0"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2301","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL +\/- 4.12 TO +\/- 7.00D PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0470","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/O BACKU"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1750","CodeVersion":"2020","CustomName":"INJECTION IRON DEXTRAN 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9515","CodeVersion":"2020","CustomName":"PT DID NOT RQR RTN TO THE OR W\/I 90 DAYS OF SURG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0240","CodeVersion":"2020","CustomName":"INJECTION CASIRIVIMAB AND IMDEVIMAB 600 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9983","CodeVersion":"2020","CustomName":"FLORBETABEN F18 DX P STDY DO TO 8.1 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0128","CodeVersion":"2020","CustomName":"INJECTION FOLLITROPIN BETA 75 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0058","CodeVersion":"2020","CustomName":"IMPROV CARE LW EXTREM JOINT REPAIR MIPS VAL PTHW"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7351","CodeVersion":"2020","CustomName":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8047","CodeVersion":"2020","CustomName":"NASAL SEPTAL PROSTHESIS PROVIDED A NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7671","CodeVersion":"2020","CustomName":"ALVEOL-OPEN RDUC MAY W\/STBL TEETH"},{"ServiceGroup":"107348","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2005","CodeVersion":"2020","CustomName":"EXTENSIVE 75 MINS IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2800","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3757F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6550","CodeVersion":"2020","CustomName":"SHLDR DISRTC MOLD SCKT ENDOSKEL W\/SFT PROS TISS"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2186","CodeVersion":"2020","CustomName":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6236","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL >48 SQ NO ADHES BORDR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7322","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE HYMOVIS IA INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0884","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG ESRD ON DIALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0470","CodeVersion":"2020","CustomName":"RESP ASST DEVC BI-LEVL PRSS CAPABILITY W\/O BACKU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4252","CodeVersion":"2020","CustomName":"BLOOD KETONE TEST OR REAGENT STRIP EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8647","CodeVersion":"2020","CustomName":"RISK-ADJ FUNC STATUS KNEE IMPAIRMENT SCORE=\/>0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9724","CodeVersion":"2020","CustomName":"PATIENTS DOC ANTICOAGULANT MED OVERLAP MSR YEAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2004","CodeVersion":"2020","CustomName":"COMP 60 MINUTES IN-HOME VISIT NEW PT POST-D\/C"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6625","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD ROTATION WRST UNIT W\/CABLE LOCK"},{"ServiceGroup":"14306","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"10951","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3720F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"38589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107030","CodeType":"CPT","Code":"21267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1152F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83695","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104911","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0554T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48382","CodeType":"CPT","Code":"92507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.26","CodeVersion":"2017","CustomName":"OPEN AND OTHER REPLACEMENT OF PULMONARY VALVE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0449T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0271T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113629","CodeType":"CPT","Code":"24360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0734T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0404T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0662T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91026","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3849","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR NIEMANN-PICK DISEASES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2010","CodeVersion":"2020","CustomName":"REMOTE EVAL RECORDED VIDEO &\/ IMAGES SB ESTAB PT"},{"ServiceGroup":"68640","CodeType":"HCPCS","Code":"G0157","CodeVersion":"2020","CustomName":"SERVICES PT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0583","CodeVersion":"2020","CustomName":"INJECTION BIVALIRUDIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7607","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL CP PROD THRU DME CONC 0.5 MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2250","CodeVersion":"2020","CustomName":"INTRAVERTEBRAL BODY FX AUGMENTATION W\/IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9611","CodeVersion":"2020","CustomName":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5410","CodeVersion":"2020","CustomName":"ADJUST COMPLETE DENTURE - MAXILLARY"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0100","CodeVersion":"2020","CustomName":"CANE INCL CANES ALL MATERIAL ADJUSTBLE\/FIX W\/TIP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0128","CodeVersion":"2020","CustomName":"INJECTION FOLLITROPIN BETA 75 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9490","CodeVersion":"2020","CustomName":"HIT CORTICOSTEROID INFUS; ADMN SRVC PROF PHRM SR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6513","CodeVersion":"2020","CustomName":"COMPRS BRN MASK FCE & OR NCK PLSTC\/EQUL CSTM FAB"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8605","CodeVersion":"2020","CustomName":"INJ BULK AGT DX\/HA COPOLYMER IMPL ANAL CNL 1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2800","CodeVersion":"2020","CustomName":"INJECTION METHOCARBAMOL UP TO 10 ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2724","CodeVersion":"2020","CustomName":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0049","CodeVersion":"2020","CustomName":"WITH MAINT HEMODIALYSIS COMPLETE REPORTING MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2250","CodeVersion":"2020","CustomName":"INTRAVERTEBRAL BODY FX AUGMENTATION W\/IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4461","CodeVersion":"2020","CustomName":"SURGICAL DRESSING HOLDER NON-REUSABLE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0091","CodeVersion":"2020","CustomName":"GRANISETRON HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9595","CodeVersion":"2020","CustomName":"PT HAS DOC VENTRICULAR SHUNT BT\/COAGULOPATHY"},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7511","CodeVersion":"2020","CustomName":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG"},{"ServiceGroup":"71779","CodeType":"HCPCS","Code":"G0399","CodeVersion":"2020","CustomName":"HST W\/TYPE III PRTBLE MON UNATTENDED MIN 4 CH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5845","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN STANCE FLX FEATUR ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0372","CodeVersion":"2020","CustomName":"PHYS SRVC RQR TO EST & DOC NEED PWR MOBIL DEVC"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"107750","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"166","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"29949","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"22408","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"687","CodeVersion":"2020","CustomName":"Kidney and Urinary Tract Neoplasms with CC"},{"ServiceGroup":"64916","CodeType":"DRG","Code":"933","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0299T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0690T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0243T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107057","CodeType":"CPT","Code":"41112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0042U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90838","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3089F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9008","CodeVersion":"2020","CustomName":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1358","CodeVersion":"2020","CustomName":"O2 ACCESS DC POWER ADAPTER PRTBLE CONC REPL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4544","CodeVersion":"2020","CustomName":"ADULT SIZE DISPBL INCONT PULLUP ABVE EXTRA LG EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0207","CodeVersion":"2020","CustomName":"INJECTION AMIFOSTINE 500 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0585","CodeVersion":"2020","CustomName":"BOTULINUM TOXIN TYPE A PER UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5520","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC\/=DIR FORM"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1120","CodeVersion":"2020","CustomName":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6740","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN\/CERAMIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4419","CodeVersion":"2020","CustomName":"OST POUCH CLOS; BARRIER W\/NON-LOCK FLNGE W\/FLTR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3650","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9811","CodeVersion":"2020","CustomName":"PATIENT NOT ACHV PDC AL 75% ASTHMA CONTROL MED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9933","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV CMPL DENTUR MANDIBULR"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1764","CodeVersion":"2020","CustomName":"EVENT RECORDER CARDIAC"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9611","CodeVersion":"2020","CustomName":"ORDR ANTIPLATELET AGT NOT DOC PT REC RSN NOT GVN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9088","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1789","CodeVersion":"2020","CustomName":"PROSTHESIS BREAST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0050","CodeVersion":"2020","CustomName":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9840","CodeVersion":"2020","CustomName":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9229","CodeVersion":"2020","CustomName":"CHLAMYDIA GONORRHEA & SYPHILIS SCR RSLT NOT DOC"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4220","CodeVersion":"2020","CustomName":"BELLACELL HD OR SUREDERM PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0706","CodeVersion":"2020","CustomName":"INJECTION CAFFEINE CITRATE 5 MG"},{"ServiceGroup":"115426","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"3077","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"69020","CodeType":"REV","Code":"0582","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Hourly Charge"},{"ServiceGroup":"23587","CodeType":"REV","Code":"1001","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential treatment - psychiatric"},{"ServiceGroup":"78378","CodeType":"REV","Code":"0271","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Non-Sterile Supply"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"11919","CodeType":"REV","Code":"0814","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unsuccessful Organ Search - Donor Bank Charges"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0310","CodeVersion":"2020","CustomName":"Laboratory Pathology - General Classification"},{"ServiceGroup":"113016","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"9537","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"78807","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"28161","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95134","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"48100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61798","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.69","CodeVersion":"2017","CustomName":"REPAIR OF OTHER CURRENT OBSTETRIC LACERATION"},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104857","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93063","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4165F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106742","CodeType":"CPT","Code":"43242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80136","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0042U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50922","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3395F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"35.27","CodeVersion":"2017","CustomName":"OPEN OTH REPLACEMENT TRICSPD VALV W\/TISSUE GRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0681T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"405","CodeType":"ICD9P","Code":"93.96","CodeVersion":"2017","CustomName":"OTHER OXYGEN ENRICHMENT"},{"ServiceGroup":"107291","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49206","CodeType":"CPT","Code":"65755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89842","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0404T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106264","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8541","CodeVersion":"2020","CustomName":"FCN OUTCOME ASMT STD TOOL NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8948","CodeVersion":"2020","CustomName":"APPLIC MODAL 1\/MORE AREAS; LW-LEVL LASR; EA 15 M"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4035","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CYCLE CAST PED PLASTR"},{"ServiceGroup":"24","CodeType":"ICD10P","Code":"4A023N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART PERQ"},{"ServiceGroup":"103949","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0890","CodeVersion":"2020","CustomName":"INJECTION PEGINESATIDE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7512","CodeVersion":"2020","CustomName":"PREDNISONE IMMEDIATE RLSE\/DELAYED RLSE ORAL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1717","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED HI DOSE IRIDIUM-192 PER SRC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1128","CodeVersion":"2020","CustomName":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5521","CodeVersion":"2020","CustomName":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9961","CodeVersion":"2020","CustomName":"AMB SERVICE AIR NONEMERGENCY 1 WAY ROTARY WING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9013","CodeVersion":"2020","CustomName":"ESRD DEMO BASIC BUNDLE LEVEL I"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0853","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3702","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2355","CodeVersion":"2020","CustomName":"INJECTION OPRELVEKIN 5 MG"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9957","CodeVersion":"2020","CustomName":"INJECTION PERFLUTREN LIPID MICROSPHERES PER ML"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1445","CodeVersion":"2020","CustomName":"INJ FERRIC PYROPHOSPHATE CITRATE SOL 0.1 MG IRON"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9503","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3935","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9361","CodeVersion":"2020","CustomName":"COLLEGEN MATRIX NERVE WRAP PER 0.5 CM LENGTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1570","CodeVersion":"2020","CustomName":"ADJUSTABLE CHAIR FOR ESRD PATIENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0247","CodeVersion":"2020","CustomName":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W\/LOPS"},{"ServiceGroup":"94502","CodeType":"REV","Code":"0851","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - CCPD\/Composite or Other Rate"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0381","CodeVersion":"2020","CustomName":"Blood and Blood Components - Packed Red Cells"},{"ServiceGroup":"73004","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"73284","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"13000","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0964","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (CRNA)"},{"ServiceGroup":"471","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"75479","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4067F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3750F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4480F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86039","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4301F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61558","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81023","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75968","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61516","CodeType":"CPT","Code":"97139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98779","CodeType":"CPT","Code":"25609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76604","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107172","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0493T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44068","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0153U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.96","CodeVersion":"2017","CustomName":"TOTAL BODY PERFUSION"},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85637","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0417","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"108484","CodeType":"HCPCS","Code":"H0017","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH; RES W\/O ROOM&BOARD PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9025","CodeVersion":"2020","CustomName":"OMNICARDIOGRAM\/CARDIOINTEGRAM"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8692","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN"},{"ServiceGroup":"106597","CodeType":"HCPCS","Code":"V5250","CodeVersion":"2020","CustomName":"HEARING AID DIGTLLY PROG ANALOG BINAURAL CIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S8265","CodeVersion":"2020","CustomName":"HABERMAN FEEDER FOR CLEFT LIP\/PALATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9342","CodeVersion":"2020","CustomName":"SRCH NOT CD PRI IMAG S PEF PT CT S CMPL NO RSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5271","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVC TELEVISN CAPTION DECODER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1599","CodeVersion":"2020","CustomName":"INJ IG IV NONLYOPHILIZED E.G. LIQUID NOS 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0340","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; LIFESTYL MOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8798","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOMC LOCATION PROSTATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0141","CodeVersion":"2020","CustomName":"SCR CYTOPATH SMER CERV\/VAG MNL RSCR INTEPR PHYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0130","CodeVersion":"2020","CustomName":"WALKER RIGID ADJUSTABLE OR FIXED HEIGHT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8432","CodeVersion":"2020","CustomName":"DEPRESSION SCR NOT DOCUMENTED REASON NOT GIVEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4411","CodeVersion":"2020","CustomName":"OST SKN BARRIER SOLID 4X4\/EQ W\/BUILT-IN CONVXITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0632","CodeVersion":"2020","CustomName":"LUMB-SACRAL ORTHOT SAGIT CNTRL RIGID A&P CUSTOM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9010","CodeVersion":"2020","CustomName":"BLOOD FOR TRANSFUSION PER UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0428","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2630","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELVIC CONTROL BAND & BELT UNI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9875","CodeVersion":"2020","CustomName":"9 TOTAL MDPP C SESS ATD MDPP BENEF UND MDPP EM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4111","CodeVersion":"2020","CustomName":"GAMMAGRAFT PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9213","CodeVersion":"2020","CustomName":"HOME MANAGEMENT OF PREECLAMPSIA; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2425","CodeVersion":"2020","CustomName":"ADD KNEE JNT DISC\/DIAL LOCK ADJ KNEE FLX EA JNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1825","CodeVersion":"2020","CustomName":"DYN ADJUSTBL FNGR EXT\/FLX DEVC W\/SFT INTRFCE MAT"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5095","CodeVersion":"2020","CustomName":"SEMI-IMPLANTABLE MIDDLE EAR HEARING PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0390","CodeVersion":"2020","CustomName":"ALS MILEAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3348","CodeVersion":"2020","CustomName":"RETX PREVIOUS RC THERAPY - MOLAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2101","CodeVersion":"2020","CustomName":"PT 66&>1 CLM FRLTY&1 AC IP ADV ILL DR\/YR PRI MSR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"17271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45136","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4064F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9770","CodeVersion":"2020","CustomName":"PERIPHERAL NERVE BLOCK"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9211","CodeVersion":"2020","CustomName":"INJECTION IDARUBICIN HCL 5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6570","CodeVersion":"2020","CustomName":"INTRSCAP THOR MOLD SCKT ENDOSKEL W\/SFT PROS TISS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4041","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0316","CodeVersion":"2020","CustomName":"SFTY ENCLOS FRME\/CANOPY USE W\/HOSP BED ANY TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0395","CodeVersion":"2020","CustomName":"FUSION 2\/MORE 3D IMAGES VOLUME 1\/MORE MODALITIES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1751","CodeVersion":"2020","CustomName":"CATHETER INFUS INSRT PERIPHERALLY CNTRLLY\/MIDLN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2183","CodeVersion":"2020","CustomName":"DOCUMENTATION PT UNABLE TO COM & INF NOT AVAIL"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0800","CodeVersion":"2020","CustomName":"INJECTION CORTICOTROPIN UP TO 40 UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1772","CodeVersion":"2020","CustomName":"INFUSION PUMP PROGRAMMABLE"},{"ServiceGroup":"4020","CodeType":"REV","Code":"0681","CodeVersion":"2020","CustomName":"Trauma Response - Level I Trauma"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0822","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"107808","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"30275","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"12184","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0158","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Rehabilitation"},{"ServiceGroup":"12014","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"35557","CodeType":"REV","Code":"0380","CodeVersion":"2020","CustomName":"Blood and Blood Components - General Classification"},{"ServiceGroup":"63184","CodeType":"REV","Code":"0219","CodeVersion":"2020","CustomName":"Coronary Care Unit - Other Coronary CCU"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0273U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"36.10","CodeVersion":"2017","CustomName":"AORTOCORONARY BYPASS HEART REVASCULARIZATION NOS"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39608","CodeType":"CPT","Code":"66984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97460","CodeType":"CPT","Code":"27137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0019T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0219U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105490","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0062U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"54699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1358","CodeVersion":"2020","CustomName":"O2 ACCESS DC POWER ADAPTER PRTBLE CONC REPL EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1932","CodeVersion":"2020","CustomName":"INJECTION LANREOTIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6707","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9365","CodeVersion":"2020","CustomName":"HOM INFUS TX TPN; 1 LITER-DAY DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0384","CodeVersion":"2020","CustomName":"LEVEL 5 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4257","CodeVersion":"2020","CustomName":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1128","CodeVersion":"2020","CustomName":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1573","CodeVersion":"2020","CustomName":"INJ HEP B IG HEPAGAM B INTRAVENOUS 0.5 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6083","CodeVersion":"2020","CustomName":"IMPLANT SUPP CROWN - PORCELAIN FU NOBLE ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9436","CodeVersion":"2020","CustomName":"CHILDBIRTH PREP\/LAMAZE CLASS NON-MD PER SESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9770","CodeVersion":"2020","CustomName":"PERIPHERAL NERVE BLOCK"},{"ServiceGroup":"38826","CodeType":"ICD10P","Code":"0B5K7ZZ","CodeVersion":"2020","CustomName":"DESTRUCTION RT LUNG NATURAL\/ARTIFICIAL OPENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9048","CodeVersion":"2020","CustomName":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5% 250 ML"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4149","CodeVersion":"2020","CustomName":"EXCELLAGEN 0.1 CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2371","CodeVersion":"2020","CustomName":"EACH ADDITIONAL INTERSPACE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0120","CodeVersion":"2020","CustomName":"INJECTION TETRACYCLINE UP TO 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2405","CodeVersion":"2020","CustomName":"INJECTION ONDANSETRON HCL PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2274","CodeVersion":"2020","CustomName":"INJECTION MS PRES-FREE EPID\/INTRATHECL USE 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7820","CodeVersion":"2020","CustomName":"CLOSED REDUCTION OF DISLOCATION"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9160","CodeVersion":"2020","CustomName":"INJECTION DENILEUKIN DIFTITOX 300 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9050","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS VST; WRKUP EVAL\/STAG@TM DX\/RECUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2022","CodeVersion":"2020","CustomName":"COMMUNITY-BASED WRAP-AROUND SERVICES PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"R0076","CodeVersion":"2020","CustomName":"TRANSPORTATION PRTBLE EKG FACL\/LOCATION PER PT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1944","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1655","CodeVersion":"2020","CustomName":"INJECTION TINZAPARIN SODIUM 1000 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8864","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5411","CodeVersion":"2020","CustomName":"ADJUST COMPLETE DENTUR - MANDIBULAR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6070F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5230","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT RTE SYS BINAURAL GLASSES"},{"ServiceGroup":"41406","CodeType":"ICD10P","Code":"4A020N8","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESSURE BILAT OPEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0666","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS HALF LEG"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6884","CodeVersion":"2020","CustomName":"REPL SOCKET ABOVE ELBOW\/ELBOW DISART MOLD TO PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0618","CodeVersion":"2020","CustomName":"APNEA MONITOR WITHOUT RECORDING FEATURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0305","CodeVersion":"2020","CustomName":"BEDSIDE RAILS HALF-LENGTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6684","CodeVersion":"2020","CustomName":"UP EXTRM ADD TST SCKT SHLDR DISRTC\/INTRSCAP THOR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6503","CodeVersion":"2020","CustomName":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"33831","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"70042","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"10427","CodeType":"REV","Code":"0689","CodeVersion":"2020","CustomName":"Trauma Response - Other Trauma Response"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"12514","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"061","CodeVersion":"2020","CustomName":"Myringotomy with tube insertion, age greater than 17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113853","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33684","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93015","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0683T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0698T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"17283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1003F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103834","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86582","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.6","CodeVersion":"2017","CustomName":"EPISIOTOMY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1575","CodeVersion":"2020","CustomName":"TRANSDUCER PROTECTORS\/FL BARRIERS HEMODIAL SZ-10"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1755","CodeVersion":"2020","CustomName":"CATHETER INTRASPINAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9061","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDE; PTS COND NOT ADDRESSED GUIDE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9251","CodeVersion":"2020","CustomName":"DOC PT PAIN NOT BROUGHT COMFORT 48 HR INIT ASMT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4537","CodeVersion":"2020","CustomName":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7195","CodeVersion":"2020","CustomName":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9080","CodeVersion":"2020","CustomName":"ONC; STATUS; PROS CA; TX RISING PSA\/FAIL DECLINE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2960","CodeVersion":"2020","CustomName":"LABIAL VENEER - DIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0383","CodeVersion":"2020","CustomName":"LEVEL 4 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0249","CodeVersion":"2020","CustomName":"PRVS TEST MATL & EQUIP HOME INR MON; ONCE A WEEK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2510","CodeVersion":"2020","CustomName":"CONTACT LENS GAS PERMEABLE SPHERICAL PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0271","CodeVersion":"2020","CustomName":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0499","CodeVersion":"2020","CustomName":"HEPATITIS B SCREENING IN NON-PREG HIGH RISK IND"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5109","CodeVersion":"2020","CustomName":"INJECTION INFLIXIMAB-QBTX BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4233","CodeVersion":"2020","CustomName":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9457","CodeVersion":"2020","CustomName":"PT NO ABD IMAG & NOT DOC RSN NO ABD IMAG SBMS P"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7947","CodeVersion":"2020","CustomName":"LEFORT I MAXILLA SEGMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0241","CodeVersion":"2020","CustomName":"BATHTUB WALL RAIL EACH"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11212","CodeType":"ICD9P","Code":"36.06","CodeVersion":"2017","CustomName":"INSERTION NON-DRUG-ELUTING CORONARY ARTERY STENT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2185","CodeVersion":"2020","CustomName":"DOCUMENTATION CAREGIV IS TRN & CERT IN DEM CARE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7630","CodeVersion":"2020","CustomName":"MANDIBLE-OPEN REDUCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9239","CodeVersion":"2020","CustomName":"INTRAVENOUS MODERATE SEDAT\/ANALGESIA-1ST 15 MINS"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0283","CodeVersion":"2020","CustomName":"E-STIM 1\/> AREAS OTH THAN WND CARE PART TX PLAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9009","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE RISK ADJ MAINTENANCE LEVL 3"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1713","CodeVersion":"2020","CustomName":"ANCHOR\/SCREW OPPOSING BN-TO-BN\/SOFT TISSUE-TO-BN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0851","CodeVersion":"2020","CustomName":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"9827","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"12394","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"103730","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"22409","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"87040","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"26835","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"188","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"3328","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"19595","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0946","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Complex Medical Equipment - Routine"},{"ServiceGroup":"30165","CodeType":"REV","Code":"0382","CodeVersion":"2020","CustomName":"Blood and Blood Components - Whole Blood"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"557","CodeVersion":"2020","CustomName":"PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH DRUG ELUTING STENT WITH MAJOR CARDIOVASCULAR DIAGNOSIS"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"248","CodeVersion":"2020","CustomName":"Tendonitis, myositis, and bursitis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22817","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0529F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87324","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"39400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4554F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92190","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99148","CodeType":"CPT","Code":"45505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106670","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0222T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0402T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0331T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5644","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4018","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7175","CodeVersion":"2020","CustomName":"INJECTION FACTOR X 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7948","CodeVersion":"2020","CustomName":"LEFORT II\/LEFORT III - W\/O BONE GRAFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9875","CodeVersion":"2020","CustomName":"9 TOTAL MDPP C SESS ATD MDPP BENEF UND MDPP EM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4040","CodeVersion":"2020","CustomName":"MON & STORAGE CRYOPRESERVED EMBRYOS PER 30 DAYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9555","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN RECOMMENDING F\/U IMAGING"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7193","CodeVersion":"2020","CustomName":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4110","CodeVersion":"2020","CustomName":"PRIMATRIX PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9846","CodeVersion":"2020","CustomName":"PATIENTS WHO DIED FROM CANCER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5115","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8936","CodeVersion":"2020","CustomName":"MR ANGIO W\/O CONTRST FOLLOWED W\/CONTRST UP EXT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9319","CodeVersion":"2020","CustomName":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9197","CodeVersion":"2020","CustomName":"DOC ORD 1ST\/2ND CEPHALOSPORIN ANTIMICROBL PROPH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7196","CodeVersion":"2020","CustomName":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U."},{"ServiceGroup":"87040","CodeType":"ICD10P","Code":"10D00Z0","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION HIGH OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9008","CodeVersion":"2020","CustomName":"COORD CARE FEE PHYS COORD CARE OVERSIGHT SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7979","CodeVersion":"2020","CustomName":"NON - SURGICAL SIALOLITHOTOMY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2055","CodeVersion":"2020","CustomName":"IDECABTAGENE VICL 460MIL AUTO BCMA CAR+T LEUKAPH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9178","CodeVersion":"2020","CustomName":"INJECTION EPIRUBICIN HCL 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0478","CodeVersion":"2020","CustomName":"POWER ADAPTER ELECTRIC\/PNEUMAT VAD VEHICLE TYPE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0887","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4051","CodeVersion":"2020","CustomName":"SPLINT SUPPLIES MISCELLANEOUS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4264","CodeVersion":"2020","CustomName":"BONE REPL GR - RET NAT TOOTH - EA ADD SITE QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2780","CodeVersion":"2020","CustomName":"OVERSIZE LENS PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2318","CodeVersion":"2020","CustomName":"ANISEIKONIC LENS TRIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1960","CodeVersion":"2020","CustomName":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5932","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS DEFINITIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2625","CodeVersion":"2020","CustomName":"ENLARGEMENT OF OCULAR PROSTHESIS"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9088","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA;M1 MET NO CURR EVIDENCE DZ"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8614","CodeVersion":"2020","CustomName":"COCHLEAR DEVICE INCLUDES ALL INT&EXT COMPONENTS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1830","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9319","CodeVersion":"2020","CustomName":"IMAG STUDY NOT NAMED STANDARD NOMEN RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5876","CodeVersion":"2020","CustomName":"ADD MET SUBSTRUC TO ACRYLIC FULL DENT (PER ARCH)"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1201","CodeVersion":"2020","CustomName":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3020","CodeVersion":"2020","CustomName":"FOOT INSRT REMV MOLD PT MDL LNGTUDNL\/MT SUPP EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2088","CodeVersion":"2020","CustomName":"OFF-BASED TX OUD;EA ADD 30 MIN BYD 1ST 120 MIN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2430","CodeVersion":"2020","CustomName":"INJECTION PAMIDRONATE DISODIUM PER 30 MG"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"43526","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"22818","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"23401","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0301","CodeVersion":"2020","CustomName":"Laboratory - Chemistry"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0277","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Oxygen - Take Home"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"38024","CodeType":"REV","Code":"0832","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Home Supplies"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"594","CodeVersion":"2020","CustomName":"Skin Ulcers without CC\/MCC"},{"ServiceGroup":"47252","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"693","CodeVersion":"2020","CustomName":"Urinary Stones without ESW Lithotripsy with MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97463","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4230F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107093","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"56620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0019U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0582F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0684T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0434T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91024","CodeType":"CPT","Code":"24342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4014","CodeVersion":"2020","CustomName":"NEPHROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8404","CodeVersion":"2020","CustomName":"LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED&DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4526","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD UNDWEAR MED EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0077","CodeVersion":"2020","CustomName":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8600","CodeVersion":"2020","CustomName":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0878","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO &=300 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2114","CodeVersion":"2020","CustomName":"SINGLE VISION SPHERE OVER +\/- 12.00D PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7659","CodeVersion":"2020","CustomName":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9734","CodeVersion":"2020","CustomName":"FOCUSED U\/S ABL\/TX INT OTH THAN UT LEIOMYOMATA"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0852","CodeVersion":"2020","CustomName":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0162","CodeVersion":"2020","CustomName":"SKILLED SERVICE RN M&E PLAN OF CARE; EA 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5950","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4316","CodeVersion":"2020","CustomName":"INSRTION TRAY W\/DRN BAG W\/CATH 3-WAY CONT IRRIG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2266","CodeVersion":"2020","CustomName":"INDUCED ABORTION 29 TO 31 WEEKS"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5648","CodeVersion":"2020","CustomName":"ADD LOW EXT ABOVE KNEE AIR FL GEL\/= CUSHN SOCKT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2617","CodeVersion":"2020","CustomName":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0279","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1096","CodeVersion":"2020","CustomName":"DEXAMETHASONE LACRIMAL OPHTHALMIC INSERT 0.1 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5703","CodeVersion":"2020","CustomName":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4112","CodeVersion":"2020","CustomName":"CYMETRA INJECTABLE 1 CC"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2343","CodeVersion":"2020","CustomName":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q1005","CodeVersion":"2020","CustomName":"NEW TECH IO LENS CATGY 5 DEFINED FEDERAL REG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6088","CodeVersion":"2020","CustomName":"IMPLANT SUPPORTED CROWN - TI & TI ALLOYS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6220","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG >16 <\/= 48 SQ W\/ADHES BORDR EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8500","CodeVersion":"2020","CustomName":"ARTIFICIAL LARYNX ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1728","CodeVersion":"2020","CustomName":"CATHETER BRACHYTHERAPY SEED ADMINISTRATION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9638","CodeVersion":"2020","CustomName":"FINAL REPORTS W\/O DOC 1\/MORE DOSE REDUCTION TECH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7511","CodeVersion":"2020","CustomName":"I & D ABSC INTRAORAL SOFT TISS COMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9470","CodeVersion":"2020","CustomName":"PT NOT RECV CS >\/= 10 MG\/D PDN EQ 60\/GT CONS D"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0672","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL ARM"},{"ServiceGroup":"42869","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"82957","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"27826","CodeType":"REV","Code":"0349","CodeVersion":"2020","CustomName":"Nuclear Medicine - Other Nuclear Medicine"},{"ServiceGroup":"58519","CodeType":"DRG","Code":"231","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"18932","CodeType":"DRG","Code":"805","CodeVersion":"2020","CustomName":"SIMULTANEOUS KIDNEY AND PANCREAS TRANSPLANT-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90758","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93567","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.96","CodeVersion":"2017","CustomName":"OTHER OXYGEN ENRICHMENT"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"79101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91000","CodeType":"CPT","Code":"25575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3754F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3315F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98407","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45583","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.05","CodeVersion":"2017","CustomName":"INCISION OF OTHER THORACIC VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"49654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3260","CodeVersion":"2020","CustomName":"SURGICAL BOOT\/SHOE EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0715","CodeVersion":"2020","CustomName":"INJECTION CEFTIZOXIME SODIUM PER 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9065","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE III A NO DZ PROGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3486","CodeVersion":"2020","CustomName":"INJECTION ZIPRASIDONE MESYLATE 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5282","CodeVersion":"2020","CustomName":"REMOVABLE UNI PART DENTUR - 1 PECE CAST METL MAX"},{"ServiceGroup":"79458","CodeType":"HCPCS","Code":"S9982","CodeVersion":"2020","CustomName":"MEDICAL RECORDS COPYING FEE PER PAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9386","CodeVersion":"2020","CustomName":"SCR HCV INF NOT RECV W\/I 12 MO PR RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1010","CodeVersion":"2020","CustomName":"CLIN DEC SUPP MECH STANSON DEFINED MCR AUC PROG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1526","CodeVersion":"2020","CustomName":"SPACE MAINTAIN- REMOVABLE- BILATERAL, MAXILLARY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5620","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8663","CodeVersion":"2020","CustomName":"RISK-ADJ FUNCT STS SHOULDER IMPAIR SCORE =0\/ >0"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8002","CodeVersion":"2020","CustomName":"BREAST PROS MASTECT BRA W\/INTEG BREAST FORM BIL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5688","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE WAIST BELT WEBBING"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5916","CodeVersion":"2020","CustomName":"OCULAR PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5116","CodeVersion":"2020","CustomName":"HOME CARE TRAINING NON-FAMILY; PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1027","CodeVersion":"2020","CustomName":"IMAGING OF THE HEAD WAS OBTAINED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7185","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2620","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH <22 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1953","CodeVersion":"2020","CustomName":"INJECTION LEVETIRACETAM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7241","CodeVersion":"2020","CustomName":"REMV IMP TOOTH-CMPL BNY W\/SURG COMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0890","CodeVersion":"2020","CustomName":"INJECTION PEGINESATIDE 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2560","CodeVersion":"2020","CustomName":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4009F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9512","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8692","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEV EXT SOUND BODY WORN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1890","CodeVersion":"2020","CustomName":"INJECTION CEPHALOTHIN SODIUM UP TO 1 G"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4231","CodeVersion":"2020","CustomName":"CORPLEX P PER CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A8000","CodeVersion":"2020","CustomName":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1429","CodeVersion":"2020","CustomName":"INJECTION GOLODIRSEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3645","CodeVersion":"2020","CustomName":"HIV-1 ANTIBODY TESTING ORAL MUCOSAL TRANSUDATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0138","CodeVersion":"2020","CustomName":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG NON-ESRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0250","CodeVersion":"2020","CustomName":"PHYS REV INTEPR & PT MGMT HOME INR MON; 1 A WEEK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1568","CodeVersion":"2020","CustomName":"INJ IG OCTOGAM IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"108568","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"60","CodeType":"REV","Code":"0172","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level II"},{"ServiceGroup":"68140","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"22092","CodeType":"REV","Code":"0612","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Spinal Cord\/Spine"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"488","CodeVersion":"2020","CustomName":"HIV with extensive operating room procedure"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4559F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0338U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15878","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0500T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0058U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20934","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90388","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88030","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9911","CodeType":"CPT","Code":"99291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91590","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6076","CodeVersion":"2020","CustomName":"IMPLANT SUPP RET FPD - PORCELN FUSED HI NBL ALY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0034","CodeVersion":"2020","CustomName":"MEDICATION TRAINING AND SUPPORT PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9078","CodeVersion":"2020","CustomName":"ONC; PROS CA; T2\/T3A GLEASON 8-10\/PSA>20 NO METS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0739","CodeVersion":"2020","CustomName":"REPR\/SRVC DME NOT O2 RQR TECH CMPNT PER 15 MINS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7502","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6404","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL > 48 SQ W\/O ADHES BORDR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2101","CodeVersion":"2020","CustomName":"HUMAN BREAST MILK PROCESSING STORAGE&DSTRB ONLY"},{"ServiceGroup":"10541","CodeType":"HCPCS","Code":"S9131","CodeVersion":"2020","CustomName":"PHYSICAL THERAPY; IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9180","CodeVersion":"2020","CustomName":"PEDICULOSIS TX TOPICAL ADMIN PATIENT\/CARETAKER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7810","CodeVersion":"2020","CustomName":"OPEN REDUCTION OF DISLOCATION"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6965","CodeVersion":"2020","CustomName":"SHLDR DISARTIC OTTO BOCK\/=MYOELEC CNTRL TERM"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1891","CodeVersion":"2020","CustomName":"INFUSION PUMP NON-PROGRAMMABLE PERMANENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5670","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELW KNEE MOLD SUPRACONDYLR SUSP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3111","CodeVersion":"2020","CustomName":"INJECTION ROMOSOZUMAB-AQQG 1 MG"},{"ServiceGroup":"64776","CodeType":"HCPCS","Code":"V2785","CodeVersion":"2020","CustomName":"PROCESSING PRES&TRANSPORTING CORNEAL TISSUE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9591","CodeVersion":"2020","CustomName":"FLUOROESTRADIOL F 18 DIAGNOSTIC 1 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5035","CodeVersion":"2020","CustomName":"HOME INFUS THERAPY ROUTINE SERVICE INFUS DEVICE"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8566","CodeVersion":"2020","CustomName":"PT NOT ELIG REF OTO EVAL SUDDEN HEARING LOSS MSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4126","CodeVersion":"2020","CustomName":"MEMODERM DERMASPAN TRANZGRFT\/INTEGUPLY PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0912","CodeVersion":"2020","CustomName":"TRAPEZ BAR HEVY DUTY PT WT > 250 LBS FREE STAND"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6382","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0192","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2030","CodeVersion":"2020","CustomName":"KAFO DBL UPRT SOLID STIRUP W\/O KNEE JNT CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0442","CodeVersion":"2020","CustomName":"STATIONARY O2 CONTENTS LQD 1 MO SUPPLY = 1 UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5983","CodeVersion":"2020","CustomName":"RADIATION CARRIER"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"29303","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0147","CodeVersion":"2020","CustomName":"WALKER HEAVY DUTY MX BRAKE SYS VARIBLE WHL RSIST"},{"ServiceGroup":"78444","CodeType":"REV","Code":"0101","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board"},{"ServiceGroup":"22403","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0583","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Assessment"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"897","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy without MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90430","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0403T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92195","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0311U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3266F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3763F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113690","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32669","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93962","CodeType":"CPT","Code":"63662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0296U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0575T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0205U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"58550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16867","CodeType":"CPT","Code":"33210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80184","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD9P","Code":"37.27","CodeVersion":"2017","CustomName":"CARDIAC MAPPING"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78911","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83625","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4285","CodeVersion":"2020","CustomName":"POLYCARBONATE BOTTLE USE W\/BREAST PUMP REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0041","CodeVersion":"2020","CustomName":"PATIENT AND\/OR CARE PARTNER DECLINE REFERRAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2319","CodeVersion":"2020","CustomName":"TRIFOCAL SEG WIDTH OVER 28 MM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9420","CodeVersion":"2020","CustomName":"HOSPITAL CALL"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9700","CodeVersion":"2020","CustomName":"SUP OF INJ CONTRST MAT-ECHO P\/STUDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6610","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4153","CodeVersion":"2020","CustomName":"DERMAVEST AND PLURIVEST PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0780","CodeVersion":"2020","CustomName":"INJ PROCHLORPERAZINE TO 10 MG"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8689","CodeVersion":"2020","CustomName":"EXT RECHARG SYS BATTRY IMPL NEUROSTIM REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9248","CodeVersion":"2020","CustomName":"INJECTION CLEVIDIPINE BUTYRATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6191","CodeVersion":"2020","CustomName":"SEMI-PRECISION ABUTMENT - PLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5364","CodeVersion":"2020","CustomName":"DYSPHAGIA SCREENING"},{"ServiceGroup":"104839","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0514","CodeVersion":"2020","CustomName":"PHRM DISPENSING FEE INHALATION RX; PER 90 DAYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4031","CodeVersion":"2020","CustomName":"SPERM PROCUREMENT&CRYOPRES SRVC; SUBSQT VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4290","CodeVersion":"2020","CustomName":"SACRAL NERVE STIMULATION TEST LEAD EACH"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"39402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105255","CodeType":"CPT","Code":"24359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6647","CodeVersion":"2020","CustomName":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1002","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0302","CodeVersion":"2020","CustomName":"HOS BED XTRA HEVY DUTY WT CAP>600 PDS W\/O MTTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9347","CodeVersion":"2020","CustomName":"F\/U REC NOT DOC ACC REC GLS PNS RSN NOT GVN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8956","CodeVersion":"2020","CustomName":"PT RECV MAINT HEMODIALYSIS IN O\/P DIALYSIS FAC"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3426","CodeVersion":"2020","CustomName":"APICOECTOMY"},{"ServiceGroup":"9510","CodeType":"REV","Code":"0191","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level I"},{"ServiceGroup":"13127","CodeType":"REV","Code":"0802","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)"},{"ServiceGroup":"313","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"55794","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"623","CodeVersion":"2020","CustomName":"NEONATE, BWT OVER 2499G, W SIG OR PROC, W\/O MULT MAJOR PROB-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"240","CodeVersion":"2020","CustomName":"Connective tissue disorders with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"509","CodeVersion":"2020","CustomName":"Full thickness burn without skin graft or inhalation injury without CC or significant trauma"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"798","CodeVersion":"2020","CustomName":"TUBERCULOSIS W\/ OPERATING ROOM PROCEDURES-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"726","CodeVersion":"2020","CustomName":"Benign Prostatic Hypertrophy without MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"895","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence with Rehabilitation Therapy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0161U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100266","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39604","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33991","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3471F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0322U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3117F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0309U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38676","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"63048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90385","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81058","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1025","CodeVersion":"2020","CustomName":"PATIENT MONTH >1 MCP PROVIDER LISTED FOR MONTH"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5984","CodeVersion":"2020","CustomName":"RADIATION SHIELD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3334","CodeVersion":"2020","CustomName":"LIFT ELEVATION HEEL PER INCH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9317","CodeVersion":"2020","CustomName":"INJECTION SACITUZUMAB GOVITECAN-HZIY 2.5 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0600","CodeVersion":"2020","CustomName":"NON-IONIZING DX PROC CPBL QUANTIFYING MON & REC"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9870","CodeVersion":"2020","CustomName":"RECEIPT & ANALYSIS REMOTE ASYNC IMAGES 20\/> MINS"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8921","CodeVersion":"2020","CustomName":"TTE W\/CONTRAST OR W\/O FLW W\/CONTRAST; COMPLETE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5289","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM ADPTR\/BOOT CPLG RECV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3450","CodeVersion":"2020","CustomName":"HEEL SACH CUSHION TYPE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0391","CodeVersion":"2020","CustomName":"INTEPR DX IMAG PRACTITNER NOT ASSOC CAP IMAG RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0304","CodeVersion":"2020","CustomName":"HOS BED EXTRA HEAVY DUTY WT CAP>600 PDS MATTRSS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6810","CodeVersion":"2020","CustomName":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0422","CodeVersion":"2020","CustomName":"INTENSIVE CARD REHAB; W\/WO CONT ECG MON W\/EXER"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5982","CodeVersion":"2020","CustomName":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6640","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9060","CodeVersion":"2020","CustomName":"FRESH FROZEN PLASMA DONOR RETESTED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2116","CodeVersion":"2020","CustomName":"AFO TIB FX ORTHOS RIGID PRFAB W\/FIT & ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4264","CodeVersion":"2020","CustomName":"PERM IMPL CONTRACEPTIVE TUBAL OCCL DEV & DEL SYS"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9225","CodeVersion":"2020","CustomName":"HISTRELIN IMPLANT VANTAS 50 MG"},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"70498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9988","CodeVersion":"2020","CustomName":"PALLIATIVE CARE SVC PROV PT TIME DURING MEAS PER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9739","CodeVersion":"2020","CustomName":"CYSTURETHRSCPY INSRT TRANSPROSTAT IMPL; 1-3 IMPL"},{"ServiceGroup":"80919","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6792","CodeVersion":"2020","CustomName":"RETAINER CROWN - FULL CAST NOBLE METAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9941","CodeVersion":"2020","CustomName":"FABRICATION OF ATHLETIC MOUTHGUARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4152","CodeVersion":"2020","CustomName":"DERMAPURE PER SQUARE CENTIMETER"},{"ServiceGroup":"30401","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0152","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Obstetrics (OB)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0918","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Testing"},{"ServiceGroup":"14320","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"14320","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0269","CodeVersion":"2020","CustomName":"IV Therapy - Other IV Therapy"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93084","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106669","CodeType":"CPT","Code":"22612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39904","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83919","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91889","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0071A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91941","CodeType":"CPT","Code":"31295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92547","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.89","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF LOWER LIMB VEINS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4227","CodeVersion":"2020","CustomName":"AMNIOCORETM PER SQ CM"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7260","CodeVersion":"2020","CustomName":"ORAL ANTRAL FISTULA CLOSURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2600","CodeVersion":"2020","CustomName":"ADD LW EXT PELV HIP JNT CLEVIS\/THRUST BEAR FREE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6000","CodeVersion":"2020","CustomName":"PARTIAL HAND THUMB REMAINING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2730","CodeVersion":"2020","CustomName":"SPECIAL BASE CURVE GLASS OR PLASTIC PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3962","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W\/FIT&ADJ"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0050","CodeVersion":"2020","CustomName":"PT WITH CATHETER THAT HV LIMITED LIFE EXPECTANCY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2023","CodeVersion":"2020","CustomName":"SUPPORTED EMPLOYMENT PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D9947","CodeVersion":"2020","CustomName":"CUSTOM SLEEP APNEA APPL FABRICATION & PLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9254","CodeVersion":"2020","CustomName":"INJECTION LACOSAMIDE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A0429","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE BLS EMERGENCY TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0954","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY FOOT BOX ANY TYPE EACH FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9694","CodeVersion":"2020","CustomName":"HOSPICE SRVC UTILIZED BY PT ANY TIME DUR MSR PR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0791","CodeVersion":"2020","CustomName":"INJECTION CRIZANLIZUMAB-TMCA 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4420","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOS; USE BARRIER W\/LOCK FLNGE EA"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6150F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8666","CodeVersion":"2020","CustomName":"RISK-ADJ FCN STS SHLDR IMPR NOT MSR RSN NOT GIVN"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8710","CodeVersion":"2020","CustomName":"PATIENT PRESCRIBED OR DISPENSED ANTIBIOTIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9531","CodeVersion":"2020","CustomName":"PT DOC VENT SHUNT MXSYS TR\/CURR TAKING AP MED"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D2930","CodeVersion":"2020","CustomName":"PRFABR STAINLESS STEEL CROWN-PRIM"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5285","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM DIR AUDIO INPUT RECV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2389","CodeVersion":"2020","CustomName":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"22814","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0540","CodeVersion":"2020","CustomName":"Ambulance - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"31009","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"36589","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0127","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Oncology"},{"ServiceGroup":"50942","CodeType":"REV","Code":"0619","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - Other MRT"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"192","CodeVersion":"2020","CustomName":"Pancreas, liver, and shunt procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4276F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16679","CodeType":"ICD9P","Code":"54.21","CodeVersion":"2017","CustomName":"LAPAROSCOPY"},{"ServiceGroup":"41408","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83913","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93011","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91583","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"42472","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82572","CodeType":"CPT","Code":"52325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101103","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0705T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0073U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82397","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0166U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0012M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2750","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS PLATING CHROME\/NICKL-BAR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4211","CodeVersion":"2020","CustomName":"GINGIVECT\/PLSTY 1-3 CNTIG\/TOOTH BOUND SPACE-QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4125","CodeVersion":"2020","CustomName":"ARTHROFLEX PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9841","CodeVersion":"2020","CustomName":"RAS GENE MUT TST NOT PRF BEF INIT ANTI-EGFR MOAB"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9015","CodeVersion":"2020","CustomName":"INJECTION ALDESLEUKIN PER SINGLE USE VIAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0606","CodeVersion":"2020","CustomName":"POSTURAL DRAINAGE BOARD"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9003","CodeVersion":"2020","CustomName":"COUNSELING GROUP BY CHAPLAIN SERVICES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4030","CodeVersion":"2020","CustomName":"SPERM PROCUREMENT&CRYOPRES SERVICES; INIT VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9243","CodeVersion":"2020","CustomName":"INTRAVENOUS MOD SED\/ANAL-EA SUBSQT 15 MIN INCR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3303","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE HEXACETONIDE PER 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5264","CodeVersion":"2020","CustomName":"EAR MOLD\/INSERT NOT DISPOSABLE ANY TYPE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2550","CodeVersion":"2020","CustomName":"INJECTION PROMETHAZINE HCL UP TO 50 MG"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4014","CodeVersion":"2020","CustomName":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9040","CodeVersion":"2020","CustomName":"INJECTION BLEOMYCIN SULFATE 15 UNITS"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9411","CodeVersion":"2020","CustomName":"PT NOT ADM WI 180 D PST CIED W\/INF RQR DVC RMV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1090","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; DTACHBL ARMS FOOTREST"},{"ServiceGroup":"105524","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2615","CodeVersion":"2020","CustomName":"TELESCOPIC & OTH COMPOUND LENS SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0118","CodeVersion":"2020","CustomName":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST\/OPHTHLGIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0597","CodeVersion":"2020","CustomName":"INJ C-1 ESTERASE INHIB HUMN BERINERT 10 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0014","CodeVersion":"2020","CustomName":"TACRINE HYDROCHLORIDE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1003","CodeVersion":"2020","CustomName":"WC ACSS PWR SEAT SYS RECLINE W\/O SHEAR RDUC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0218","CodeVersion":"2020","CustomName":"FLUID CIRCULATING COLD PAD WITH PUMP ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7304","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7450","CodeVersion":"2020","CustomName":"REMV BEN ODONTOGNIC TUMR-T0 1.25 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0272","CodeVersion":"2020","CustomName":"MATTRESS FOAM RUBBER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9511","CodeVersion":"2020","CustomName":"IDX PHQ-9\/PHQ-9M SC>9 DOC DUR 12 MO DNOMN ID PRD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3470","CodeVersion":"2020","CustomName":"INTENTIONAL REIMPLANTATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9135","CodeVersion":"2020","CustomName":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0549","CodeVersion":"2020","CustomName":"Ambulance - Other Ambulance"},{"ServiceGroup":"38002","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"46903","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0254","CodeVersion":"2020","CustomName":"Pharmacy - Drugs Incident to Other Diagnostic Services"},{"ServiceGroup":"33832","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"9840","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"75487","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"247","CodeVersion":"2020","CustomName":"Signs and symptoms of musculoskeletal system and connective tissue"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"065","CodeVersion":"2020","CustomName":"Dysequilibrium"},{"ServiceGroup":"39136","CodeType":"DRG","Code":"227","CodeVersion":"2020","CustomName":"Soft tissue procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"330","CodeVersion":"2020","CustomName":"Urethral stricture, age 0-17"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"329","CodeType":"ICD9P","Code":"44.31","CodeVersion":"2017","CustomName":"HIGH GASTRIC BYPASS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78537","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22380","CodeType":"CPT","Code":"94060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105242","CodeType":"CPT","Code":"43193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87060","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4305F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"48510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52843","CodeType":"CPT","Code":"45385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0040U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107026","CodeType":"CPT","Code":"21245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3269F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4041F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3917","CodeVersion":"2020","CustomName":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2355","CodeVersion":"2020","CustomName":"INJECTION OPRELVEKIN 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8927","CodeVersion":"2020","CustomName":"TEE ASSESS CARD PUMP FUNCT&TX MSR IMMED TM BASIS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0642","CodeVersion":"2020","CustomName":"INJECTION LEVOLEUCOVORIN 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9720","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT OCCURRED ANY TM DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9580","CodeVersion":"2020","CustomName":"DOOR TO PUNCTURE TIME OF LESS THAN 90 MIN\/LESS"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2640","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED PALLADIUM-103 PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9943","CodeVersion":"2020","CustomName":"BP NOT MSR BY VAS W\/I 3 MOS PRE & AT 3 MOS P\/O"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9848","CodeVersion":"2020","CustomName":"PATIENT DID NOT RECV CHEMO LAST 14 DAYS OF LIFE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8600","CodeVersion":"2020","CustomName":"MELPHALAN ORAL 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7060","CodeVersion":"2020","CustomName":"5% DEXTROSE\/WATER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2038","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM FLUZONE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9681","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES COPD\/AS BILL SID-BNEF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0896","CodeVersion":"2020","CustomName":"INJECTION LUSPATERCEPT-AAMT 0.25 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9069","CodeVersion":"2020","CustomName":"ONC; STATUS; SCLC SM CELL&COMB SM\/NONSM; EXT MET"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D2330","CodeVersion":"2020","CustomName":"RESIN COMPOS - ONE SURFACE ANTERIOR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0180","CodeVersion":"2020","CustomName":"NONEMERG TRANSPORTATION: ANCILLARY: LODGNG-RECIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6243","CodeVersion":"2020","CustomName":"PONTIC - PORCELAIN FUSED TO TIT & TIT ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0416","CodeVersion":"2020","CustomName":"SURGICAL PATH PROSTATE NEEDLE BIOPSY ANY METHOD"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9575","CodeVersion":"2020","CustomName":"INJECTION GADOTERATE MEGLUMINE 0.1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6218","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL > 48 SQ W\/O ADHES EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9931","CodeVersion":"2020","CustomName":"DOC CHA2DS2-VASC RS 0\/1 FOR MN; \/0 1\/ 2 FOR WOMN"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9034","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"29930","CodeType":"REV","Code":"0809","CodeVersion":"2020","CustomName":"Inpatient Renal Dialysis - Other Inpatient Dialysis"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"34765","CodeType":"REV","Code":"0380","CodeVersion":"2020","CustomName":"Blood and Blood Components - General Classification"},{"ServiceGroup":"32595","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"218","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91687","CodeType":"CPT","Code":"65780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44325","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"56606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0261U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4163F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3498F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0327U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61558","CodeType":"CPT","Code":"20900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89337","CodeType":"HCPCS","Code":"H0010","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG IP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0174","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2799","CodeVersion":"2020","CustomName":"INTERIM CR - FUR TX\/COMPL DX NES PRI FINAL IMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9970","CodeVersion":"2020","CustomName":"PROV REF PT ANR PROV NOT RECV RPRT PROV PT REF"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5915","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2208","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7131","CodeVersion":"2020","CustomName":"HYPERTONIC SALINE SOLUTION 1 ML"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3257","CodeVersion":"2020","CustomName":"ORTHOPEDIC FOOTWEAR ADDITIONAL CHARGE SPLIT SIZE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2300","CodeVersion":"2020","CustomName":"INJECTION NALBUPHINE HCL PER 10 MG"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6100","CodeVersion":"2020","CustomName":"SURGICAL REMOVAL OF IMPLANT BODY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8924","CodeVersion":"2020","CustomName":"TTE FLW W\/CNTRST R-T 2D INCL M-MODE REC FU\/LTD"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0069","CodeVersion":"2020","CustomName":"PROF SRVC ADM SUBQ IMT ADM CAL DA IND HM EA 15 M"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4176F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8015","CodeVersion":"2020","CustomName":"EXT BRST PROS GARMNT W\/MASTECT FORM POST-MASTECT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7450","CodeVersion":"2020","CustomName":"REMV BEN ODONTOGNIC TUMR-T0 1.25 CM"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D9934","CodeVersion":"2020","CustomName":"CLEANING & INSPECTION REMV PART DENTUR MAXILLARY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7505","CodeVersion":"2020","CustomName":"MUROMONAB-CD3 PARENTERAL 5 MG"},{"ServiceGroup":"111388","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"107852","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"76947","CodeType":"REV","Code":"0655","CodeVersion":"2020","CustomName":"Hospice Service - Inpatient Respite Care"},{"ServiceGroup":"19594","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"34923","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"12359","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"75483","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0924","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Allergy Test"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3395F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106709","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"ICD9P","Code":"37.22","CodeVersion":"2017","CustomName":"LEFT HEART CARDIAC CATHETERIZATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"71015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88159","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3342F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3345F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0011U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34872","CodeType":"ICD9P","Code":"13.72","CodeVersion":"2017","CustomName":"SEC INSERTION OF INTRAOCULAR LENS PROSTHESIS"},{"ServiceGroup":"12597","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0709T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87524","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"43939","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90426","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36589","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4043F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0115U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4169","CodeVersion":"2020","CustomName":"ARTACENT WOUND PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9543","CodeVersion":"2020","CustomName":"DOCUMENTATION AT LEAST TWO ATTEMPTS TO REACH PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7204","CodeVersion":"2020","CustomName":"INJ FAC VIII ANTIHEM FAC GLYCOPEGYLATD-EXEI P-IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2608","CodeVersion":"2020","CustomName":"SKN PROTCT&PSTN WC SEAT CUSHN WDTH 22 IN\/GT DPTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7509","CodeVersion":"2020","CustomName":"FLTR HLDR&INTGR FLTR HOUS&ADHES TRACHEOSTOMA"},{"ServiceGroup":"78377","CodeType":"HCPCS","Code":"H0010","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG IP"},{"ServiceGroup":"113624","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"10931","CodeType":"HCPCS","Code":"A4213","CodeVersion":"2020","CustomName":"SYRINGE STERILE 20 CC OR GREATER EACH"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9245","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN HCI NOS 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2086","CodeVersion":"2020","CustomName":"OFF-BASED TX OPIOID USE D\/O; AL 70 MIN 1ST CA MO"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0595","CodeVersion":"2020","CustomName":"DISPNSING NEW SPECTACLE LENSES PT SUPPLIED FRAME"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3304","CodeVersion":"2020","CustomName":"INJECT TRIAMCINOLONE ACETONIDE PF ER MS F 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2639","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED IODINE-125 PER SOURCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4364","CodeVersion":"2020","CustomName":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9318","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107090","CodeType":"CPT","Code":"20650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16693","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9033","CodeVersion":"2020","CustomName":"PLATELETS LEUKOCYTES REDUCED IRRADIATED EA UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5993","CodeVersion":"2020","CustomName":"MAINT CLEAN MAXILLOFACIAL PROSTH OTH THN REQ ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1034","CodeVersion":"2020","CustomName":"ARTIF PANCREAS DEVC SYS THAT CMNCT W\/ALL DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2129","CodeVersion":"2020","CustomName":"PROC RELATED BP'S NOT TAKEN DURING AN OP VISIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1013","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9956","CodeVersion":"2020","CustomName":"INJECTION OCTAFLUOROPROPANE MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4382","CodeVersion":"2020","CustomName":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2250","CodeVersion":"2020","CustomName":"INJECTION MIDAZOLAM HCL PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2112","CodeVersion":"2020","CustomName":"ARTHROSCOPY KNEE SURGICAL HARVESTING CARTILAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6120","CodeVersion":"2020","CustomName":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1\/2 CUFF"},{"ServiceGroup":"24006","CodeType":"REV","Code":"0611","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Brain\/Brainstem"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0988","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CONSULTATION"},{"ServiceGroup":"76041","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0379","CodeVersion":"2020","CustomName":"Anesthesia - Other Anesthesia"},{"ServiceGroup":"9863","CodeType":"REV","Code":"0201","CodeVersion":"2020","CustomName":"Intensive Care Unit - Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"267","CodeVersion":"2020","CustomName":"Perianal and pilonidal procedures"},{"ServiceGroup":"107733","CodeType":"DRG","Code":"786","CodeVersion":"2020","CustomName":"MAJOR HEAD \"&\" NECK PROCEDURES FOR MALIGNANCY-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"73201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23474","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"CPT","Code":"99512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4188F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100272","CodeType":"CPT","Code":"90657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"73220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102260","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3118F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"60210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86312","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.53","CodeVersion":"2017","CustomName":"LIG&STRIPPING VARICOSE VEINS UPPER LIMB VESSELS"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0109","CodeVersion":"2020","CustomName":"METHADONE ORAL 5MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8415","CodeVersion":"2020","CustomName":"SUPPLIES FOR HOME DELIVERY OF INFANT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2920","CodeVersion":"2020","CustomName":"RECEMENT CROWN"},{"ServiceGroup":"75522","CodeType":"HCPCS","Code":"H0017","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH; RES W\/O ROOM&BOARD PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2120","CodeVersion":"2020","CustomName":"PULSE GEN SYS TYMPANIC TX INNR EAR ENDOLYMPH FL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6237","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL 16 SQ\/< ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3400","CodeVersion":"2020","CustomName":"METATARSAL BAR WEDGE ROCKER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6104","CodeVersion":"2020","CustomName":"BONE GRAFT AT TIME OF IMPLANT PLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3918","CodeVersion":"2020","CustomName":"HAND ORTHOSIS METACARPAL FX ORTHOSIS PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6722","CodeVersion":"2020","CustomName":"TERM DEVC HOOK\/HAND HVY-DUTY MECH VOL CLOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4615","CodeVersion":"2020","CustomName":"CANNULA NASAL"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9991","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE EXT-RLSE <\/= TO 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9358","CodeVersion":"2020","CustomName":"POST-PARTUM SCREEN EVAL EDUCATION NOT PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0288","CodeVersion":"2020","CustomName":"RECON CT ANGIO AORTA SURG PLANNING VASC SURG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7799","CodeVersion":"2020","CustomName":"NOC RX OTH THAN INHALATION RX ADMINED THRU DME"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2053","CodeVersion":"2020","CustomName":"BREXUCABTAGENE AUTOLCL AU ANTI-CD19 CAR P V T C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9374","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4275F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6120","CodeVersion":"2020","CustomName":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1\/2 CUFF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4005","CodeVersion":"2020","CustomName":"INTERIM LABOR FACILITY GLOBAL"},{"ServiceGroup":"36137","CodeType":"ICD10P","Code":"3E033U0","CodeVersion":"2020","CustomName":"INTRODUCTION AUTO PANC ISLET CELL PERIPH VN PERQ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0743","CodeVersion":"2020","CustomName":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0028","CodeVersion":"2020","CustomName":"INJECTION FAMOTIDINE 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4601","CodeVersion":"2020","CustomName":"LITHIUM ION BATT RECHARG NONPROS USE REPLACEMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2502","CodeVersion":"2020","CustomName":"SPCH GEN DEVC DIGTIZD>8 MINS <= 20 MINS REC TIME"},{"ServiceGroup":"17621","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"16","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0547","CodeVersion":"2020","CustomName":"Ambulance - Pharmacy"},{"ServiceGroup":"90356","CodeType":"REV","Code":"0841","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - CAPD\/Composite or Other Rate"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3756F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73","CodeVersion":"2017","CustomName":"OTHER PROCEDURES INDUCING OR ASSISTING DELIVERY"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86753","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77338","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0287T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106710","CodeType":"CPT","Code":"62350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4290F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0326T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0041U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41.04","CodeVersion":"2017","CustomName":"AUTOL HEMATOPOIETIC STEM CELL TPLNT W\/O PURGING"},{"ServiceGroup":"45150","CodeType":"CPT","Code":"98928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102419","CodeType":"CPT","Code":"93590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4510F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106101","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82114","CodeType":"CPT","Code":"29882","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0466","CodeVersion":"2020","CustomName":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1014","CodeVersion":"2020","CustomName":"D\/C\/DISCONT EPISODE OF CARE DOC MEDICAL RECORD"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0035","CodeVersion":"2020","CustomName":"PT ED ENC DURING PERF PER WITH POS INDICATOR 23"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4596","CodeVersion":"2020","CustomName":"CES SYSTEM SUPPLIES & ACCESSORIES PER MONTH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5505","CodeVersion":"2020","CustomName":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5107","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-AWWB BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1321","CodeVersion":"2020","CustomName":"CNSL ORAL BEHAV & SYS HLTH EFF HI-RISK SUBST USE"},{"ServiceGroup":"91658","CodeType":"ICD10P","Code":"10E0XZZ","CodeVersion":"2020","CustomName":"DELIVERY PRODUCTS OF CONCEPTION EXTERNAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6154","CodeVersion":"2020","CustomName":"WOUND POUCH EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7518","CodeVersion":"2020","CustomName":"MYCOPHENOLIC ACID ORAL 180 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5165","CodeVersion":"2020","CustomName":"HOME MODIFICATIONS; PER SERVICE"},{"ServiceGroup":"106294","CodeType":"HCPCS","Code":"A0427","CodeVersion":"2020","CustomName":"AMB SERVICE ALS EMERGENCY TRANSPORT LEVEL 1"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L4080","CodeVersion":"2020","CustomName":"REPLACE METAL BANDS KAFO PROXIMAL THIGH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9254","CodeVersion":"2020","CustomName":"INJECTION LACOSAMIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2115","CodeVersion":"2020","CustomName":"LENTICULAR PER LENS SINGLE VISION"},{"ServiceGroup":"46693","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21029","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2012","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH DAY TREATMENT PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6116","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXED DENTURE PART EDENT ARCH-MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6194","CodeVersion":"2020","CustomName":"ABUTMENT SUPP RETAIN CROWN FPD - TIT & TIT ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9375","CodeVersion":"2020","CustomName":"HIT HYDRATION TX; >1 LITER NO>2 LITERS DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8905","CodeVersion":"2020","CustomName":"MR IMAG W\/O CONTRST FLWED W\/CONTRST BRST; UNI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2094","CodeVersion":"2020","CustomName":"DOC PT REASON NO PRSC ACE INHIB\/ARB\/ARNI THERAPY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q2049","CodeVersion":"2020","CustomName":"INJ DOXORUBICIN HCI LIP IMPORTED LIPODOX 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1527","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - REMOVABLE - BILATERAL, MANDIB"},{"ServiceGroup":"17069","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"62097","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"62332","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"27249","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"91753","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"87840","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"30475","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"12682","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"37260","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"16392","CodeType":"REV","Code":"0540","CodeVersion":"2020","CustomName":"Ambulance - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0969","CodeVersion":"2020","CustomName":"Professional Fees - Other Professional Fee"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"517","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures without acute myocardial infarction (AMI) with coronary artery stent implant"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"513","CodeVersion":"2020","CustomName":"Pancreas transplant"},{"ServiceGroup":"23348","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0324T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104042","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0144A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0078T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86824","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38705","CodeType":"ICD9P","Code":"37.26","CodeVersion":"2017","CustomName":"CARD EP STIMULATION&RECORDING STUDIES"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"39541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3750F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1110F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90157","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106916","CodeType":"CPT","Code":"31241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105219","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2810","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0269","CodeVersion":"2020","CustomName":"PLCMT OCCL DEVC VENUS\/ART POST SURG\/INTRVNL PROC"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2619","CodeVersion":"2020","CustomName":"REPL COVER WHEELCHAIR SEAT CUSHN\/BACK CUSHN EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4196","CodeVersion":"2020","CustomName":"PURAPLY AM PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7961","CodeVersion":"2020","CustomName":"BUCCAL\/LABIAL FRENECTOMY FRENULECTOMY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9120","CodeVersion":"2020","CustomName":"INJECTION DACTINOMYCIN 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3201","CodeVersion":"2020","CustomName":"ORTHOPED SHOE OXFORD W\/SUPINATOR\/PRONATOR INFNT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5987","CodeVersion":"2020","CustomName":"COMMISSURE SPLINT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8999","CodeVersion":"2020","CustomName":"UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2265","CodeVersion":"2020","CustomName":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0508","CodeVersion":"2020","CustomName":"TRIFOCAL VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9284","CodeVersion":"2020","CustomName":"NSCLC BX CYT RPRT NOT DOC H TYP\/NSCLC-NOS W\/E"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9068","CodeVersion":"2020","CustomName":"ONC; STATUS; SC& COMB SM\/NONSM; LTD NO PROGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2786","CodeVersion":"2020","CustomName":"INJECTION RESLIZUMAB 1 MG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2054","CodeVersion":"2020","CustomName":"LM >=110 MIL AUTOL ANTI-CD19 CAR-POS VIABL TC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6066","CodeVersion":"2020","CustomName":"IMPLANT SUPP CROWN - PORCELAIN FUSED HI NBL ALY"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109794","CodeType":"CPT","Code":"0402T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0055U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72286","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44712","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4034","CodeVersion":"2020","CustomName":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8883","CodeVersion":"2020","CustomName":"BIOPSY RESULTS REVIEW COMMUNICATED TRACKED & DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1832","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0030","CodeVersion":"2020","CustomName":"BEHAVIORAL HEALTH HOTLINE SERVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7680","CodeVersion":"2020","CustomName":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0482","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0175","CodeVersion":"2020","CustomName":"SCHED INTERDISCIPLINARY TEAM CONF W\/PT PRESENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8963","CodeVersion":"2020","CustomName":"CARD STRSS IMAG PRIM MON ASX PT HAD PCI W\/I 2 YR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J8521","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3485","CodeVersion":"2020","CustomName":"INJECTION ZIDOVUDINE 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4342","CodeVersion":"2020","CustomName":"PRDONTAL SCAL&ROOT PLAN 1-3 TEETH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7175","CodeVersion":"2020","CustomName":"INJECTION FACTOR X 1 I.U."},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9404","CodeVersion":"2020","CustomName":"PT DID NOT RCV F\/U DATE D\/C\/WI 30 DAYS AFTER D\/C"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9355","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB EXCLUDES BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0026","CodeVersion":"2020","CustomName":"ALCOHL&\/RX PREVENTION PROCESS SERVICE CMTY-BASED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1840","CodeVersion":"2020","CustomName":"DYN ADJUSTBL SHLDR FLX\/ABDCT\/ROT DEVC SFT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1034","CodeVersion":"2020","CustomName":"PROV COVID-19 TST NP SA & SELF-COLL 1 TST CNT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1557","CodeVersion":"2020","CustomName":"REMOVAL OF FIXED BILATERAL SPACE MNTNR - MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1556","CodeVersion":"2020","CustomName":"REMOVAL OF FIXED UNI SPACE MAINTAINER - PER QUAD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1950","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE ACETATE PER 3.75 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0887","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1035","CodeVersion":"2020","CustomName":"ADULTS DELIB PH OUT MAT PRI TO 180 DA CONT TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0136","CodeVersion":"2020","CustomName":"CLOZAPINE 25 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4108","CodeVersion":"2020","CustomName":"INTEGRA MATRIX PER SQ CM"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4009","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7606","CodeVersion":"2020","CustomName":"FORMOTEROL FUMARATE INHAL SOL U DOSE FORM 20 MCG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2067","CodeVersion":"2020","CustomName":"MEDICATION ASSISSTED TX METHADONE; WEEKLY BUNDLE"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"20801","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0382","CodeVersion":"2020","CustomName":"Blood and Blood Components - Whole Blood"},{"ServiceGroup":"30096","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"3449","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3390F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.56","CodeVersion":"2017","CustomName":"APPLICATION OF PRESSURE DRESSING"},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.7","CodeVersion":"2017","CustomName":"SPEECH&READING REHAB&REHAB BLIND"},{"ServiceGroup":"91887","CodeType":"CPT","Code":"26735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"54.51","CodeVersion":"2017","CustomName":"LAPAROSCOPIC LYSIS OF PERITONEAL ADHESIONS"},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"56464","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78699","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94363","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107098","CodeType":"CPT","Code":"21088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90600","CodeType":"CPT","Code":"66830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0608T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"299","CodeType":"ICD9P","Code":"92.31","CodeVersion":"2017","CustomName":"SINGLE SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"79561","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83677","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3760F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"16020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13631","CodeType":"CPT","Code":"99213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2394","CodeVersion":"2020","CustomName":"RESIN COMPOS - 4\/MORE SURFACES POST"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1067","CodeVersion":"2020","CustomName":"HOSPICE SVC FOR PT PROV ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0071","CodeVersion":"2020","CustomName":"PMT CMNCT TECH-BASED SERVICES; RHC OR FQHC ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2781","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST PREDOM BASE METL"},{"ServiceGroup":"84161","CodeType":"HCPCS","Code":"S2300","CodeVersion":"2020","CustomName":"ARTHROSCOPE SHLDR SURG; W\/THERML-INDUCD CPSLORR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0433","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4153","CodeVersion":"2020","CustomName":"ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2185","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM 100 MG"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9427","CodeVersion":"2020","CustomName":"IMP MED TM ED AR-INIT PAIN MED ADMIN NOT PRF ADM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4169","CodeVersion":"2020","CustomName":"ARTACENT WOUND PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9283","CodeVersion":"2020","CustomName":"FOOT PRESSURE OFF LOAD\/SUPP DEVICE ANY TYPE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9156","CodeVersion":"2020","CustomName":"EVALUAT WHEELCHAIR REQ FACE-FACE VISIT PHYSICIAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8909","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITH CONTRAST CHEST"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4208","CodeVersion":"2020","CustomName":"NOVAFIX PER SQ CM"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9027","CodeVersion":"2020","CustomName":"INJECTION CLOFARABINE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1012","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPPORT MECHANISM AGILEMD"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2128","CodeVersion":"2020","CustomName":"KAFO FX ORTHOSIS FEM FX CAST ORTHOSIS CSTM FAB"},{"ServiceGroup":"10570","CodeType":"HCPCS","Code":"S9330","CodeVersion":"2020","CustomName":"HIT CONT CHEMOTHAPY INFUS; CARE COORD PER DIEM"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C2627","CodeVersion":"2020","CustomName":"CATHETER SUPRAPUBIC\/CYSTOSCOPIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7170","CodeVersion":"2020","CustomName":"INJECTION EMICIZUMAB-KXWH 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0330","CodeVersion":"2020","CustomName":"PANORAMIC RADIOGRAPHIC IMAGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9610","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN PT REC NOT ORD ANTIPLATELET AGT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1839","CodeVersion":"2020","CustomName":"IRIS PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7949","CodeVersion":"2020","CustomName":"LEFORT II\/LEFORT III - W\/BONE GRAFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4023","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9809","CodeVersion":"2020","CustomName":"PATIENTS USE HOSPICE SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7293","CodeVersion":"2020","CustomName":"PLACEMENT TEMP ANCHORAGE DEVC RQR FLAP"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10A07Z6","CodeVersion":"2020","CustomName":"ABORTION PRODUCT OF CONCEPTION VACUUM NAT\/ART OP"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"2004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33962","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38209","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28783","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0904","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Activity Therapy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"56483","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0167","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Self Care"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"61896","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"105569","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"53542","CodeType":"DRG","Code":"895","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence with Rehabilitation Therapy"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"73080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69700","CodeType":"ICD9P","Code":"86.95","CodeVersion":"2017","CustomName":"INS\/REPL MX ARRAY NEURSTIM PULSE GEN NOT RECHRG"},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111994","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"0545T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0031U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43497","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3126F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83068","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62260","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3344F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4168F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33967","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0310T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3294F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93025","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99151","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91888","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83061","CodeType":"ICD9P","Code":"39.72","CodeVersion":"2017","CustomName":"ENDOVASCULAR TOTAL EMBOLIZ\/OCCL HEAD & NECK VES"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93011","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0220T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9550","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6360","CodeVersion":"2020","CustomName":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9284","CodeVersion":"2020","CustomName":"SPIROMETER NONELECTRONIC INCL ALL ACCESSORIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9656","CodeVersion":"2020","CustomName":"PT TRANS DIRECT F ANES LOC TO PACE\/OTH N-ICU LOC"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5683","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM INSRT NO CNGN\/TRAUMAT AMP INIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1004","CodeVersion":"2020","CustomName":"LW FRQ U\/S DIA TX DVC HM USE INCL CMPNT & ACCESS"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8909","CodeVersion":"2020","CustomName":"PT DOC NOT HAVE RECEIVED BURN PRIOR DISCHARGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7946","CodeVersion":"2020","CustomName":"LEFORT I MAXILLA TOTAL"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5616","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7041","CodeVersion":"2020","CustomName":"WATER SEAL DRAINAGE CONTAINER & TUBING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0042","CodeVersion":"2020","CustomName":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2091","CodeVersion":"2020","CustomName":"PT 66&>CLM FRLTY & 1 AC IP ADV ILL MP\/YR PR MP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9070","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE 100 MG"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7295","CodeVersion":"2020","CustomName":"ETHINYL ESTRAD&ETONOG 0.015 0.12MG\/24H M VAG RNG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2270","CodeVersion":"2020","CustomName":"INJECTION MORPHINE SULFATE UP TO 10 MG"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9938","CodeVersion":"2020","CustomName":"PT 66\/> INST SNP\/RESID LTC >90 DAYS DUR MSR PRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9420","CodeVersion":"2020","CustomName":"SPEC SITE OTH THAN LOC LUNG\/NOT CLASS PRIM NSCLC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4211","CodeVersion":"2020","CustomName":"AMNION BIO OR AXOBIOMEMBRANE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1027","CodeVersion":"2020","CustomName":"NUM ADULT M DEN HD PRC LST HD RPT M CATH CNT <3M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2400","CodeVersion":"2020","CustomName":"INJECTION CHLOROPROCAINE HCL PER 30 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9787","CodeVersion":"2020","CustomName":"PATIENT ALIVE AS OF THE LAST DAY OF THE MSR YEAR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9002","CodeVersion":"2020","CustomName":"COUNSELING INDIVIDUAL BY CHAPLAIN SERVICES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0382","CodeVersion":"2020","CustomName":"BLS ROUTINE DISPOSABLE SUPPLIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8753","CodeVersion":"2020","CustomName":"MOST RECENT SYSTOLIC BLOOD PRESSURE >= 140MM HG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0868","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD SLING SEAT PT TO & = 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0021","CodeVersion":"2020","CustomName":"INJECTION CEFOPERAZONE SODIUM 1 GM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4113","CodeVersion":"2020","CustomName":"GRAFTJACKET XPRESS INJECTABLE 1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1303","CodeVersion":"2020","CustomName":"INJECTION RAVULIZUMAB-CWVZ 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2069","CodeVersion":"2020","CustomName":"MED ASST TX BUPRENORPHINE INJ; WEEKLY BUNDLE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0522","CodeVersion":"2020","CustomName":"FREE-STANDING CLINIC - HOME VISIT BY RHC\/FQHC PRACTITIONER"},{"ServiceGroup":"70939","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0825","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Support Services"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0329","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Other Radiology - Diagnostic"},{"ServiceGroup":"68189","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0722","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Delivery Room"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0840","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - General Classification"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0309","CodeVersion":"2020","CustomName":"Laboratory - Other Laboratory"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86376","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4561F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"7020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4256F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90437","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78469","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74603","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68781","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3318F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26281","CodeType":"CPT","Code":"58353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"43204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22858","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78444","CodeType":"CPT","Code":"59620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82113","CodeType":"CPT","Code":"29876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77579","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1722","CodeVersion":"2020","CustomName":"CARDIOVERTER-DEFIBRILLATOR SINGLE CHAMBER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1887","CodeVersion":"2020","CustomName":"CATHETER GUIDING"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9600","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX ELUT IC STENTS; 1 MAJ CA\/BR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2204","CodeVersion":"2020","CustomName":"PT BTWN 50 & 85 YOA RCVD SCR COLO DUR PFRF PER"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4396","CodeVersion":"2020","CustomName":"STATIC\/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9957","CodeVersion":"2020","CustomName":"DOCUMENTATION MEDICAL REASON NOT RECV COMB TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0093","CodeVersion":"2020","CustomName":"INJECTION MORPHINE SULFATE 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"R0075","CodeVersion":"2020","CustomName":"TRANS PRTBL XRAY EQP&PERS HOM\/NRS HOM-TRIP>1 PT"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9592","CodeVersion":"2020","CustomName":"COPPER CU-64 DOTATATE DIAGNOSTIC 1 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5116","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-QYYP BIOSIMILAR 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9355","CodeVersion":"2020","CustomName":"COLLAGEN NERVE CUFF PER 0.5 CENTIMETER LENGTH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5450","CodeVersion":"2020","CustomName":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9570","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2109","CodeVersion":"2020","CustomName":"1 VISN+\/- 4.25-+\/- 7.00D SPHER 4.25-6.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9289","CodeVersion":"2020","CustomName":"NSCLC BX CYTOLOGY RPT DOC H TYPE\/NSCLC-NOS EXPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4133","CodeVersion":"2020","CustomName":"GRAFIX PRM GRAFIXPL PRM STRAVIX & STRAVIXPL P SC"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9520","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TILMANOCEPT DX TO 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9527","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IODIDE SOL TX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2940","CodeVersion":"2020","CustomName":"INJECTION SOMATREM 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9147","CodeVersion":"2020","CustomName":"OP IV INSULIN TX MEASURE: RQ; &\/UUN; &\/GLU; &\/K+"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1760","CodeVersion":"2020","CustomName":"CLOSURE DEVICE VASCULAR"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2699","CodeVersion":"2020","CustomName":"BRACHYTHERAPY SOURCE NONSTRANDED NOS PER SOURCE"},{"ServiceGroup":"107695","CodeType":"HCPCS","Code":"S2079","CodeVersion":"2020","CustomName":"LAP ESOPHAGOMYOTOMY HELLER TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9037","CodeVersion":"2020","CustomName":"INJECTION BELANTAMAB MAFODONTIN-BLMF 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0490","CodeVersion":"2020","CustomName":"TLSO SAGIT-CORONAL W\/OVRLAP REINFORCED ANT PRFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S1016","CodeVersion":"2020","CustomName":"NON-PVC IV ADMN SET W\/RX THAT ARE NOT STABL PVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0242","CodeVersion":"2020","CustomName":"BATHTUB RAIL FLOOR BASE"},{"ServiceGroup":"84161","CodeType":"HCPCS","Code":"G0289","CodeVersion":"2020","CustomName":"SCOPE KNEE REMV FB\/SHAV TM OTH SURG DIFF CMPRTMT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8421","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE&GLOVE READY MADE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4483","CodeVersion":"2020","CustomName":"MOISTR EXCHGR DISPBL USE W\/INVASV MECH VENT"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4430","CodeVersion":"2020","CustomName":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9965","CodeVersion":"2020","CustomName":"LOCM 100-199 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75493","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"78579","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"31125","CodeType":"DRG","Code":"791","CodeVersion":"2020","CustomName":"WOUND DEBRIDEMENTS FOR OPEN WOUND INJURIES-NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"374","CodeVersion":"2020","CustomName":"Vaginal delivery with sterilization and\/or dilation and curettage"},{"ServiceGroup":"31782","CodeType":"DRG","Code":"258","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy without CC"},{"ServiceGroup":"49062","CodeType":"DRG","Code":"233","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90682","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62361","CodeType":"CPT","Code":"92610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87968","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0091A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"71550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91454","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35734","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4560F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0030T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.21","CodeVersion":"2017","CustomName":"BIOPSY OF BLOOD VESSEL"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"33218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105490","CodeType":"CPT","Code":"29874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0474T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0637","CodeVersion":"2020","CustomName":"INJECTION CASPOFUNGIN ACETATE 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0857","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO &=300 LB"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6219","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL 16 SQ\/LESS W\/ADHES BORDR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7638","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD UNIT DOSE PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9395","CodeVersion":"2020","CustomName":"INJECTION FULVESTRANT 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6721","CodeVersion":"2020","CustomName":"RETAINER CROWN-RESIN W\/PREDOMINANTLY BASE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4690","CodeVersion":"2020","CustomName":"DIALYZER ALL TYPES ALL SIZES HEMODIALYSIS EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0731","CodeVersion":"2020","CustomName":"FORM-FITTING CONDUCTIVE GARMENT DELIV TENS\/NMES"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8530","CodeVersion":"2020","CustomName":"CYCLOPHOSPHAMIDE ORAL 25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1095","CodeVersion":"2020","CustomName":"INJECTION DEXAMETHASONE 9% INTRAOCULAR 1 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7007","CodeVersion":"2020","CustomName":"LG VOL NEBULIZR DISPBL UNFIL USED W\/AROSL COMPRS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1951","CodeVersion":"2020","CustomName":"INJECTION LEUPROLIDE AC FOR DEPOT SUSP 0.25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0156","CodeVersion":"2020","CustomName":"SEAT ATTACHMENT WALKER"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9593","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"22100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9655","CodeVersion":"2020","CustomName":"A TRANSFER OF CARE PROTOCOL\/H\/O TOOL\/CHECKLIST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1833","CodeVersion":"2020","CustomName":"MNTR CARDIAC INC INTRACARDIAC LEAD &ALL SYS COMP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6118","CodeVersion":"2020","CustomName":"IMPL\/ABUT SPTD INTRM FIX DENTUR EDENT ARCH-MAND"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0069","CodeVersion":"2020","CustomName":"REAR WHL ASM CMPL SLD TIRE SPKE\/MLD REPL ONLY EA"},{"ServiceGroup":"9053","CodeType":"ICD10P","Code":"0D160JA","CodeVersion":"2020","CustomName":"BYPASS STOMACH TO JEJUNUM SYNTH SUBST OPEN APPR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2781","CodeVersion":"2020","CustomName":"CROWN - 3\/4 CAST PREDOM BASE METL"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9255","CodeVersion":"2020","CustomName":"DOC PT D\/C HOME NO LTR THAN PST OP DAY 2 FLW CAS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5093","CodeVersion":"2020","CustomName":"OSTOMY ACCESSORY; CONVEX INSERT"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2017","CodeVersion":"2020","CustomName":"INJECTION TENIPOSIDE 50 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7322","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE HYMOVIS IA INJ 1 MG"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96201","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"12119","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"99068","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"286","CodeVersion":"2020","CustomName":"Adrenal and pituitary procedures"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33995","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2031F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68779","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58673","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0042T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46888","CodeType":"CPT","Code":"67043","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82694","CodeType":"CPT","Code":"28293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1071F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3755F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3472F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68053","CodeType":"CPT","Code":"52234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7635","CodeVersion":"2020","CustomName":"ATROPINE INHAL SOL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0473","CodeVersion":"2020","CustomName":"FACE-TO-FACE BEHAV COUNSELING OBESITY GRP 30 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1180","CodeVersion":"2020","CustomName":"INJECTION DYPHYLLINE UP TO 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5649","CodeVersion":"2020","CustomName":"ADD LW EXT ISCHIAL CONTAINMENT\/NARROW M-L SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9352","CodeVersion":"2020","CustomName":"INJECTION TRABECTEDIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0299","CodeVersion":"2020","CustomName":"DIRECT SNS RN HOME HEALTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9006","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE HOME MONITORING"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5030","CodeVersion":"2020","CustomName":"HEARING AID MONAURAL BODY WORN AIR CONDUCTION"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2624","CodeVersion":"2020","CustomName":"POLISHING\/RESURFACING OF OCULAR PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2410","CodeVersion":"2020","CustomName":"GOLD FOIL - ONE SURFACE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1306","CodeVersion":"2020","CustomName":"INJECTION INCLISIRAN 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1559","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN HIZENTRA 100 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7212","CodeVersion":"2020","CustomName":"FACTOR VIIA-JNCW 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9513","CodeVersion":"2020","CustomName":"INDIVIDUAL DID NOT HAVE A PDC OF 0.8 OR GREATER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0289","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0869","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO & = 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1830","CodeVersion":"2020","CustomName":"DYN ADJUSTBL TOE EXT\/FLX DEVC W\/SFT INTRFCE MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1818","CodeVersion":"2020","CustomName":"INTEGRATED KERATOPROSTHESIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6549","CodeVersion":"2020","CustomName":"RETAINER - FOR RESIN BONDED FIXED PROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0390","CodeVersion":"2020","CustomName":"ROUTINE FOOT CARE; PER VISIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1003","CodeVersion":"2020","CustomName":"LPN\/LVN SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"90378","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0879","CodeVersion":"2020","CustomName":"INJECTION DIFELIKEFALIN 0.1 MICROGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1700","CodeVersion":"2020","CustomName":"LEGG PERTHES ORTHOSIS TORONTO CUSTOM FABRICATED"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5540","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2048","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM CARE RES W\/ROOM&BD-DIEM"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9529","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9153","CodeVersion":"2020","CustomName":"MX VIT W\/WO MINERLS&TRACE ELEMS ORL PER DOSE NOS"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"V2788","CodeVersion":"2020","CustomName":"PRESBYOPIA CORRECTION FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6670","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9560","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7970","CodeVersion":"2020","CustomName":"EXC HYPERPLASTIC TISSUE-PER ARCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6217","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG NONSTERL >16 <\/=48 SQ W\/O ADHES"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"77012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4171F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85198","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"33017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104172","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"34086","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"17075","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"42870","CodeType":"REV","Code":"0433","CodeVersion":"2020","CustomName":"Occupational Therapy - Group"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0975","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - OPERATING ROOM"},{"ServiceGroup":"14067","CodeType":"REV","Code":"0987","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - HOSPITAL VISIT"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"919","CodeVersion":"2020","CustomName":"Complications of Treatment with MCC"},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74712","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86237","CodeType":"CPT","Code":"28300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98588","CodeType":"CPT","Code":"62365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0172U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75791","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3319F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0651T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4255F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0655T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29885","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58638","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78707","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93031","CodeType":"CPT","Code":"63300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"48105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0176","CodeVersion":"2020","CustomName":"ACTV TX REL CARE&TX PTS DISABL MENTL HLTH-SESS"},{"ServiceGroup":"26775","CodeType":"HCPCS","Code":"G0129","CodeVersion":"2020","CustomName":"OCCUP TX REQ SKILLS QUAL OCCUP TRPST PER SESSION"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7629","CodeVersion":"2020","CustomName":"BITOLTEROL MESYLATE INHAL CP UNIT DOSE PER MG"},{"ServiceGroup":"62259","CodeType":"HCPCS","Code":"G0283","CodeVersion":"2020","CustomName":"E-STIM 1\/> AREAS OTH THAN WND CARE PART TX PLAN"},{"ServiceGroup":"62097","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0005","CodeVersion":"2020","CustomName":"ULTRALIGHTWEIGHT WHEELCHAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0174","CodeVersion":"2020","CustomName":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0166","CodeVersion":"2020","CustomName":"EXTERNAL COUNTERPULSATION PER TREATMENT SESSION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1459","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"E0786","CodeVersion":"2020","CustomName":"IMPLANTABLE PROGRAMMABLE INFUSION PUMP REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3975","CodeVersion":"2020","CustomName":"SEWHFO SHOULDER CAP DESIGN W\/O JOINTS CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D4921","CodeVersion":"2020","CustomName":"GINGIVAL IRRIGATION - PER QUADRANT"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7013","CodeVersion":"2020","CustomName":"FILTER DISPOSABL W\/AREOSOL COMPRESS\/US GENERATOR"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0706","CodeVersion":"2020","CustomName":"INTRAORAL - OCCLUSAL RAD IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"61817","CodeType":"HCPCS","Code":"G0151","CodeVersion":"2020","CustomName":"SERVICE PHYS THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7296","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0869","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD CAPTAIN CHAIR PT TO & = 300 LBS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5850","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYS AK\/HIP DISARTIC KNEE EXT ASST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9071","CodeVersion":"2020","CustomName":"INJECTION CYCLOPHOSPHAMIDE AUROMEDICS 5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2048","CodeVersion":"2020","CustomName":"BHVAL HEALTH; LONG-TERM CARE RES W\/ROOM&BD-DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2102","CodeVersion":"2020","CustomName":"SPHERE SINGLE VISN +\/- 7.12 +\/- 20.00D PER LENS"},{"ServiceGroup":"74927","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8695","CodeVersion":"2020","CustomName":"EXT RECHARGING SYS BATTERY W\/IMPL NEUROSTIM REPL"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107624","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"6020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33265","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0700","CodeVersion":"2020","CustomName":"Cast Room - General Classification"},{"ServiceGroup":"10679","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"29092","CodeType":"REV","Code":"0544","CodeVersion":"2020","CustomName":"Ambulance - Oxygen"},{"ServiceGroup":"78443","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"47250","CodeType":"DRG","Code":"882","CodeVersion":"2020","CustomName":"RESPIRATORY SYSTEM DIAGNOSIS W MV < 96 HRS -NYDRG"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64628","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2024F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2026F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75189","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0006M","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16694","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3345F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3060F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0546T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0580T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0142U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0162U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0216U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93030","CodeType":"CPT","Code":"52310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102960","CodeType":"CPT","Code":"63015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0333T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0702T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4140F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99159","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0164U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23931","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9266","CodeVersion":"2020","CustomName":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9728","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6513","CodeVersion":"2020","CustomName":"COMPRS BRN MASK FCE & OR NCK PLSTC\/EQUL CSTM FAB"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9604","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG COMB DE IC STNT; 1 VES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5986","CodeVersion":"2020","CustomName":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9497","CodeVersion":"2020","CustomName":"RECEIVED INSTR ANES\/PROXY ABSTAIN SMOKING DAY SX"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8049","CodeVersion":"2020","CustomName":"REP\/MOD MAXLOFCE PROSTH LABR EA 15 MIN NON-MD"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5923","CodeVersion":"2020","CustomName":"OCULAR PROSTHESIS, INTERIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9248","CodeVersion":"2020","CustomName":"INJECTION CLEVIDIPINE BUTYRATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8901","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY WITHOUT CONTRAST ABDOMEN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1142","CodeVersion":"2020","CustomName":"EMERGENT CASES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3212","CodeVersion":"2020","CustomName":"BENESCH BOOT PAIR INFANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6910","CodeVersion":"2020","CustomName":"HAND REST PART HAND W\/GLOVE NO FNGR REMAIN"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8690","CodeVersion":"2020","CustomName":"AUDITORY OSSEOINTEGRATED DEVC INT\/EXT COMPONENTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2121","CodeVersion":"2020","CustomName":"DEPRESSION ANXIETY APATHY & PSYCHOSIS ASSESSED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6456","CodeVersion":"2020","CustomName":"ZINC PASTE IMPREGNTD BANDGE WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0980","CodeVersion":"2020","CustomName":"SAFETY VEST WHEELCHAIR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5707","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER HIP DISARTIC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5261","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL BTE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9590","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE 1 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3250","CodeVersion":"2020","CustomName":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0476","CodeVersion":"2020","CustomName":"SPECIAL STAINS FOR MICROORGANISMS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"E0783","CodeVersion":"2020","CustomName":"INFUSION PUMP SYSTEM IMPLANTABLE PROGRAMMABLE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7949","CodeVersion":"2020","CustomName":"LEFORT II\/LEFORT III - W\/BONE GRAFT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0716","CodeVersion":"2020","CustomName":"INJECTION CENTRUROIDES IMMUNE FAB2 UP TO 120 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8935","CodeVersion":"2020","CustomName":"CLIN PRSC ACE INHIB\/ANGIOTENSIN REC BLOCK ARB TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2330","CodeVersion":"2020","CustomName":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0435","CodeVersion":"2020","CustomName":"FIXED WING AIR MILEAGE PER STATUTE MILE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9415","CodeVersion":"2020","CustomName":"PT NOT 1 DOSE MENC VAC ON\/BETW PT 11TH&13TH BDAY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7111","CodeVersion":"2020","CustomName":"EXTRACTION CORONAL REMNANTS-PRIMARY TOOTH"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5241","CodeVersion":"2020","CustomName":"DISPENSING FEE MONAURAL HEARING AID ANY TYPE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112912","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3470F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76321","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"16274","CodeType":"REV","Code":"0810","CodeVersion":"2020","CustomName":"Acquisition of Body Components - General Classification"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0169","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Other"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0143","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Pediatric"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"38444","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0852","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Home Supplies"},{"ServiceGroup":"33224","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"3165","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"534","CodeVersion":"2020","CustomName":"Extracranial Vascular Procedures without CC"},{"ServiceGroup":"41367","CodeType":"DRG","Code":"243","CodeVersion":"2020","CustomName":"Medical back problems"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43757","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"75561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4186F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54417","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87527","CodeType":"CPT","Code":"23470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85538","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0288T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0144U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3040F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0412T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87278","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0081A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88147","CodeType":"CPT","Code":"58661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"92941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5987","CodeVersion":"2020","CustomName":"COMMISSURE SPLINT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9717","CodeVersion":"2020","CustomName":"DOC STATING PT HAD DX DEPR\/HAD DX BIPOLAR D\/O"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9631","CodeVersion":"2020","CustomName":"PT SUSTAIN URETER INJ SURG\/DISC 30 DAY POST SURG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5008","CodeVersion":"2020","CustomName":"HEARING SCREENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0455","CodeVersion":"2020","CustomName":"PREP IT FEC MICROBIOTA ANY METH ASMT DONOR SPEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9291","CodeVersion":"2020","CustomName":"SPEC SITE OTH THN LUNG NOT CLASS NSCLC\/NSCLC-NOS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0637","CodeVersion":"2020","CustomName":"INJECTION CASPOFUNGIN ACETATE 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0806","CodeVersion":"2020","CustomName":"PWR OP VEH GRP 2 STD PT WT CAP TO & INCL 300 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0128","CodeVersion":"2020","CustomName":"DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1024","CodeVersion":"2020","CustomName":"NONPNEUMATIC COMPR CONTRL W\/SEQ CALIBR GRDNT PRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0761","CodeVersion":"2020","CustomName":"NON-THRML PULS RADIOWAV ELECMAGNET ENRGY TX DEVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0610","CodeVersion":"2020","CustomName":"ANNUAL GYNECOLOGICAL EXAMINATION NEW PATIENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0224","CodeVersion":"2020","CustomName":"INJECTION LUMASIRAN 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6450","CodeVersion":"2020","CustomName":"ELB DISRTC MOLD SCKT ENDOSKEL W\/SFT PROSTH TISS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8482","CodeVersion":"2020","CustomName":"INFLUENZA IMMUNIZATION ADMIN\/PREVIOUSLY RECEIVED"},{"ServiceGroup":"65421","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9558","CodeVersion":"2020","CustomName":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6451","CodeVersion":"2020","CustomName":"MOD COMPRS BANDGE LOAD RESIST WDTH >\/= 3 & <5 IN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9061","CodeVersion":"2020","CustomName":"INJECTION, AMIVANTAMAB-VMJW 2 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5991","CodeVersion":"2020","CustomName":"VESICULOBULLOUS DISEASE MEDICAMENT CARRIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9178","CodeVersion":"2020","CustomName":"INJECTION EPIRUBICIN HCL 2 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0500","CodeVersion":"2020","CustomName":"DISPOSABLE CONTACT LENS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0715","CodeVersion":"2020","CustomName":"INJECTION CEFTIZOXIME SODIUM PER 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7006","CodeVersion":"2020","CustomName":"ADMIN SET W\/SMALL VOLUME FILTR PNEUMAT NEBULIZR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q5122","CodeVersion":"2020","CustomName":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3121","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE ENANTHATE 1 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9588","CodeVersion":"2020","CustomName":"FLUCICLOVINE F-18 DIAGNOSTIC 1 MILLICURIE"},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107785","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"13715","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"16016","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0571","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Visit Charge"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"700","CodeVersion":"2020","CustomName":"TRACHEOSTOMY FOR HIV INFECTION-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4188F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50387","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107184","CodeType":"CPT","Code":"69661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0180T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83987","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.38","CodeVersion":"2017","CustomName":"FETAL PULSE OXIMETRY"},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87040","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3382F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"0281T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91011","CodeType":"CPT","Code":"29845","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108914","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104853","CodeType":"CPT","Code":"29887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91891","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109120","CodeType":"CPT","Code":"43846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0040","CodeVersion":"2020","CustomName":"PT RECV PHYS\/OCCUP\/SPEECH\/REC THER DUR MSMNT PER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D8695","CodeVersion":"2020","CustomName":"REMV FIX ORTHODONT APPLINC RSN OTH THAN CMPL TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2202","CodeVersion":"2020","CustomName":"ECHOSCLEROTHERAPY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2017","CodeVersion":"2020","CustomName":"HABILITATION RESIDENTIAL WAIVER; PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0648","CodeVersion":"2020","CustomName":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8911","CodeVersion":"2020","CustomName":"MR ANGIO WITHOUT CONTRST FOLLOWED W\/CONTRST CHST"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0133","CodeVersion":"2020","CustomName":"INJECTION ACYCLOVIR 5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0035","CodeVersion":"2020","CustomName":"CARDIOKYMOGRAPHY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1201","CodeVersion":"2020","CustomName":"INJECTION CETIRIZINE HYDROCHLORIDE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7699","CodeVersion":"2020","CustomName":"NOC DRUGS INHALATION SOLUTION ADMINED THRU DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2625","CodeVersion":"2020","CustomName":"STENT NON-CORONARY TEMPORARY W\/DELIVERY SYSTEM"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1301","CodeVersion":"2020","CustomName":"INJECTION EDARAVONE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0815","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD SLING SEAT PT UP TO &= 300 LBS"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7240","CodeVersion":"2020","CustomName":"REMOVAL IMPACTED TOOTH - CMPL BONY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0648","CodeVersion":"2020","CustomName":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1655","CodeVersion":"2020","CustomName":"INJECTION TINZAPARIN SODIUM 1000 IU"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9900","CodeVersion":"2020","CustomName":"DME SUP\/ACCESS\/SRV-COMPON\/OTH HCPCS"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6121","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN METAL FPD - PREDOM BASE AL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4027","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA PEDIATRIC PLASTER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2630","CodeVersion":"2020","CustomName":"ADD LOW EXTREM PELVIC CONTROL BAND & BELT UNI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1135","CodeVersion":"2020","CustomName":"THE START OF AN EPISODE OF CARE DOC MED RECORD"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7639","CodeVersion":"2020","CustomName":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1762","CodeVersion":"2020","CustomName":"CONNECTIVE TISSUE HUMAN"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9351","CodeVersion":"2020","CustomName":"INJECTION TOPOTECAN 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5987","CodeVersion":"2020","CustomName":"ALL LW XTRM PRSTH SHNK FT SYS W\/VRTCL LOAD PYLN"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107044","CodeType":"CPT","Code":"21248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"73206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10427","CodeType":"REV","Code":"0684","CodeVersion":"2020","CustomName":"Trauma Response - Level IV Trauma"},{"ServiceGroup":"98643","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"70044","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"104963","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0262","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Pharmacy Svcs"},{"ServiceGroup":"12124","CodeType":"REV","Code":"0814","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Unsuccessful Organ Search - Donor Bank Charges"},{"ServiceGroup":"32703","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"58122","CodeType":"REV","Code":"0919","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Other Behavioral Health Treatments"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"114009","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"33269","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"39245","CodeType":"DRG","Code":"219","CodeVersion":"2020","CustomName":"Lower extremity and humerus procedures except hip, foot, and femur, age greater than 17, without CC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0419","CodeVersion":"2020","CustomName":"ASSESSMENT OF SALIVARY FLOW BY MEASUREMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9067","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7609","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0042","CodeVersion":"2020","CustomName":"FOSTER CARE CHILD NON-THERAPEUTIC PER MONTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C5273","CodeVersion":"2020","CustomName":"APPL SG TRUNK ARM LEG AREA >\/=100 CM;1ST 100 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5510","CodeVersion":"2020","CustomName":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W\/O HEAT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7297","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3426","CodeVersion":"2020","CustomName":"APICOECTOMY"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1234","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W\/O SEAT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38792","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1836","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2140","CodeVersion":"2020","CustomName":"AMALGAM-ONE SURFACE PRIMARY\/PERM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3960","CodeVersion":"2020","CustomName":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W\/FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4545","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9218","CodeVersion":"2020","CustomName":"LEUPROLIDE ACETATE PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9153","CodeVersion":"2020","CustomName":"INJECTION LIPOSOMAL 1 MG DNR & 2.27 MG CA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4393","CodeVersion":"2020","CustomName":"OST POUCH URIN W\/EXT WEAR BARRIER W\/CONVXITY EA"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2405","CodeVersion":"2020","CustomName":"INJECTION ONDANSETRON HCL PER 1 MG"},{"ServiceGroup":"43522","CodeType":"REV","Code":"0901","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Electroshock Treatment"},{"ServiceGroup":"45883","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"12590","CodeType":"REV","Code":"0942","CodeVersion":"2020","CustomName":"Other Therapeutic Services - Education\/Training"},{"ServiceGroup":"10903","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0979","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - SPEECH PATHOLOGY"},{"ServiceGroup":"33251","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"114010","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"31038","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"94645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.58","CodeVersion":"2017","CustomName":"APPLICATION OF PRESSURE TROUSERS"},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"75.61","CodeVersion":"2017","CustomName":"REPR CURRENT OBSTETRIC LACERATION BLADD&URETHRA"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"92944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"40899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88189","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0290U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"55300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87965","CodeType":"CPT","Code":"43281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107779","CodeType":"CPT","Code":"29807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3042F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0596T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0308U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0672T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33764","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.09","CodeVersion":"2017","CustomName":"OTHER ARTIFICIAL RUPTURE OF MEMBRANES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0124A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113677","CodeType":"CPT","Code":"47379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77790","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93119","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59368","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20305","CodeType":"ICD9P","Code":"46.79","CodeVersion":"2017","CustomName":"OTHER REPAIR OF INTESTINE"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0760","CodeVersion":"2020","CustomName":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV"},{"ServiceGroup":"103684","CodeType":"HCPCS","Code":"S9129","CodeVersion":"2020","CustomName":"OCCUPATIONAL THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9181","CodeVersion":"2020","CustomName":"INJECTION ETOPOSIDE 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2265","CodeVersion":"2020","CustomName":"INJECTION MINOCYCLINE HCL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4254","CodeVersion":"2020","CustomName":"NOVAFIX DL PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9451","CodeVersion":"2020","CustomName":"PATIENT RECEIVED ONE-TIME SCR FOR HCV INFECTION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2184","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7007","CodeVersion":"2020","CustomName":"ELECTRIC HAND SWITCH\/MYOELECTRIC CONTROL ADULT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8816","CodeVersion":"2020","CustomName":"STATIN MEDICATION PRESCRIBED AT DISCHARGE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2700","CodeVersion":"2020","CustomName":"INJECTION OXACILLIN SODIUM UP TO 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2200","CodeVersion":"2020","CustomName":"SPHERE BIFOCL PLANO TO PLUS\/MINUS 4.00D PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8000","CodeVersion":"2020","CustomName":"BREAST PROS MASTECTOMY BRA W\/O INTEG PROS FORM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0590","CodeVersion":"2020","CustomName":"INTEGRAL LENS SERVICE MISC SERVICES REPORTED SEP"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4012","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"72130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2385","CodeVersion":"2020","CustomName":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5923","CodeVersion":"2020","CustomName":"OCULAR PROSTHESIS, INTERIM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5931","CodeVersion":"2020","CustomName":"OBTURATOR PROSTHESIS SURGICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0012","CodeVersion":"2020","CustomName":"ALCOHOL &\/ DRUG SRVC; SUB-ACUTE DTOX RES PROG OP"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1820","CodeVersion":"2020","CustomName":"GEN NEUROSTIM W\/RECHRG BATTERY & CHARGING SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2077","CodeVersion":"2020","CustomName":"PA;ASSESS PRD Q PERS DET MOST APPR COMB SRVC&TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7614","CodeVersion":"2020","CustomName":"LEVALBUTEROL INHAL NON-CP THRU DME U DOSE 0.5 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8417","CodeVersion":"2020","CustomName":"PROSTH SHEATH\/SOCK W\/GEL CUSHN LAY BK\/AK EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9409","CodeVersion":"2020","CustomName":"PATIENTS WO CT &\/PERICARDIOCENTESIS OCR WI 30 DA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4543","CodeVersion":"2020","CustomName":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9476","CodeVersion":"2020","CustomName":"VESTIBULAR REHAB PROGM NON-PHYSICIAN PROV-DIEM"},{"ServiceGroup":"74584","CodeType":"REV","Code":"0769","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OTHER SPECIALTY SERVICES"},{"ServiceGroup":"30608","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"13168","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"79099","CodeType":"REV","Code":"0762","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - OBSERVATION HOURS"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"578","CodeVersion":"2020","CustomName":"Infectious and Parasitic Diseases with O.R. Procedure"},{"ServiceGroup":"91657","CodeType":"DRG","Code":"785","CodeVersion":"2020","CustomName":"OTHER RED BLOOD CELL DISORDERS AGE UNDER 18-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4193F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44107","CodeType":"CPT","Code":"92524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35558","CodeType":"CPT","Code":"50081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0137U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111962","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104041","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4063F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33871","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3757F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3344F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76847","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0701T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4100F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0527T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5984","CodeVersion":"2020","CustomName":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4259","CodeVersion":"2020","CustomName":"CELERA DUAL LAYER\/CELERA DUAL MEMBRANE PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9977","CodeVersion":"2020","CustomName":"DILATED MACULAR EXAM WAS NOT PRFRM REASON NOS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A5051","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6605","CodeVersion":"2020","CustomName":"RETAINER INLAY-CAST PDMT BASE METAL 3\/MORE SURF"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9216","CodeVersion":"2020","CustomName":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6010","CodeVersion":"2020","CustomName":"SURG PLCMT IMPL BODY: ENDOSTEAL"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D6121","CodeVersion":"2020","CustomName":"IMPLANT SUPP RETAIN METAL FPD - PREDOM BASE AL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1685","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDCT CNTRL POSTOP HIP ABDCT CSTM"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2631","CodeVersion":"2020","CustomName":"REPAIR DEVICE URINARY INCONT WITHOUT SLING GRAFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0037","CodeVersion":"2020","CustomName":"HIGH MOUNT FLIP-UP FOOTREST EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9956","CodeVersion":"2020","CustomName":"PATIENT RECEIVED COMBINATION THERAPY"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10D07Z3","CodeVersion":"2020","CustomName":"EXTRACTION POC LOW FORCEPS NATURAL\/ARTIF OPENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6660","CodeVersion":"2020","CustomName":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9538","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4122","CodeVersion":"2020","CustomName":"DERMACLL DERMACLL AWM\/DERMACLL AWM POROUS P SC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6154","CodeVersion":"2020","CustomName":"WOUND POUCH EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6055","CodeVersion":"2020","CustomName":"WRST DISARTIC MOLD SOCKT W\/XPNDABLE INTERFCE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3088F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104112","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8808","CodeVersion":"2020","CustomName":"TRANS-ABD\/TRANS-VAG U\/S NOT PRFRM RSN NOT GIVEN"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1024","CodeVersion":"2020","CustomName":"EVAL&TX TEAM PROV CARE MX\/SEV HANDICAP CHLD PER"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0503","CodeVersion":"2020","CustomName":"BATTERY FOR PNEUMATIC VAD REPLACEMENT ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3080","CodeVersion":"2020","CustomName":"FOOT ARCH SUPPORT NONREMOVABLE ATTCH SHOE MT EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2195","CodeVersion":"2020","CustomName":"PT CLIN IND IMAG HEAD: OCC HEADACHE CHILDREN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6115","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP FIXD DENTURE EDENTULOUS ARCH-MAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5867","CodeVersion":"2020","CustomName":"REPLACEMENT REPL PART SEMI-PRCISN\/PRCISN PER ATT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9790","CodeVersion":"2020","CustomName":"MOST RECNT BP IS >140\/90 MM HG\/BR NOT DOCUMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4398","CodeVersion":"2020","CustomName":"OSTOMY IRRIGATION SUPPLY; BAG EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0171","CodeVersion":"2020","CustomName":"INJECTION ADRENALIN EPINEPHRINE 0.1 MG"},{"ServiceGroup":"70041","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"75943","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"104998","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"180","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"3069","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"73360","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"12981","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"10639","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"10533","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"15659","CodeType":"REV","Code":"0335","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Chemotherapy Admin - IV"},{"ServiceGroup":"28166","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.09","CodeVersion":"2017","CustomName":"OTHER ARTIFICIAL RUPTURE OF MEMBRANES"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"72","CodeVersion":"2017","CustomName":"FORCEPS VACUUM AND BREECH DELIVERY"},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"74400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27033","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1181F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3725F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3496F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26205","CodeType":"CPT","Code":"92522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3048F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0639T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64874","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0254U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.75","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REIMPLANTATION OF OVARY"},{"ServiceGroup":"13643","CodeType":"ICD9P","Code":"67.59","CodeVersion":"2017","CustomName":"OTHER REPAIR OF CERVICAL OS"},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91594","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110674","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"65450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"75.34","CodeVersion":"2017","CustomName":"OTHER FETAL MONITORING"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8615","CodeVersion":"2020","CustomName":"HEADSET\/HEADPIECE COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1561","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0691","CodeVersion":"2020","CustomName":"INJECTION LEFAMULIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9036","CodeVersion":"2020","CustomName":"PLATELETS PHERESIS IRRADIATED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4021","CodeVersion":"2020","CustomName":"IVF PROC CANCELLED AFTER ASPIRATION CASE RATE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3262","CodeVersion":"2020","CustomName":"INJECTION TOCILIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5685","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS BELW KNEE SUSP\/SEAL SLEEVE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5681","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM INSRT CNGN\/ATYP TRAUMAT AMP INIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1842","CodeVersion":"2020","CustomName":"RETINAL PROS ALL INT&EXT CMPNT; ADD-ON TO C1841"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3110","CodeVersion":"2020","CustomName":"PULP CAP - DIRECT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0588","CodeVersion":"2020","CustomName":"INJECTION INCOBOTULINUMTOXIN A 1 UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0312","CodeVersion":"2020","CustomName":"IM CNSLG PHYS\/Q HCP VAC NA SAME DOS A< 21 5-15 M"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2762","CodeVersion":"2020","CustomName":"POLARIZATION ANY LENS MATERIAL PER LENS"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7609","CodeVersion":"2020","CustomName":"ALBUTEROL INHAL CP PROD THRU DME UNIT DOSE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0983","CodeVersion":"2020","CustomName":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9310","CodeVersion":"2020","CustomName":"UNPLANNED HOSP READMISSION W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2627","CodeVersion":"2020","CustomName":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT&CABLES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5985","CodeVersion":"2020","CustomName":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8042","CodeVersion":"2020","CustomName":"ORBITAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5080","CodeVersion":"2020","CustomName":"GLASSES BONE CONDUCTION"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"Q9951","CodeVersion":"2020","CustomName":"LOW OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6017","CodeVersion":"2020","CustomName":"INTRA-FRAC LOC & TRACKING TARGET\/PT M EA FRAC TX"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9175","CodeVersion":"2020","CustomName":"INJECTION ELLIOTTS B SOLUTION 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5960","CodeVersion":"2020","CustomName":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9279","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL SCR PERFORM DOC VACC RECV PRIOR D\/C"},{"ServiceGroup":"33237","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"62539","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"109151","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0243","CodeVersion":"2020","CustomName":"All Inclusive Ancillary - Specialty"},{"ServiceGroup":"350","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"79177","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"34557","CodeType":"DRG","Code":"896","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence without Rehabilitation Therapy with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"923","CodeVersion":"2020","CustomName":"Other Injury, Poisoning and Toxic Effect Diagnoses without MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"815","CodeVersion":"2020","CustomName":"NONBACTERIAL GASTROENTERITI \"&\" ABDOMINAL PAIN AGE UNDER 18 W CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63088","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61736","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93759","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58517","CodeType":"CPT","Code":"90969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1123F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75989","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"19613","CodeType":"DRG","Code":"604","CodeVersion":"2020","CustomName":"NEONATE, BIRTHWT 750-999G, DISCHARGED ALIVE-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4201F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3511F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113676","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77260","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"51.24","CodeVersion":"2017","CustomName":"LAPAROSCOPIC PARTIAL CHOLECYSTECTOMY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21089","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86769","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81859","CodeType":"CPT","Code":"0292U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80988","CodeType":"ICD9P","Code":"73.01","CodeVersion":"2017","CustomName":"INDUCTION LABOR ARTIFICIAL RUPTURE MEMBRANES"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83918","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90609","CodeType":"CPT","Code":"43244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"10008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107088","CodeType":"CPT","Code":"29800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0249U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"77022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105760","CodeType":"CPT","Code":"46257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"413","CodeType":"ICD9P","Code":"50.59","CodeVersion":"2017","CustomName":"OTHER TRANSPLANT OF LIVER"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104840","CodeType":"HCPCS","Code":"Q5010","CodeVersion":"2020","CustomName":"HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY"},{"ServiceGroup":"104842","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9632","CodeVersion":"2020","CustomName":"PATIENT IS NOT ELIG E.G. GYN\/OTH PELV MALIG DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4161","CodeVersion":"2020","CustomName":"ENTRAL F PED HYDROLYZED\/AA&PEPTIDE CHAIN PROTS"},{"ServiceGroup":"25282","CodeType":"HCPCS","Code":"A0434","CodeVersion":"2020","CustomName":"SPECIALTY CARE TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9791","CodeVersion":"2020","CustomName":"MOST RECENT TOBACCO STATUS IS TOBACCO FREE"},{"ServiceGroup":"37007","CodeType":"ICD10P","Code":"5A1945Z","CodeVersion":"2020","CustomName":"RESPIRATORY VENTILATION 24-96 CONSECUTIVE HOURS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5282","CodeVersion":"2020","CustomName":"ASSIST LIST DEVC PERS FM\/DM SYS BINAURL ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5122","CodeVersion":"2020","CustomName":"SKIN BARRIER; SOLID 8 X 8 OR EQUIVALENT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5214","CodeVersion":"2020","CustomName":"MANDIBULAR PRTL DENTURE - CAST METAL FRAMEWORK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9705","CodeVersion":"2020","CustomName":"AJCC BREAST CANCER STAGE I T1B DOCUMENTED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6194","CodeVersion":"2020","CustomName":"ABUTMENT SUPP RETAIN CROWN FPD - TIT & TIT ALY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7649","CodeVersion":"2020","CustomName":"ISOETHARINE HCI NON-COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5262","CodeVersion":"2020","CustomName":"HEARING AID DISPOSABLE ANY TYPE MONAURAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8427","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE READY MADE"},{"ServiceGroup":"96100","CodeType":"HCPCS","Code":"C2614","CodeVersion":"2020","CustomName":"PROBE PERCUTANEOUS LUMBAR DISCECTOMY"},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10A04ZZ","CodeVersion":"2020","CustomName":"ABORTION PRODUCTS OF CONCEPTION PERQ ENDOSCOPIC"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"C1818","CodeVersion":"2020","CustomName":"INTEGRATED KERATOPROSTHESIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9357","CodeVersion":"2020","CustomName":"HOME INFUSION TX ENZYME REPL IV TX; PER DIEM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9055","CodeVersion":"2020","CustomName":"INJECTION CETUXIMAB 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9597","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMOGRAPHY RP DX TUMOR ID NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2143","CodeVersion":"2020","CustomName":"FUNC ST ODI 1YR PO >=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0130","CodeVersion":"2020","CustomName":"INJECTION ABCIXIMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2323","CodeVersion":"2020","CustomName":"INJECTION NATALIZUMAB 1 MG"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9567","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A2001","CodeVersion":"2020","CustomName":"INNOVAMATRIX AC PER SQ CM"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7634","CodeVersion":"2020","CustomName":"BUDESONIDE INHAL CP PROD THRU DME CONC 0.25 MG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1212","CodeVersion":"2020","CustomName":"INJECTION DMSO DIMETHYL SULFOXIDE 50% 50 ML"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20693","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79804","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"70044","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"75481","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"487","CodeVersion":"2020","CustomName":"Other multiple significant trauma"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4196F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52204","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61356","CodeType":"CPT","Code":"31276","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41115","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"70549","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84931","CodeType":"CPT","Code":"65750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2002F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24138","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0668T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"2004F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"94644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"98927","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97364","CodeType":"CPT","Code":"63190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85757","CodeType":"CPT","Code":"97161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89950","CodeType":"CPT","Code":"33228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0001U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80048","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0213U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0384","CodeVersion":"2020","CustomName":"CONE BEAM CT IMAG CAP TMJ SERIES 2\/> EXPOSURES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0491","CodeVersion":"2020","CustomName":"DIALYSIS MCARE CERT ESRD FAC AC KID INJ W\/O ESRD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9022","CodeVersion":"2020","CustomName":"RED BLOOD CELLS WASHED EACH UNIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1040","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 80 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9295","CodeVersion":"2020","CustomName":"INJECTION NECITUMUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2787","CodeVersion":"2020","CustomName":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9579","CodeVersion":"2020","CustomName":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7517","CodeVersion":"2020","CustomName":"MYCOPHENOLATE MOFETIL ORAL 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4613","CodeVersion":"2020","CustomName":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9557","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0158","CodeVersion":"2020","CustomName":"SERVICE OT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9992","CodeVersion":"2020","CustomName":"INJECTION BUPRENORPHINE EXTENDED-RELEASE >100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1650","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL STAT ADJ PRFAB-FIT&ADJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0717","CodeVersion":"2020","CustomName":"INJECTION CERTOLIZUMAB PEGOL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1843","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF PREFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5140","CodeVersion":"2020","CustomName":"BINAURAL BEHIND THE EAR"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"27968","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0745","CodeVersion":"2020","CustomName":"NEUROMUSCULAR STIMULATOR ELECTRONIC SHOCK UNIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0247","CodeVersion":"2020","CustomName":"ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W\/LOPS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0381","CodeVersion":"2020","CustomName":"LEVEL 2 HOSPITAL EMERGENCY DEPT VISIT TYPE B ED;"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2951","CodeVersion":"2020","CustomName":"PIN RETN - PER TOOTH ADDITION REST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3650","CodeVersion":"2020","CustomName":"SALIVA TEST HORMONE LEVEL; DURING MENOPAUSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1600","CodeVersion":"2020","CustomName":"DELIV &OR INSTL CHARGES HEMODIAL EQUIPMENT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6614","CodeVersion":"2020","CustomName":"RETAINER ONLAY - CAST NOBLE METAL TWO SURFACES"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"L8619","CodeVersion":"2020","CustomName":"COCHLEAR IMPL EXT SPEECH PROCESSR\/CONTROLLR REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1040","CodeVersion":"2020","CustomName":"PATIENTS WITH DX OF LUMBAR IDIO\/CONG SCOLIOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M0076","CodeVersion":"2020","CustomName":"PROLOTHERAPY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7193","CodeVersion":"2020","CustomName":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9990","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL NOT ADM ON\/AFT 60TH &B4 ED MEAS NOS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38826","CodeType":"CPT","Code":"93640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"16025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"76380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34839","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0342","CodeVersion":"2020","CustomName":"Nuclear Medicine - Therapeutic"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0132","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Obstetrics (OB)"},{"ServiceGroup":"75181","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"50907","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"12104","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"46632","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"76947","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"113016","CodeType":"REV","Code":"0171","CodeVersion":"2020","CustomName":"Nursery - Newborn - Level I"},{"ServiceGroup":"66561","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"729","CodeVersion":"2020","CustomName":"Other Male Reproductive System Diagnoses with CC\/MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"113","CodeVersion":"2020","CustomName":"Amputation for circulatory system disorders except upper limb and toe"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91959","CodeType":"CPT","Code":"33240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94423","CodeType":"CPT","Code":"90472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"44227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81565","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"944","CodeType":"ICD9P","Code":"44.5","CodeVersion":"2017","CustomName":"REVISION OF GASTRIC ANASTOMOSIS"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"46604","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47383","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.81","CodeVersion":"2017","CustomName":"OTHER SURGICAL OCCLUSION OF INTRACRANIAL VESSELS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0555T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"93451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"49522","CodeType":"CPT","Code":"33226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3160F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0512T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4551F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"3511F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0073T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0070U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50085","CodeType":"CPT","Code":"92997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0138U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32978","CodeType":"HCPCS","Code":"S9128","CodeVersion":"2020","CustomName":"SPEECH THERAPY IN THE HOME PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6708","CodeVersion":"2020","CustomName":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8722","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL PT CAT PN CAT\/HG PATH REPRT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3333","CodeVersion":"2020","CustomName":"INTRL ROOT REPAIR PERFORATION DEFEC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0561","CodeVersion":"2020","CustomName":"HUMDIFIR NON-HEATED USED W\/POS AIRWAY PRESS DEVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0948","CodeVersion":"2020","CustomName":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5259","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL ITC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2621","CodeVersion":"2020","CustomName":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH 22 IN\/>"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9061","CodeVersion":"2020","CustomName":"INJECTION, AMIVANTAMAB-VMJW 2 MG"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q0092","CodeVersion":"2020","CustomName":"SET-UP PORTABLE X-RAY EQUIPMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1221","CodeVersion":"2020","CustomName":"WHEELCHAIR WITH FIXED ARM FOOTRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2211","CodeVersion":"2020","CustomName":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6584","CodeVersion":"2020","CustomName":"PREP ELB DISRTC\/ABVE ELB 1 WALL PLSTC SOCKT MOLD"},{"ServiceGroup":"83519","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0391","CodeVersion":"2020","CustomName":"INTEPR DX IMAG PRACTITNER NOT ASSOC CAP IMAG RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6513","CodeVersion":"2020","CustomName":"COMPRS BRN MASK FCE & OR NCK PLSTC\/EQUL CSTM FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7512","CodeVersion":"2020","CustomName":"PREDNISONE IMMEDIATE RLSE\/DELAYED RLSE ORAL 1 MG"},{"ServiceGroup":"89781","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3340","CodeVersion":"2020","CustomName":"HEEL WEDGE SACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6380","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9135","CodeVersion":"2020","CustomName":"ONC;DIZ STS;NHL;STG III IV NOT RLPSD NOT RFRCTRY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0886","CodeVersion":"2020","CustomName":"PWR WC GRP 4 HD MX PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4028","CodeVersion":"2020","CustomName":"CAST SUPPLIES HIP SPICA PEDIATRIC FIBERGLASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2562","CodeVersion":"2020","CustomName":"INJECTION PLERIXAFOR 1 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3121","CodeVersion":"2020","CustomName":"INJECTION TESTOSTERONE ENANTHATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0215","CodeVersion":"2020","CustomName":"INJECTION ALEFACEPT 0.5 MG"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1738","CodeVersion":"2020","CustomName":"INJECTION MELOXICAM 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9034","CodeVersion":"2020","CustomName":"INJECTION BENDAMUSTINE HCL BENDEKA 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0118","CodeVersion":"2020","CustomName":"GLAUC SCR HI RSK UND DIR SUP OPTMTRST\/OPHTHLGIST"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9774","CodeVersion":"2020","CustomName":"RVSC EVAR OPN\/PERQ TIB\/PER ART;IVASC LITH&ATHREC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0420","CodeVersion":"2020","CustomName":"FACE TO FACE EDU SRVC OF CKD; IND PER SESS 1 HR"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72990","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0971","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - LABORATORY"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0157","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Oncology"},{"ServiceGroup":"58519","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11080","CodeType":"CPT","Code":"99601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65401","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"55041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38242","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.31","CodeVersion":"2017","CustomName":"PERICARDIECTOMY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.91","CodeVersion":"2017","CustomName":"INTERATRIAL TRANSPOSITION OF VENOUS RETURN"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3323F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34841","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102420","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83008","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1175F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4157F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0211T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2023F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61534","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0199U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92996","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68054","CodeType":"CPT","Code":"52332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0234T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25118","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0022A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2139","CodeVersion":"2020","CustomName":"BACK PAIN MEAS VAS 1 YR PO>3.0 DEMS CHNG <5 PNTS"},{"ServiceGroup":"9053","CodeType":"ICD10P","Code":"0D168JA","CodeVersion":"2020","CustomName":"BYPASS STOMACH JEJUNUM SYNTH SUB NAT\/ART OP ENDO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2623","CodeVersion":"2020","CustomName":"PROSTHETIC EYE PLASTIC CUSTOM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7260","CodeVersion":"2020","CustomName":"ORAL ANTRAL FISTULA CLOSURE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9060","CodeVersion":"2020","CustomName":"INJECTION CISPLATIN POWDER OR SOLUTION 10 MG"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4023","CodeVersion":"2020","CustomName":"DONOR EGG CYCLE INCOMPLETE CASE RATE"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0221","CodeVersion":"2020","CustomName":"AMBULANCE SERVICE (ALS)"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G1022","CodeVersion":"2020","CustomName":"CLIN DECN SUP MECH INTERMTN CLIN DECN SUP MECH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2750","CodeVersion":"2020","CustomName":"CROWN - PORCELN FUSED HI NOBLE METL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q9969","CodeVersion":"2020","CustomName":"TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8609","CodeVersion":"2020","CustomName":"ARTIFICIAL CORNEA"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4248","CodeVersion":"2020","CustomName":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5500","CodeVersion":"2020","CustomName":"INIT BELW KNEE PTB SOCKT NON-ALIGN DIR FORMED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2415","CodeVersion":"2020","CustomName":"ADD KNEE LOCK W\/INTEGRATED RLSE MECH MATL EA JNT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5683","CodeVersion":"2020","CustomName":"ADD LW EXT CSTM INSRT NO CNGN\/TRAUMAT AMP INIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4931","CodeVersion":"2020","CustomName":"ORAL THERMOMETER REUSABLE ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9500","CodeVersion":"2020","CustomName":"RAD EXP INDICES\/EXP TM & NUMB FLUORO IMAGES DOC"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9215","CodeVersion":"2020","CustomName":"INJECTION INTERFERON ALFA-N3 250,000 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9189","CodeVersion":"2020","CustomName":"BETA-BLOCKER THERAPY PRSC\/CURRENTLY BEING TAKEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4265","CodeVersion":"2020","CustomName":"PARAFFIN PER POUND"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4024","CodeVersion":"2020","CustomName":"PEDIATRICS MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S4022","CodeVersion":"2020","CustomName":"ASSISTED OOCYTE FERTILIZATION CASE RATE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0744","CodeVersion":"2020","CustomName":"NEUROMUSCULAR STIMULATOR FOR SCOLIOSIS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0091","CodeVersion":"2020","CustomName":"SCREEN PAP SMEAR; OBTAIN PREP &C ONVEY TO LAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4270","CodeVersion":"2020","CustomName":"PEDICLE SOFT TISSUE GRAFT PROCEDURE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5540","CodeVersion":"2020","CustomName":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9590","CodeVersion":"2020","CustomName":"HOM TX IRRIG TX; W\/ADMN PHRM SRVC CARE-PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2370","CodeVersion":"2020","CustomName":"PWR WC COMP INT DR WHL MTR&GR BOX COMB REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0101","CodeVersion":"2020","CustomName":"CERV\/VAGINAL CANCER SCR; PELV&CLIN BREAST EXAM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9095","CodeVersion":"2020","CustomName":"ONC; STATUS; RECTAL CA; EXTENT DZ UNK UNDER EVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6243","CodeVersion":"2020","CustomName":"PONTIC - PORCELAIN FUSED TO TIT & TIT ALLOYS"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"11212","CodeType":"ICD9P","Code":"92.27","CodeVersion":"2017","CustomName":"IMPLANTATION OR INSERTION RADIOACTIVE ELEMENTS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17071","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"12856","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"11201","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"13217","CodeType":"REV","Code":"0279","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Other Supplies\/Devices"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0679","CodeVersion":"2020","CustomName":"Outpatient Special Residence Charges - Other Special Residence Charges"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0134","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Psychiatric"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92133","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"96.70","CodeVersion":"2017","CustomName":"CONT INVASIVE MECHANICAL VENT UNSP DURATION"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4271F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91887","CodeType":"CPT","Code":"26615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"96819","CodeType":"CPT","Code":"64636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"43252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90439","CodeType":"CPT","Code":"29879","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3280F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"6015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27429","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89877","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4186F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11104","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46765","CodeType":"CPT","Code":"90801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83887","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0250U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0410T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88142","CodeType":"CPT","Code":"76642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.54","CodeVersion":"2017","CustomName":"LAPAROSCOPIC REMOVAL OF REMAINING OVARY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9226","CodeVersion":"2020","CustomName":"FOOT EXAMINATION PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8908","CodeVersion":"2020","CustomName":"PATIENT DOC HAVE RECEIVED BURN PRIOR DISCHARGE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2112","CodeVersion":"2020","CustomName":"AFO FX ORTHO TIB FX ORTHOS SFT PRFAB W\/FIT & ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2204","CodeVersion":"2020","CustomName":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4244","CodeVersion":"2020","CustomName":"PROCENTA PER 200 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1011","CodeVersion":"2020","CustomName":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5614","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO SYS AK-DISARTC 4-BAR W\/PNEUMAT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4110","CodeVersion":"2020","CustomName":"PRIMATRIX PER SQ CM"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9297","CodeVersion":"2020","CustomName":"SHARE DECISION CONSERVATIV TX PRIOR PROC NOT DOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6229","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL>16 BUT<\/=48 SQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2220","CodeVersion":"2020","CustomName":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2800","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS KNEE CNTRL KNEE CAP CSTM ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4244","CodeVersion":"2020","CustomName":"PROCENTA PER 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4911","CodeVersion":"2020","CustomName":"DRAIN BAG\/BOTTLE FOR DIALYSIS EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1707","CodeVersion":"2020","CustomName":"JANSSEN COVID-19 VACCINE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9354","CodeVersion":"2020","CustomName":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0280","CodeVersion":"2020","CustomName":"INJECTION AMINOPHYLLIN UP TO 250 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6402","CodeVersion":"2020","CustomName":"GAUZE NON-IMPREG STERL 16 SQ\/< W\/O ADHES BORDR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9845","CodeVersion":"2020","CustomName":"PATIENT RECEIVD ANTI-EGFR MONOCLONAL ANTIBODY TX"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7685","CodeVersion":"2020","CustomName":"TOBRAMYCIN INHAL CP PROD THRU DME U DOSE 300 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7912","CodeVersion":"2020","CustomName":"COMPLICATED SUTURE > 5 CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1557","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4130","CodeVersion":"2020","CustomName":"STRATTICE PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0271","CodeVersion":"2020","CustomName":"MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6195","CodeVersion":"2020","CustomName":"ABUT SUPP RETAIN - PORCLN FUSED TO TIT & TIT ALY"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2079","CodeVersion":"2020","CustomName":"TAKE HOME SUP BUPRENORPHINE ORAL;TO 7 ADD D SUP;"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7342","CodeVersion":"2020","CustomName":"INSTALLATION CIPROFLOXACIN OTIC SUSPENSION 6 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9239","CodeVersion":"2020","CustomName":"INTRAVENOUS MODERATE SEDAT\/ANALGESIA-1ST 15 MINS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1557","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4030","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17019","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0223","CodeVersion":"2020","CustomName":"Special Charges - U.R. Service Charge"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"11000","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"26994","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"12393","CodeType":"REV","Code":"0542","CodeVersion":"2020","CustomName":"Ambulance - Medical Transport"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0273","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Take Home Supplies"},{"ServiceGroup":"37015","CodeType":"REV","Code":"0144","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Psychiatric"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"13476","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"15873","CodeType":"REV","Code":"0652","CodeVersion":"2020","CustomName":"Hospice Service - Continuous Home Care"},{"ServiceGroup":"33266","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"14230","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"518","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures without AMI, without coronary artery stent implant"},{"ServiceGroup":"29755","CodeType":"DRG","Code":"245","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies without CC"},{"ServiceGroup":"107734","CodeType":"DRG","Code":"806","CodeVersion":"2020","CustomName":"COMBINED ANTERIOR\/POSTERIOR SPINAL FUSION W CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4242F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1451F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"92943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94363","CodeType":"CPT","Code":"63655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.11","CodeVersion":"2017","CustomName":"ENDARTERECTOMY OF INTRACRANIAL VESSELS"},{"ServiceGroup":"107291","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27829","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"73718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96137","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91459","CodeType":"CPT","Code":"58670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92415","CodeType":"CPT","Code":"63040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44105","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L4020","CodeVersion":"2020","CustomName":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0403","CodeVersion":"2020","CustomName":"ECG RTN ECG W\/12 LEADS SCR INIT PREVNTV PE W\/I&R"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1731","CodeVersion":"2020","CustomName":"CATH ELECTROPHYSIOLOGY DX OTH THAN 3D MAP 20\/>"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0235","CodeVersion":"2020","CustomName":"PARAFFIN BATH UNIT PORTABLE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7210","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII AFSTYLA 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5254","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL CIC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7304","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0507","CodeVersion":"2020","CustomName":"MISC SUPPLY OR ACCESSORY USE WITH EXTERNAL VAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6111","CodeVersion":"2020","CustomName":"IMPL\/ABUT SUPP REMV DENTURE EDENTULOUS ARCH-MND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4031","CodeVersion":"2020","CustomName":"SPERM PROCUREMENT&CRYOPRES SRVC; SUBSQT VISIT"},{"ServiceGroup":"104188","CodeType":"HCPCS","Code":"Q5006","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT HOSPICE FACILITY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2780","CodeVersion":"2020","CustomName":"OVERSIZE LENS PER LENS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9311","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG AND HYALURONIDASE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4263","CodeVersion":"2020","CustomName":"BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9190","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN NOT PRSC BETA-BLOCKER TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1232","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W\/SEAT SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0973","CodeVersion":"2020","CustomName":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9676","CodeVersion":"2020","CustomName":"PT AGED 40-75 YRS BEG MSR PRD TYPE 1\/TYPE 2 DIAB"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4164","CodeVersion":"2020","CustomName":"HELICOLL PER SQUARE CENTIMETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2160","CodeVersion":"2020","CustomName":"AMALGAM-3 SURFACES PRIMARY\/PERM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4248","CodeVersion":"2020","CustomName":"CHLORHEXIDINE CONTAINING ANTISEPTIC 1 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0106","CodeVersion":"2020","CustomName":"COLOREC CANCR SCR;ALT G0104 SIGMOIDSCPY BA ENEMA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3250","CodeVersion":"2020","CustomName":"ORTHOPED FTWEAR CSTM MOLD REMV INNR MOLD PROSTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E8000","CodeVersion":"2020","CustomName":"GAIT TRAINER PED SZ POST SUPP W\/ALL ACSS&CMPNTS"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9585","CodeVersion":"2020","CustomName":"INJECTION GADOBUTROL 0.1 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V2211","CodeVersion":"2020","CustomName":"BIFOCL +\/-7.25-+\/-12.00D SPHER 0.25-2.25D CYL-EA"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5698","CodeVersion":"2020","CustomName":"ADD LW EXTRM AK\/KNEE DISRTC SILESIAN BANDGE"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0051","CodeVersion":"2020","CustomName":"PT UNDER HOSPICE CARE IN CURRENT REPORTING MONTH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8797","CodeVersion":"2020","CustomName":"SPECIMEN SITE OTH THAN ANATOM LOCATION ESOPHAGUS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L7366","CodeVersion":"2020","CustomName":"BATTERY CHARGER TWELVE VOLT EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1970","CodeVersion":"2020","CustomName":"AFO PLASTIC WITH ANKLE JOINT CUSTOM FABRICATED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2350","CodeVersion":"2020","CustomName":"INJECTION OCRELIZUMAB 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0179","CodeVersion":"2020","CustomName":"PHYS\/ALLOWED PRAC RE-CERT MCR-COV HHS UND HH POC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0328","CodeVersion":"2020","CustomName":"HOSPITAL BED PEDIATRIC MANUAL INCLUDES MATTRESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S2402","CodeVersion":"2020","CustomName":"REPR CONGEN CYST ADENOMATOID MALF FETUS IN UTERO"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7177","CodeVersion":"2020","CustomName":"INJECTION HUMAN FIBRINOGEN CONCENTRATE 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0160","CodeVersion":"2020","CustomName":"SITZ TYPE BATH\/EQP PRTBLE USED W\/WO COMMODE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64893","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33823","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"33823","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"37016","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0524","CodeVersion":"2020","CustomName":"FREE-STANDING CLINIC - VISIT BY RHC\/FQHC PRACTITIONER TO A MEMBER IN A COVERED PART A STAY AT A SNF OR SKILLED SWING BED IN A \n\nCOVERED PART A STAY"},{"ServiceGroup":"22822","CodeType":"REV","Code":"0410","CodeVersion":"2020","CustomName":"Respiratory Services - General Classification"},{"ServiceGroup":"12772","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"69801","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"3349","CodeType":"REV","Code":"0790","CodeVersion":"2020","CustomName":"Extra-Corporeal Shock Wave Therapy (formerly Lithotripsy) - General Classification"},{"ServiceGroup":"20906","CodeType":"DRG","Code":"244","CodeVersion":"2020","CustomName":"Bone diseases and specific arthropathies with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64463","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"73719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76948","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"2029F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4046F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4201F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87117","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62331","CodeType":"ICD9P","Code":"92.3","CodeVersion":"2017","CustomName":"STEREOTACTIC RADIOSURGERY"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88331","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"31725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.72","CodeVersion":"2017","CustomName":"OTHER&UNSPEC REPAIR VENTRICULAR SEPTAL DEFECT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69643","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4063F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81598","CodeType":"CPT","Code":"29883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75499","CodeType":"CPT","Code":"99292","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0271","CodeVersion":"2020","CustomName":"PHYS MGT PT HOME CARE HOSPICE MONTHLY CASE RATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2305","CodeVersion":"2020","CustomName":"TRIFOCL PLANO +\/-4.00D SPHER 4.25-6.00 CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9756","CodeVersion":"2020","CustomName":"INTRAOPERATIVE NIR FLUOR LM OF LYM W\/ADMIN ICG"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"Q3001","CodeVersion":"2020","CustomName":"ADJUNCTIVE PROCEDURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9062","CodeVersion":"2020","CustomName":"ONC; PRAC GUIDELINES; MGMT DIFFERS OTH REASON"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7180","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII 1 I.U."},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8932","CodeVersion":"2020","CustomName":"MR ANGIOGRAPHY W\/O CONTRST SPINAL CANAL CONTENTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8721","CodeVersion":"2020","CustomName":"PT CATEGORY PN CATEGORY & HISTOL GR DOC PATH RPT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2144","CodeVersion":"2020","CustomName":"FUNC ST ODI 3MO PO <=22 ODI 3 MN PREO 1YR PO 30>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2302","CodeVersion":"2020","CustomName":"SPHERE TRIFOCAL +\/- 7.12 TO +\/- 20.00 PER LENS"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9582","CodeVersion":"2020","CustomName":"IODINE I-123 IOBENGUANE DX STUDY DOSE TO 15 MCI"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1700","CodeVersion":"2020","CustomName":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6635","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6750","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN FUSED HI NOBLE METAL"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2520","CodeVersion":"2020","CustomName":"INLAY - METALLIC - TWO SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9711","CodeVersion":"2020","CustomName":"PATIENTS WITH DX PAST HX TOTAL COLECTOMY\/CRC"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1650","CodeVersion":"2020","CustomName":"INJECTION ENOXAPARIN SODIUM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2002","CodeVersion":"2020","CustomName":"MIRRAGEN ADVANCED WOUND M"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9365","CodeVersion":"2020","CustomName":"HOM INFUS TX TPN; 1 LITER-DAY DIEM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8473","CodeVersion":"2020","CustomName":"ACE INHIBITOR\/ARB THERAPY PRESCRIBED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2960","CodeVersion":"2020","CustomName":"LABIAL VENEER - DIRECT"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"104195","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6750","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELAIN FUSED HI NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1300","CodeVersion":"2020","CustomName":"WHIRLPOOL PORTABLE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3480","CodeVersion":"2020","CustomName":"INJECTION POTASSIUM CHLORIDE PER 2 MEQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4004","CodeVersion":"2020","CustomName":"ENDOCRINOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33764","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0513","CodeVersion":"2020","CustomName":"Clinic - Psychiatric Clinic"},{"ServiceGroup":"74999","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"17861","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"10393","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0990","CodeVersion":"2020","CustomName":"Patient Convenience Items - General Classification"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"39871","CodeType":"DRG","Code":"619","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W MINOR PROB-NYDRG"},{"ServiceGroup":"20926","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84439","CodeType":"ICD9P","Code":"73.93","CodeVersion":"2017","CustomName":"INCISION OF CERVIX TO ASSIST DELIVERY"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64744","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"10061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"66680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"59.03","CodeVersion":"2017","CustomName":"LAPAROSCOPIC LYSIS PERIRENAL\/PERIURETERAL ADHES"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4054F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69603","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.71","CodeVersion":"2017","CustomName":"VACUUM EXTRACTION WITH EPISIOTOMY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36909","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10985","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33321","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50572","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0053A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"67068","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0737T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38818","CodeType":"ICD9P","Code":"17.44","CodeVersion":"2017","CustomName":"ENDOSCOPIC ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"55559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35667","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107291","CodeType":"CPT","Code":"22554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86849","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92825","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4927","CodeVersion":"2020","CustomName":"GLOVES NON-STERILE PER 100"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3935","CodeVersion":"2020","CustomName":"FINGER ORTHOSIS NONTORSION JOINT CUSTOM FAB"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1556","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN BIVIGAM 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7550","CodeVersion":"2020","CustomName":"PART OSTEC\/SEQECT REMV NON-VITAL BN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9040","CodeVersion":"2020","CustomName":"INJECTION BLEOMYCIN SULFATE 15 UNITS"},{"ServiceGroup":"106600","CodeType":"HCPCS","Code":"V5255","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL MONAURAL ITC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0439","CodeVersion":"2020","CustomName":"STATION LQD O2 SYS RENT; FLWMTR HUMIDFR NEBULIZR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6460","CodeVersion":"2020","CustomName":"SYN RSRB WND DRSG STER PAD 16 SI\/< NO ADH BO EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9151","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION STATE PROVIDED SERVICES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0143","CodeVersion":"2020","CustomName":"WALKER FOLDING WHEELED ADJUSTABLE\/FIXED HEIGHT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"D5927","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9983","CodeVersion":"2020","CustomName":"RMT IH VST E\/M EST PT MCR-APVD BPCI ADV TYP 10 M"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9098","CodeVersion":"2020","CustomName":"ONC; STATUS; ESOPH CA ; M1 METASTATIC LOC RECUR"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8691","CodeVersion":"2020","CustomName":"AUD OI DEVC EXT SP EXCL TRNSDUCR\/ACTUATR REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5612","CodeVersion":"2020","CustomName":"REPAIR RESIN PARTIAL DENTURE BASE MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7296","CodeVersion":"2020","CustomName":"CORTICOTOMY-ONE TO THREE TEETH\/TOOTH SP PER QUAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9305","CodeVersion":"2020","CustomName":"INJECTION PEMETREXED NOS10 MG"},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5856","CodeVersion":"2020","CustomName":"ADD LOW EXT PROS KNEE-SHIN SYS SWING&STANCE PHSE"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9521","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0418","CodeVersion":"2020","CustomName":"ANALYSIS OF SALIVA SAMPLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6606","CodeVersion":"2020","CustomName":"RETAINER INLAY - CAST NOBLE METAL TWO SURFACES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5927","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0764","CodeVersion":"2020","CustomName":"FUNC NEUROMUSC STIM MUSC AMBUL CMPT CNTRL SC INJ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9327","CodeVersion":"2020","CustomName":"HIT INTERMIT PAIN MGMT INFUS; CARE COORD DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1084","CodeVersion":"2020","CustomName":"HEMI-WHLCHAIR; DTACHBLE ARMS DESK\/FULL LEGRESTS"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"72.54","CodeVersion":"2017","CustomName":"OTHER TOTAL BREECH EXTRACTION"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33413","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3170F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0379","CodeVersion":"2020","CustomName":"Anesthesia - Other Anesthesia"},{"ServiceGroup":"13472","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"26595","CodeType":"REV","Code":"0114","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Psychiatric"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0964","CodeVersion":"2020","CustomName":"Professional Fees - Anesthesiologist (CRNA)"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0370","CodeVersion":"2020","CustomName":"Anesthesia - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"22820","CodeType":"REV","Code":"0843","CodeVersion":"2020","CustomName":"Continuous Ambulatory Peritoneal Dialysis (CAPD) - Outpatient or Home - Home Equipment"},{"ServiceGroup":"53582","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"106715","CodeType":"CPT","Code":"29916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90356","CodeType":"CPT","Code":"90947","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58679","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"41252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103300","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0193U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3511F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92627","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0028U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113732","CodeType":"CPT","Code":"57461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98469","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38013","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"51920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3079F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0178U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"50957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28443","CodeType":"CPT","Code":"29877","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99176","CodeType":"CPT","Code":"42826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0635T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0031A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1290","CodeVersion":"2020","CustomName":"HEVY-DUTY WHLCHAIR; DTACHBL ARMS DTACHBL FOOTRST"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9964","CodeVersion":"2020","CustomName":"HIGH OSM CONTRST MATL 400\/> MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9317","CodeVersion":"2020","CustomName":"DOC PT RISK ASSESS RISK CALC W\/PT\/FAM NOT COMPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2207","CodeVersion":"2020","CustomName":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH"},{"ServiceGroup":"68381","CodeType":"HCPCS","Code":"G0153","CodeVersion":"2020","CustomName":"SRVC SPCH&LANG PATH HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3203","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE OXFORD W\/SUPINATOR\/PRONATOR JR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9685","CodeVersion":"2020","CustomName":"PHYS OTH PROF E&M BENEFIC CHG COND NSG FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0028","CodeVersion":"2020","CustomName":"INJECTION FAMOTIDINE 20 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1010","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS AXILLA SLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9944","CodeVersion":"2020","CustomName":"OCCLUSAL GUARD - HARD APPLIANCE, FULL ARCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9371","CodeVersion":"2020","CustomName":"INJECTION VINCRISTINE SULFATE LIPOSOME 1 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9532","CodeVersion":"2020","CustomName":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9153","CodeVersion":"2020","CustomName":"INJECTION LIPOSOMAL 1 MG DNR & 2.27 MG CA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9594","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCLA 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9482","CodeVersion":"2020","CustomName":"INJECTION SOTALOL HYDROCHLORIDE 1 MG"},{"ServiceGroup":"30064","CodeType":"ICD10P","Code":"GZB1ZZZ","CodeVersion":"2020","CustomName":"ELECTROCONVULSIVE THERAPY UNILAT-MULTIPL SEIZURE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0820","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD PORT SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4106","CodeVersion":"2020","CustomName":"DERMAGRAFT PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5364","CodeVersion":"2020","CustomName":"DYSPHAGIA SCREENING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5175","CodeVersion":"2020","CustomName":"LAUNDRY SERVICE EXTERNAL PROFESSIONAL; PER ORDER"},{"ServiceGroup":"10931","CodeType":"HCPCS","Code":"A4208","CodeVersion":"2020","CustomName":"SYRINGE WITH NEEDLE STERILE 3 CC EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1000","CodeVersion":"2020","CustomName":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G1016","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECHANISM SPEED OF CARE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77460","CodeType":"CPT","Code":"38571","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9596","CodeVersion":"2020","CustomName":"GALLIUM GA-68 GOZETOTIDE DIAG ILLUCCIX 1 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2206","CodeVersion":"2020","CustomName":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2407","CodeVersion":"2020","CustomName":"INJECTION ORITAVANCIN ORBACTIV 10 MG"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0017","CodeVersion":"2020","CustomName":"INJECTION AMINOCAPROIC ACID 5 GRAMS"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8686","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY NON-RECHARGEABLE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4600","CodeVersion":"2020","CustomName":"SLEEVE INTERMITTENT LIMB COMPRS DEVC REPL EA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15944","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3760F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"65772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68846","CodeType":"REV","Code":"0193","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level III"},{"ServiceGroup":"58122","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0419","CodeVersion":"2020","CustomName":"Respiratory Services - Other Respiratory Services"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"13215","CodeType":"REV","Code":"0632","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Multiple Source Drug"},{"ServiceGroup":"33235","CodeType":"REV","Code":"0272","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Sterile Supply"},{"ServiceGroup":"33484","CodeType":"REV","Code":"0432","CodeVersion":"2020","CustomName":"Occupational Therapy - Hourly"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0622","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - Supplies Incident to Other DX Services"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"313","CodeVersion":"2020","CustomName":"Urethral procedures, age greater than 17, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86922","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3472F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3490F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"37221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"53040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4556F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1182F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50203","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115054","CodeType":"CPT","Code":"27703","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"72131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82289","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4188F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20955","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0282T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0404T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73283","CodeType":"CPT","Code":"61797","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90973","CodeType":"CPT","Code":"62291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78713","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3320F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81566","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4561","CodeVersion":"2020","CustomName":"PESSAR RUBBER ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4267","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY CONDOM MALE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6710","CodeVersion":"2020","CustomName":"RETAINER CROWN - INDIRECT RESIN BASED COMPOSITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2250","CodeVersion":"2020","CustomName":"INJECTION MIDAZOLAM HCL PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9285","CodeVersion":"2020","CustomName":"LIDOCAINE 70 MG\/TETRACAINE 70 MG PER PATCH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9228","CodeVersion":"2020","CustomName":"INJECTION IPILIMUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1000","CodeVersion":"2020","CustomName":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0293","CodeVersion":"2020","CustomName":"NONCOVR SURG CONSC SEDAT ANES-MCR QUAL TRIAL-DAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9160","CodeVersion":"2020","CustomName":"INJECTION DENILEUKIN DIFTITOX 300 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6229","CodeVersion":"2020","CustomName":"GAUZE IMPREG H2O\/NL SALINE STERL>16 BUT<\/=48 SQ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5851","CodeVersion":"2020","CustomName":"TISSUE CONDITIONING MANDIBULAR"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0011","CodeVersion":"2020","CustomName":"STD-WT FRME MOTRIZD\/PWR WHLCHAIR W\/PROG CNTRL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G1015","CodeVersion":"2020","CustomName":"CLINICAL DECISION SUPP MECH RELIANT MEDICAL GRP"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J8600","CodeVersion":"2020","CustomName":"MELPHALAN ORAL 2 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9362","CodeVersion":"2020","CustomName":"POROUS COLL MATRIX BONE FILLER STRIP PER 0.5 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9211","CodeVersion":"2020","CustomName":"REGIONAL BLOCK ANESTHESIA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2201","CodeVersion":"2020","CustomName":"MNL WC ACSS NONSTD SEAT WDTH >\/= 20 IN & < 24 IN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2186","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM VABORBACTAM 10 MG\/10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9432","CodeVersion":"2020","CustomName":"MEDICAL FOODS FOR NONINBORN ERRORS OF METABOLISM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1801","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH ELBOW DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5671","CodeVersion":"2020","CustomName":"REPL ALL TEETH&ACRYLC FRMEWRK MAND"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"J7203","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX GLYCOPEGYLATED 1 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8604","CodeVersion":"2020","CustomName":"INJECTABLE BULKING AGENT URINARY TRACT 1 ML"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8659","CodeVersion":"2020","CustomName":"IP FNGR JNT REPLCMT 2\/MORE PECES METL CERAM-LIKE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4357","CodeVersion":"2020","CustomName":"BEDSID DRN BAG DAY\/NGT W\/WO ANTI-REFLX DEVC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T5001","CodeVersion":"2020","CustomName":"POSITIONING SEAT PERSON SPECIAL\/ORTHOPEDIC NEED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1009","CodeVersion":"2020","CustomName":"WC ACCSS ADD PWR SEAT MECH LINKD LEG ELEV SYS EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9721","CodeVersion":"2020","CustomName":"PATIENT NOT AMBUL BED RIDDN IM CONF CHR WC BND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6382","CodeVersion":"2020","CustomName":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5505","CodeVersion":"2020","CustomName":"DIAB ONLY MOD SHOE\/CSTM MOLD SHOE W\/MT BAR SHOE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4173","CodeVersion":"2020","CustomName":"PALINGEN OR PALINGEN XPLUS PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5925","CodeVersion":"2020","CustomName":"FACIAL AUGMENTATION IMPLANT PROSTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S2140","CodeVersion":"2020","CustomName":"CORD BLOOD HARVESTING TRANSPLANTATION ALLOGENEIC"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0634","CodeVersion":"2020","CustomName":"\"Pharmacy - Extension of 025X - Erythroepoetin (EPO)<10,000 units\""},{"ServiceGroup":"75545","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"72996","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"85570","CodeType":"REV","Code":"0820","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"516","CodeVersion":"2020","CustomName":"Percutaneous cardiovascular procedures with acute myocardial infarction (AMI)"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"89260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4221F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4550F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113679","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2020F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"68000","CodeType":"CPT","Code":"58561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"73521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91015","CodeType":"CPT","Code":"29898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90343","CodeType":"CPT","Code":"63081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"0543T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0409T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27181","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4015F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"59020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16506","CodeType":"CPT","Code":"52647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.79","CodeVersion":"2017","CustomName":"REVISION OR RELOCATION OF CARDIAC DEVICE POCKET"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.42","CodeVersion":"2017","CustomName":"RESECTION OTHER VESSELS HEAD&NECK W\/REPLACEMENT"},{"ServiceGroup":"13526","CodeType":"CPT","Code":"80435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0734T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115366","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78183","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0856","CodeVersion":"2020","CustomName":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO &=300 LB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7636","CodeVersion":"2020","CustomName":"ATROPINE INHAL COMP PROD UNIT DOSE FORM PER MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1831","CodeVersion":"2020","CustomName":"KNEE ORTHO LOCK KNEE JNT PSTN ORTHO PRFAB W\/FIT"},{"ServiceGroup":"68662","CodeType":"HCPCS","Code":"J1756","CodeVersion":"2020","CustomName":"INJECTION IRON SUCROSE 1 MG"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0840","CodeVersion":"2020","CustomName":"PWR WC GRP 2 XTRA HVY 1 PWR SLING PT 601 LBS\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2605","CodeVersion":"2020","CustomName":"PSTN WHEELCHAIR SEAT CUSHN WIDTH < 22 IN DEPTH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0735","CodeVersion":"2020","CustomName":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8937","CodeVersion":"2020","CustomName":"CMP-AID DETN INCL CMP ALG ANALYS BR MRI IMG DATA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4110","CodeVersion":"2020","CustomName":"REPLACE LEATHER CUFF KAFO-AFO CALF\/DISTAL THIGH"},{"ServiceGroup":"66265","CodeType":"HCPCS","Code":"G0158","CodeVersion":"2020","CustomName":"SERVICE OT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"106927","CodeType":"HCPCS","Code":"Q5001","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROV PT HOME\/RESIDENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7041","CodeVersion":"2020","CustomName":"WATER SEAL DRAINAGE CONTAINER & TUBING"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6615","CodeVersion":"2020","CustomName":"RETAINER ONLAY-CAST NOBLE METAL 3\/MORE SURFACES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9124","CodeVersion":"2020","CustomName":"ONC; CML; ACCEL PHASE NOT HEMA CYT\/MOL REMISS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9438","CodeVersion":"2020","CustomName":"CESAREAN BIRTH CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0660","CodeVersion":"2020","CustomName":"NONSEG PNEUMAT APPLINC W\/PNEUMAT COMPRS FULL LEG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2630","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP COOL-TIP"},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9840","CodeVersion":"2020","CustomName":"RAS GENE MUT TEST PRFRM BEF INT ANTI-EGFR MOAB"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9114","CodeVersion":"2020","CustomName":"ONC;OV CA; ST IA-B GR 2-3;ST IC;ST II; NO PROGRS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2006","CodeVersion":"2020","CustomName":"KAF DVC ANY MATERIAL ADJUSTABILITY CUSTOM FAB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9115","CodeVersion":"2020","CustomName":"ONC; STATUS; OVARIAN CA; ST III-IV; NO PROGRESSN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3678","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS JOINT DESIGN NO JOINT PREFAB"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7642","CodeVersion":"2020","CustomName":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1675","CodeVersion":"2020","CustomName":"INJECTION HISTRELIN ACETATE 10 MICROGRAMS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0144","CodeVersion":"2020","CustomName":"AZITHROMYCIN DIHYDRATE ORAL CAP\/POWDER 1 GRAM"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"60521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15559","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"29893","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0113","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Pediatric"},{"ServiceGroup":"63381","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0121","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"11919","CodeType":"REV","Code":"0819","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Other Donor"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0962","CodeVersion":"2020","CustomName":"Professional Fees - Ophthalmology"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86687","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59358","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0516F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15878","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3117F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86932","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35697","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3762F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0148U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15789","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"79937","CodeType":"CPT","Code":"93461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85768","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82752","CodeType":"CPT","Code":"84520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104351","CodeType":"CPT","Code":"87651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0245T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29828","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5647","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2794","CodeVersion":"2020","CustomName":"INJECTION RISPERIDONE 0.5 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0699","CodeVersion":"2020","CustomName":"INJECTION CEFIDEROCOL 10 MG"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0769","CodeVersion":"2020","CustomName":"ESTIM\/ELECTROMAGNETIC WOUND TREATMENT DEVC NOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6095","CodeVersion":"2020","CustomName":"REPAIR IMPLANT ABUTMENT BY REPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9733","CodeVersion":"2020","CustomName":"PT UNABLE COMPL LW BACK FS PROM INIT EVAL &\/ D\/C"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0953","CodeVersion":"2020","CustomName":"ONC EXPECTANT MANAGEMENT PT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0187","CodeVersion":"2020","CustomName":"WATER PRESSURE MATTRESS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7515","CodeVersion":"2020","CustomName":"CYCLOSPORINE ORAL 25 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2626","CodeVersion":"2020","CustomName":"WC ACCESS SHLDR ELB MOBIL ARM SUPP WC ADJUSTBLE"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8415","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH UPPER LIMB EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2755","CodeVersion":"2020","CustomName":"ADD LOW EXT ORTHOS HYBRID COMPOS PER SEG CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7910","CodeVersion":"2020","CustomName":"SUTURE RECENT SMALL WOUNDS UP 5 CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9769","CodeVersion":"2020","CustomName":"PATIENT HAD BMDT P 2 YR\/RECV OPO MED\/TX P 12 MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0172","CodeVersion":"2020","CustomName":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A0434","CodeVersion":"2020","CustomName":"SPECIALTY CARE TRANSPORT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7350","CodeVersion":"2020","CustomName":"VESTBULPLSTY-RIDGE EXT SFT TISS GFT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9263","CodeVersion":"2020","CustomName":"INJECTION OXALIPLATIN 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9229","CodeVersion":"2020","CustomName":"CHLAMYDIA GONORRHEA & SYPHILIS SCR RSLT NOT DOC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"B4157","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9254","CodeVersion":"2020","CustomName":"INJECTION LACOSAMIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8405","CodeVersion":"2020","CustomName":"LOWER EXTREM NEUROLOGICAL EXAM NOT PERFORMED"},{"ServiceGroup":"91322","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8410","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH ABOVE KNEE EACH"},{"ServiceGroup":"58436","CodeType":"HCPCS","Code":"V5286","CodeVersion":"2020","CustomName":"ASSIST LISTEN DEVC PERS BLUE TOOTH FM\/DM RECEIVR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4126","CodeVersion":"2020","CustomName":"MEMODERM DERMASPAN TRANZGRFT\/INTEGUPLY PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0953","CodeVersion":"2020","CustomName":"ONC EXPECTANT MANAGEMENT PT"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105220","CodeType":"CPT","Code":"63047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0331","CodeVersion":"2020","CustomName":"PET IMAGING RESTAGING OVARIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5876","CodeVersion":"2020","CustomName":"ADD MET SUBSTRUC TO ACRYLIC FULL DENT (PER ARCH)"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9017","CodeVersion":"2020","CustomName":"INJECTION ARSENIC TRIOXIDE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5710","CodeVersion":"2020","CustomName":"REBASE COMPLETE MAXILLARY DENTURE"},{"ServiceGroup":"106925","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0514","CodeVersion":"2020","CustomName":"COLOR CONTACT LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9053","CodeVersion":"2020","CustomName":"PLT PHERES LEUKOCYTES RDUC CMV-NEG IRRADATD EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0675","CodeVersion":"2020","CustomName":"PNEUMAT COMPRS DEVC HI PRSS RAPID INFLATION\/DEFL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9605","CodeVersion":"2020","CustomName":"PC TL REV OF\/THRU CABG; EA ADD BR SUBTEND BP GFT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4157","CodeVersion":"2020","CustomName":"ENTRAL F NUTRITION CMPL INHERITED DZ METAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2021","CodeVersion":"2020","CustomName":"DAY HABILITATION WAIVER; PER 15 MINUTES"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64489","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75545","CodeType":"REV","Code":"0112","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Obstetrics (OB)"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0646","CodeVersion":"2020","CustomName":"\"Home IV Therapy Services - Training, Disabled Patient, Central Line\""},{"ServiceGroup":"70042","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"58763","CodeType":"REV","Code":"0263","CodeVersion":"2020","CustomName":"IV Therapy - IV Therapy\/Drug\/Supply Delivery"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0207","CodeVersion":"2020","CustomName":"Intensive Care Unit - Burn Care"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"46754","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"19316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"69840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91631","CodeType":"CPT","Code":"99214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103974","CodeType":"CPT","Code":"0294T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"46748","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81569","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27091","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"20611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0707T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0688T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105251","CodeType":"CPT","Code":"49505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0204U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61556","CodeType":"CPT","Code":"25607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"75900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26694","CodeType":"HCPCS","Code":"S9123","CodeVersion":"2020","CustomName":"NURSING CARE THE HOME; REGISTERED NURSE PER HOUR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J8670","CodeVersion":"2020","CustomName":"ROLAPITANT ORAL 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7025","CodeVersion":"2020","CustomName":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9999","CodeVersion":"2020","CustomName":"SALES TAX"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2560","CodeVersion":"2020","CustomName":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4725","CodeVersion":"2020","CustomName":"DIALYSATE DXTROS FL>4999<\/=5999CC PERITON DIALYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0491","CodeVersion":"2020","CustomName":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0145","CodeVersion":"2020","CustomName":"INJ PEGYLATED INTERFERON ALFA2A 180 MCG PER ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3299","CodeVersion":"2020","CustomName":"INJECTION TRIAMCINOLONE ACETONIDE XIPERE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2020","CodeVersion":"2020","CustomName":"DAY HABILITATION WAIVER; PER DIEM"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0139","CodeVersion":"2020","CustomName":"INJ FERUMOXYTOL TX IRON DEF ANEMIA 1 MG FOR ESRD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L0458","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB"},{"ServiceGroup":"71860","CodeType":"HCPCS","Code":"C9607","CodeVersion":"2020","CustomName":"PC TL REV CHRN TOT OCCL CA CA BR\/CABG; 1 VES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5983","CodeVersion":"2020","CustomName":"RADIATION CARRIER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4111","CodeVersion":"2020","CustomName":"GAMMAGRAFT PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8622","CodeVersion":"2020","CustomName":"ALKALIN BATTRY COCHLEAR IMPL DEVC ANY SZ REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4014","CodeVersion":"2020","CustomName":"NEPHROLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7637","CodeVersion":"2020","CustomName":"DEXAMETHASONE INHAL COMP PROD CONC FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A6262","CodeVersion":"2020","CustomName":"WOUND FILLER DRY FORM PER G NOT OTHERWISE SPEC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9698","CodeVersion":"2020","CustomName":"DOC SYS RSN NOT PRSC LA INHALED BRONCHODILATOR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5987","CodeVersion":"2020","CustomName":"ALL LW XTRM PRSTH SHNK FT SYS W\/VRTCL LOAD PYLN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9649","CodeVersion":"2020","CustomName":"PSORIASIS ASSESS TOOL DOC ANY 1 BNCHMK BSA SEV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1510","CodeVersion":"2020","CustomName":"KIDNEY DIALYSATE DEL SYS KIDNEY MACH PUMP RECIRC"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L0466","CodeVersion":"2020","CustomName":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9032","CodeVersion":"2020","CustomName":"INJECTION BELINOSTAT 10 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5705","CodeVersion":"2020","CustomName":"CUSTOM SHAPED PROTECTIVE COVER ABOVE KNEE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8679","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR PULSE GENERATOR ANY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0271","CodeVersion":"2020","CustomName":"PHYS MGT PT HOME CARE HOSPICE MONTHLY CASE RATE"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1595","CodeVersion":"2020","CustomName":"INJECTION GLATIRAMER ACETATE 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9198","CodeVersion":"2020","CustomName":"ORDER 1ST\/2ND GEN CEPH AMP NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2390","CodeVersion":"2020","CustomName":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9679","CodeVersion":"2020","CustomName":"ONSITE AC C TX NSG FAC RES W\/PNE BILLD SID-BENEF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4419","CodeVersion":"2020","CustomName":"OST POUCH CLOS; BARRIER W\/NON-LOCK FLNGE W\/FLTR"},{"ServiceGroup":"53747","CodeType":"HCPCS","Code":"S9125","CodeVersion":"2020","CustomName":"RESPITE CARE IN THE HOME PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8520","CodeVersion":"2020","CustomName":"CAPECITABINE ORAL 150 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9176","CodeVersion":"2020","CustomName":"INJECTION ELOTUZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1720","CodeVersion":"2020","CustomName":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64484","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59116","CodeType":"REV","Code":"0210","CodeVersion":"2020","CustomName":"Coronary Care Unit - General Classification"},{"ServiceGroup":"62717","CodeType":"REV","Code":"0624","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies - Extension of 027X - FDA Investigational Devices"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0128","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Rehabilitation"},{"ServiceGroup":"79562","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"3208","CodeType":"REV","Code":"0199","CodeVersion":"2020","CustomName":"Subacute Care - Other Subacute Care"},{"ServiceGroup":"12394","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"36802","CodeType":"DRG","Code":"235","CodeVersion":"2020","CustomName":"Fractures of femur"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"270","CodeVersion":"2020","CustomName":"Other skin, subcutaneous tissue, and breast procedures without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49652","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105251","CodeType":"CPT","Code":"49507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0091U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88599","CodeType":"CPT","Code":"31267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26742","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37253","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"92506","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"65580","CodeType":"CPT","Code":"33216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"98941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9057","CodeVersion":"2020","CustomName":"INJECTION COPANLISIB 1 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0278","CodeVersion":"2020","CustomName":"INJECTION AMIKACIN SULFATE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4300","CodeVersion":"2020","CustomName":"IMPLANTABLE ACCESS CATHETER EXTERNAL ACCESS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9318","CodeVersion":"2020","CustomName":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9587","CodeVersion":"2020","CustomName":"GALLIUM GA-68 DOTATATE DIAGNOSTIC 0.1 MILLICURIE"},{"ServiceGroup":"65627","CodeType":"HCPCS","Code":"L8642","CodeVersion":"2020","CustomName":"HALLUX IMPLANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9133","CodeVersion":"2020","CustomName":"ONC;DZ STS;PROS CA ADENOCARCINOMA;CLIN METS\/M1"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6239","CodeVersion":"2020","CustomName":"HYDROCOLLOID DRESS STERL >48 SQ W\/ADHES BORDR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L7367","CodeVersion":"2020","CustomName":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4180","CodeVersion":"2020","CustomName":"REVITA PER SQUARE CM"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C2630","CodeVersion":"2020","CustomName":"CATH EP DX\/ABLAT NOT 3D\/VECTOR MAP COOL-TIP"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7324","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIV ORTHOVISC IA INJ PER DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9504","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V5261","CodeVersion":"2020","CustomName":"HEARING AID DIGITAL BINAURAL BTE"},{"ServiceGroup":"84439","CodeType":"ICD10P","Code":"10A07ZW","CodeVersion":"2020","CustomName":"ABORTION POC LAMINARIA VIA NATURAL\/ARTIF OPENING"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2033","CodeVersion":"2020","CustomName":"RESIDENTIAL CARE NOS WAIVER; PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4500","CodeVersion":"2020","CustomName":"SURGICAL STOCKING BELOW KNEE LENGTH EACH"},{"ServiceGroup":"21818","CodeType":"ICD10P","Code":"4A023N7","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS LT HEART PERQ"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2777","CodeVersion":"2020","CustomName":"INJECTION FARICIMAB-SVOA 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4284","CodeVersion":"2020","CustomName":"BREAST SHIELD&SPLASH PROTECTR W\/BREAST PUMP REPL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8435","CodeVersion":"2020","CustomName":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S3630","CodeVersion":"2020","CustomName":"EOSINOPHIL COUNT BLOOD DIRECT"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"98721","CodeType":"HCPCS","Code":"L8699","CodeVersion":"2020","CustomName":"PROSTHETIC IMPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3675","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS VEST ABDUCT RESTRAINER PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L6920","CodeVersion":"2020","CustomName":"WRST DISARTIC OTTO BOCK\/=SWTCH CNTRL TERM DEVC"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4541F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97","CodeType":"ICD10P","Code":"10D00Z0","CodeVersion":"2020","CustomName":"EXTRACTION PRODUCTS OF CONCEPTION HIGH OPEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4305","CodeVersion":"2020","CustomName":"DISPBL DRUG DELIV SYSTEM FLOW RATE 50 ML\/>-HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0504","CodeVersion":"2020","CustomName":"SINGLE VISION PRESCRIPTION LENS PER LENS"},{"ServiceGroup":"103671","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7015","CodeVersion":"2020","CustomName":"AREO MASK USED W\/ DME NEB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7351","CodeVersion":"2020","CustomName":"INJECTION BIMATOPROST INTRACAMERAL IMPLANT 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D1557","CodeVersion":"2020","CustomName":"REMOVAL OF FIXED BILATERAL SPACE MNTNR - MAX"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0760","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - GENERAL CLASSIFICATION"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0720","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"696","CodeVersion":"2020","CustomName":"PRE-HOSPICE\/PALLIATIVE CARE SERVICES - PHYSICIAN SERVICES"},{"ServiceGroup":"12019","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"17065","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"22404","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"68200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32097","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"51565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77071","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"17313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78701","CodeType":"CPT","Code":"49565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33364","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"12046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87527","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95911","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75902","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45119","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64898","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"35460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83916","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0061A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4134F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43249","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"40510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"17110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32994","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3754F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"54150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3495F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"58954","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4552F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103391","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"50543","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91585","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91861","CodeType":"CPT","Code":"44407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0306U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4087","CodeVersion":"2020","CustomName":"GASTROSTOMY\/J-TUBE STANDARD ANY MATERIAL\/TYPE EA"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4200","CodeVersion":"2020","CustomName":"SKINTE PER SQ CM"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9542","CodeVersion":"2020","CustomName":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0820","CodeVersion":"2020","CustomName":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1580","CodeVersion":"2020","CustomName":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0701","CodeVersion":"2020","CustomName":"PANORAMIC RADIOGRAPHIC IMAGE - IMAGE CAP ONLY"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"30609","CodeType":"HCPCS","Code":"T2043","CodeVersion":"2020","CustomName":"HOSPICE CONTINUOUS HOME CARE; PER HOUR"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9150","CodeVersion":"2020","CustomName":"EVALUATION BY OCCULARIST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9604","CodeVersion":"2020","CustomName":"TRAVEL 1 WAY MED NEC LAB SPEC; PRORATD TRIP CHRG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1881","CodeVersion":"2020","CustomName":"DIALYSIS ACCESS SYSTEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0020","CodeVersion":"2020","CustomName":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9767","CodeVersion":"2020","CustomName":"HOSPITALIZED PT NEWLY DX CVA CNSDR EVAR STRK TX"},{"ServiceGroup":"75937","CodeType":"HCPCS","Code":"Q9955","CodeVersion":"2020","CustomName":"INJECTION PERFLEXANE LIPID MICROSPHERES PER ML"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1240","CodeVersion":"2020","CustomName":"INJECTION DIMENHYDRINATE UP TO 50 MG"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"A9541","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI"},{"ServiceGroup":"74932","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0492","CodeVersion":"2020","CustomName":"EMERGENCY POWER SPL CABLE FOR ELEC VAD REPL ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2218","CodeVersion":"2020","CustomName":"ANISEIKONIC PER LENS BIFOCAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0302","CodeVersion":"2020","CustomName":"HOS BED XTRA HEVY DUTY WT CAP>600 PDS W\/O MTTRSS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2080","CodeVersion":"2020","CustomName":"EA ADD 30 MIN CNSL WK MED ASSISTED TREATMENT;"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4048","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9885","CodeVersion":"2020","CustomName":"2 MDPP ONGO MS ATD MDPP BNF MO 22-24 UND MDPP EM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6511","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT LW TRNK W\/LEG OPENING CSTM FAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2331","CodeVersion":"2020","CustomName":"PWR WC ACSS ATTENDANT CONTROL PROPROTIONAL"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3517F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53744","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"60112","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"9518","CodeType":"REV","Code":"0459","CodeVersion":"2020","CustomName":"Emergency Room - Other Emergency Room"},{"ServiceGroup":"9533","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"15763","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"15860","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"75639","CodeType":"REV","Code":"0118","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Rehabilitation"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0139","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Other"},{"ServiceGroup":"3826","CodeType":"REV","Code":"0972","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - RADIOLOGY - DIAGNOSTIC"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"58764","CodeType":"REV","Code":"0516","CodeVersion":"2020","CustomName":"Clinic - Urgent Care Clinic"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"234","CodeVersion":"2020","CustomName":"Other musculoskeletal system and connective tissue operating room procedures without CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"58600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"13120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111584","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30135","CodeType":"ICD9P","Code":"51.88","CodeVersion":"2017","CustomName":"ENDOSCOPIC REMOVAL OF STONE FROM BILIARY TRACT"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67835","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81297","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27393","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86863","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47994","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"50384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"48552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"35472","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0309U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0278U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78709","CodeType":"CPT","Code":"22632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78504","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0556T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0102U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0696T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44142","CodeType":"CPT","Code":"42830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29827","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103302","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7471","CodeVersion":"2020","CustomName":"REMOVAL OF LATERAL EXOSTOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1810","CodeVersion":"2020","CustomName":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1108","CodeVersion":"2020","CustomName":"ONGOING CARE NOT CLN INDICAT PT ND HOME PRG ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4020","CodeVersion":"2020","CustomName":"OPHTHALMOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9994","CodeVersion":"2020","CustomName":"LODGNG COSTS CLINICAL TRIAL PRTCP&ONE CAREGIVR"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9208","CodeVersion":"2020","CustomName":"INJECTION IFOSFAMIDE 1 G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2599","CodeVersion":"2020","CustomName":"CONTACT LENS OTHER TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q2035","CodeVersion":"2020","CustomName":"INFLUENZA VACC SPLIT VIRUS 3 YRS & > IM AFLURIA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9504","CodeVersion":"2020","CustomName":"DOC RSN NOT ASSESS HBV STS PRI INIT ANTI-TNF TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4021","CodeVersion":"2020","CustomName":"ORTHOPEDIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9707","CodeVersion":"2020","CustomName":"PATIENT RCV HOSPICE SRVC ANY TIME DUR MSR PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5614","CodeVersion":"2020","CustomName":"ADD LW EXTRM ENDO SYS AK-DISARTC 4-BAR W\/PNEUMAT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8825","CodeVersion":"2020","CustomName":"PATIENT NOT DISCHARGED TO HOME BY POSTOP DAY #7"},{"ServiceGroup":"41406","CodeType":"ICD10P","Code":"4A023N6","CodeVersion":"2020","CustomName":"MEASUREMENT CARDIAC SAMPLING PRESS RT HEART PERQ"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3420","CodeVersion":"2020","CustomName":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7971","CodeVersion":"2020","CustomName":"EXCISION OF PERICORONAL GINGIVA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5741","CodeVersion":"2020","CustomName":"RELINE MANDIBULAR PARTIAL DENTURE DIRECT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9805","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPIC SRVC ANY TIME DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9512","CodeVersion":"2020","CustomName":"INDIVIDUAL HAD A PDC OF 0.8 OR GREATER"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0464","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8131","CodeVersion":"2020","CustomName":"INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL"},{"ServiceGroup":"80284","CodeType":"HCPCS","Code":"Q5005","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88421","CodeType":"CPT","Code":"64575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4306F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"48153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51965","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0160","CodeVersion":"2020","CustomName":"Room & BOARD - Other - General Classification"},{"ServiceGroup":"3477","CodeType":"REV","Code":"0510","CodeVersion":"2020","CustomName":"Clinic - General Classification"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"93118","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"36812","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"25686","CodeType":"REV","Code":"0156","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Detoxification"},{"ServiceGroup":"17608","CodeType":"REV","Code":"0154","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Psychiatric"},{"ServiceGroup":"11151","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"45145","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"51276","CodeType":"DRG","Code":"007","CodeVersion":"2020","CustomName":"Peripheral and cranial nerve and other nervous system procedures with CC"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"98961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"49555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85040","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75957","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90380","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106223","CodeType":"CPT","Code":"63042","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107657","CodeType":"CPT","Code":"67040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33764","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64493","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"40843","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"72129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91879","CodeType":"CPT","Code":"52649","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.57","CodeVersion":"2017","CustomName":"LIGATION&STRIPPING OF ABDOMINAL VARICOSE VEINS"},{"ServiceGroup":"16526","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112581","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37642","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0241U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.25","CodeVersion":"2017","CustomName":"IVASC IMAG NON-COR VES OPTICAL COHERNCE TOMOGRPH"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0436T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90675","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.36","CodeVersion":"2017","CustomName":"EXCISION DESTRUCT\/EXCLUSION LT ATRIAL APPENDAGE"},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78433","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4149","CodeVersion":"2020","CustomName":"EXCELLAGEN 0.1 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q5117","CodeVersion":"2020","CustomName":"INJECTION TRASTUZUMAB-ANNS BIOSIMILAR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3660","CodeVersion":"2020","CustomName":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"B4083","CodeVersion":"2020","CustomName":"STOMACH TUBE - LEVINE TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"68261","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0120","CodeVersion":"2020","CustomName":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5283","CodeVersion":"2020","CustomName":"REMOV UNI PART DENTUR - 1 PECE CAST METL MAND"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0600","CodeVersion":"2020","CustomName":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9603","CodeVersion":"2020","CustomName":"PERQ TL COR ATHERECT; EA ADD BR MAJ CORONARY ART"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0285","CodeVersion":"2020","CustomName":"INJECTION AMPHOTERICIN B 50 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9035","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9041","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 5% 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2150","CodeVersion":"2020","CustomName":"INJECTION MANNITOL 25% IN 50 ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9482","CodeVersion":"2020","CustomName":"FAMILY STABILIZATION SERVICES PER 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5970","CodeVersion":"2020","CustomName":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0256","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1-PROTASE INHIBITOR NOS 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2103","CodeVersion":"2020","CustomName":"ADRENAL TISSUE TRANSPLANT TO BRAIN"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2641","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED PALLADIUM-103 PER SRC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0606","CodeVersion":"2020","CustomName":"MOLECULAR TESTG PH REL PA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4706","CodeVersion":"2020","CustomName":"BICARBONATE CONCENTRATE SOL HEMODIAL PER GALLON"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0446","CodeVersion":"2020","CustomName":"ANNUAL FCE--FCE INTENSV BEHV TX CV DZ IND 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9911","CodeVersion":"2020","CustomName":"CLINIC NODE NEG IBC BEF\/AFT NEOADJUVANT SYS TX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2029","CodeVersion":"2020","CustomName":"SPECIALIZED MEDICAL EQUIPMENT NOS WAIVER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2150","CodeVersion":"2020","CustomName":"MULTIMODAL PAIN MANAGEMENT WAS NOT USED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2394","CodeVersion":"2020","CustomName":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2740","CodeVersion":"2020","CustomName":"CROWN - PORCELAIN\/CERAMIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9546","CodeVersion":"2020","CustomName":"COBALT CO-57\/58 CYANOCOBALAMN DX TO 1 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7018","CodeVersion":"2020","CustomName":"H2O DIST USE W\/LG VOL NEB 1000 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1270","CodeVersion":"2020","CustomName":"ADDITION TO TLSO ABDOMINAL PAD"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"91037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15783","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31512","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"13903","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"40242","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"3354","CodeType":"REV","Code":"0257","CodeVersion":"2020","CustomName":"Pharmacy - Non-Prescription"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59076","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"6030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78466","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22614","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97463","CodeType":"CPT","Code":"29880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15846","CodeType":"CPT","Code":"99509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59866","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72157","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27691","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0226U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0174T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81564","CodeType":"CPT","Code":"29914","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99170","CodeType":"CPT","Code":"28298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89569","CodeType":"CPT","Code":"93460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35647","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4268F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42894","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"83013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42426","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4014F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3074F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46611","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"68530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0049U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62296","CodeType":"CPT","Code":"93457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.51","CodeVersion":"2017","CustomName":"HEART TRANSPLANTATION"},{"ServiceGroup":"79937","CodeType":"CPT","Code":"0291T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3018F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107658","CodeType":"CPT","Code":"67121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0441","CodeVersion":"2020","CustomName":"STATIONARY O2 CONTENTS GAS 1 MO SUPPLY=1 UNIT"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9245","CodeVersion":"2020","CustomName":"INJECTION MELPHALAN HCI NOS 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0182","CodeVersion":"2020","CustomName":"PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D8698","CodeVersion":"2020","CustomName":"RE-CEMENT OR RE-BOND FIXED RETAINER - MAXILLAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7677","CodeVersion":"2020","CustomName":"REVEFENACIN INHAL SOL NONCOMPND ADM DME 1 MCG"},{"ServiceGroup":"104268","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"61818","CodeType":"HCPCS","Code":"G0152","CodeVersion":"2020","CustomName":"SERVICE OCCUP THERAP HOME HLTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9429","CodeVersion":"2020","CustomName":"DOC MED RSN NOT INCL PT CAT & STM THK ULCER & MR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0815","CodeVersion":"2020","CustomName":"PWR WC GRP 1 STD SLING SEAT PT UP TO &= 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9190","CodeVersion":"2020","CustomName":"INJECTION FLUOROURACIL 500 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9354","CodeVersion":"2020","CustomName":"INJ ADO-TRASTUZUMAB EMTANSINE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2108","CodeVersion":"2020","CustomName":"1 VISN +\/-4.25D-+\/-7.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1788","CodeVersion":"2020","CustomName":"PORT INDWELLING"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0482","CodeVersion":"2020","CustomName":"DIRECT IMMUNOFLUORESCENCE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2995","CodeVersion":"2020","CustomName":"INJECTION STREPTOKINASE PER 250000 IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C8921","CodeVersion":"2020","CustomName":"TTE W\/CONTRAST OR W\/O FLW W\/CONTRAST; COMPLETE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9746","CodeVersion":"2020","CustomName":"PT HAS MS\/PROS HEART VLV\/PT TSNT\/R CAUSE OF AF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9374","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY HYDRATION TX; 1 LITER DAY"},{"ServiceGroup":"73486","CodeType":"HCPCS","Code":"A9566","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4628","CodeVersion":"2020","CustomName":"OROPHARYNGEAL SUCTION CATHETER EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7297","CodeVersion":"2020","CustomName":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0170","CodeVersion":"2020","CustomName":"COMMODE CHAIR INTGR SEAT LIFT MECH ELEC ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9354","CodeVersion":"2020","CustomName":"1 CT SCAN\/NO CT SCAN PARNSL SS ORD 90 D AFTR DOD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2013","CodeVersion":"2020","CustomName":"PSYCHIATRIC HEALTH FACILITY SERVICE PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2358","CodeVersion":"2020","CustomName":"INJECTION OLANZAPINE LONG-ACTING 1 MG"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9548","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62258","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103902","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8685","CodeVersion":"2020","CustomName":"IMPLANT NEUROSTIM 1 ARRAY RECHARGEABLE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q3014","CodeVersion":"2020","CustomName":"TELEHEALTH ORIGINATING SITE FACILITY FEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6000","CodeVersion":"2020","CustomName":"PARTIAL HAND THUMB REMAINING"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30654","CodeType":"CPT","Code":"52353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"64318","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4260F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40820","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"28243","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"12214","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83519","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"89330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70488","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"71021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0397T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82742","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"37230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80074","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85022","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0491T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3378F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4279F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61737","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"55120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0174U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"97026","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93926","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"72158","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"84402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3395F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90371","CodeType":"CPT","Code":"69310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3450","CodeVersion":"2020","CustomName":"ROOT AMPUTATION - PER ROOT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3550","CodeVersion":"2020","CustomName":"ORTHOPEDIC SHOE ADDITION TOE TAP STANDARD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2101","CodeVersion":"2020","CustomName":"SPHERE SINGLE VISION +\/- 4.12 +\/- 7.00D PER LENS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9271","CodeVersion":"2020","CustomName":"INJECTION PEMBROLIZUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0629","CodeVersion":"2020","CustomName":"SEAT LIFT MECHANISM NON-ELECTRIC ANY TYPE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9439","CodeVersion":"2020","CustomName":"VBAC CLASSES NON-PHYSICIAN PER SESSION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0509","CodeVersion":"2020","CustomName":"MISC SPL\/ACSS IMPL VAD NO PAYMENT MEDICARE PRT A"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7332","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE TRILURON IA INJ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0117","CodeVersion":"2020","CustomName":"TRETINOIN TOPICAL 5 GRAMS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S3849","CodeVersion":"2020","CustomName":"GENETIC TESTING FOR NIEMANN-PICK DISEASES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3280","CodeVersion":"2020","CustomName":"INJECTION THIETHYLPERAZINE MALEATE UP TO 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9063","CodeVersion":"2020","CustomName":"ONC; STATUS; NSCLC; STAGE I NO DZ PROGRESSION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2323","CodeVersion":"2020","CustomName":"INJECTION NATALIZUMAB 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1527","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - REMOVABLE - BILATERAL, MANDIB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7198","CodeVersion":"2020","CustomName":"ANTI-INHIBITOR PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8425","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID GLOVE CUSTOM MEDIUM WEIGHT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0883","CodeVersion":"2020","CustomName":"INJECTION ARGATROBAN 1 MG NON-ESRD USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0220","CodeVersion":"2020","CustomName":"INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9803","CodeVersion":"2020","CustomName":"H O\/P CLI SPEC CLCT SARS-COV-2 COVID-19 ANY SRC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S4021","CodeVersion":"2020","CustomName":"IVF PROC CANCELLED AFTER ASPIRATION CASE RATE"},{"ServiceGroup":"89669","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2312","CodeVersion":"2020","CustomName":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T4545","CodeVersion":"2020","CustomName":"INCONTINENCE PRODUCT DISPOSABLE PENILE WRAP EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2662","CodeVersion":"2020","CustomName":"ONLAY-RSN COMPOS COMPOS\/RSN-2 SURF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4282","CodeVersion":"2020","CustomName":"ADAPTER FOR BREAST PUMP REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9740","CodeVersion":"2020","CustomName":"HOSPICE SRVC GIVEN TO PT ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5570","CodeVersion":"2020","CustomName":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC\/=DIR FORMED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7040","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION STERILE"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19126","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3037F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105321","CodeType":"CPT","Code":"33238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"21805","CodeType":"REV","Code":"0430","CodeVersion":"2020","CustomName":"Occupational Therapy - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0656","CodeVersion":"2020","CustomName":"Hospice Service - General Inpatient Care Non-Respite"},{"ServiceGroup":"68510","CodeType":"REV","Code":"0292","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Purchase of New DME"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0860","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - GENERAL CLASSIFICATION"},{"ServiceGroup":"33270","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"42785","CodeType":"REV","Code":"0443","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Group"},{"ServiceGroup":"20162","CodeType":"DRG","Code":"621","CodeVersion":"2020","CustomName":"NEONATE, BWT 2000-2499G, W\/O SIG OR PROC, W OTHER PROB-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"45349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92618","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.51","CodeVersion":"2017","CustomName":"APPLICATION OF PLASTER JACKET"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75966","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"64901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"71275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78453","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"70542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72380","CodeType":"CPT","Code":"97169","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44213","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4063F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4256F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"13150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27177","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0536T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"2784","CodeType":"CPT","Code":"55873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"19371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.9","CodeVersion":"2017","CustomName":"OTHER OPERATIONS ON VALVES AND SEPTA OF HEART"},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0042T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0255T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"80999","CodeType":"CPT","Code":"0291U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"6102F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41.0","CodeVersion":"2017","CustomName":"BONE MARROW TRANSPLANT"},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73702","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0104A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L9900","CodeVersion":"2020","CustomName":"ORTHO&PROS SPL ACSS&\/SRVC CMPNT OTH HCPCS L CODE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1700","CodeVersion":"2020","CustomName":"INJECTION HYDROCORTISONE ACETATE UP TO 25 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9703","CodeVersion":"2020","CustomName":"EPI WHERE PT TAKING ABX 30 DAYS PRI TO EPI DATE"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7520","CodeVersion":"2020","CustomName":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9299","CodeVersion":"2020","CustomName":"PT NOT EVAL VTE CV RISK W\/I 30 DAY PRIOR PROC"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9578","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0283","CodeVersion":"2020","CustomName":"E-STIM 1\/> AREAS OTH THAN WND CARE PART TX PLAN"},{"ServiceGroup":"52782","CodeType":"HCPCS","Code":"S9529","CodeVersion":"2020","CustomName":"HOME OR SKILLED NURSING FACILITY PATIENT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6646","CodeVersion":"2020","CustomName":"UP EXT ADD SHLDR JNT MX PSTN W\/BDY\/EXT PWR SYS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0448","CodeVersion":"2020","CustomName":"INS\/RPL PRM CV-DFIB TV LEADS INSRT PACE ELCTRODE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0031","CodeVersion":"2020","CustomName":"PALLIATIVE CARE SRV GVN PT ANY TIME DUR MEAS PER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3111","CodeVersion":"2020","CustomName":"INJECTION ROMOSOZUMAB-AQQG 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1650","CodeVersion":"2020","CustomName":"INJECTION ENOXAPARIN SODIUM 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1233","CodeVersion":"2020","CustomName":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W\/O SEAT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0642","CodeVersion":"2020","CustomName":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9479","CodeVersion":"2020","CustomName":"SRVC PERF QUAL PHARMACIST HOSPICE SET EA 15 MIN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9927","CodeVersion":"2020","CustomName":"DOC SY RSN NOT RX WF\/ANR FDA-APV AC D\/T PT IN CT"},{"ServiceGroup":"91048","CodeType":"CPT","Code":"49655","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1885","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ANGIOPLASTY LASER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1310","CodeVersion":"2020","CustomName":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0310","CodeVersion":"2020","CustomName":"SIALOGRAPHY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9644","CodeVersion":"2020","CustomName":"PT ABST FROM SMOK PRI TO ANES DAY OF SURG\/PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8575","CodeVersion":"2020","CustomName":"DEVELOPED POSTOP RENAL FAILURE\/REQ DIALYSIS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1089","CodeVersion":"2020","CustomName":"HI-STRGTH LGHTWT WHLCHAIR; FIX ARM DTACH FOOTRST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2820","CodeVersion":"2020","CustomName":"INJECTION SARGRAMOSTIM 50 MCG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9077","CodeVersion":"2020","CustomName":"ONC;PROS CA;T1-T2C&GLESN 27&PSA<\/=20 NO PROGRSSN"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"77014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27173","CodeType":"CPT","Code":"97162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90559","CodeType":"REV","Code":"0559","CodeVersion":"2020","CustomName":"SKILLED NURSING - OTHER SKILLED NURSING"},{"ServiceGroup":"45184","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0861","CodeVersion":"2020","CustomName":"MAGNETOENCEPHALOGRAPHY (MEG) - MEG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"125","CodeVersion":"2020","CustomName":"Circulatory disorders except acute MI, with cardiac catheterization without complex diagnosis"},{"ServiceGroup":"27791","CodeType":"DRG","Code":"121","CodeVersion":"2020","CustomName":"Circulatory disorders with acute MI and major complications, discharged alive"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3319F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93243","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46221","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"56820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"51600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37592","CodeType":"ICD9P","Code":"41.05","CodeVersion":"2017","CustomName":"ALLO HEMATOPO STEM CELL TRANSPLT W\/O PURG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1200F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3753F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"59525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76942","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84437","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"52290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"79999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33681","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"23335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"35623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33521","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12597","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0340U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0328T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0109T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33151","CodeType":"ICD9P","Code":"41.00","CodeVersion":"2017","CustomName":"BONE MARROW TRANSPLANT NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77067","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73219","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88245","CodeType":"CPT","Code":"67113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99156","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"96423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.53","CodeVersion":"2017","CustomName":"TOTAL BREECH EXTRAC W\/FORCEPS AFTERCOMING HEAD"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0274U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0063A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90558","CodeType":"CPT","Code":"99507","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81316","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0270","CodeVersion":"2020","CustomName":"BITEWING - SINGLE RADIOGRAPHIC IMAGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0368","CodeVersion":"2020","CustomName":"CONE BEAM CT CAP&INTEPR TMJ SERIES 2\/> EXPOSURES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5521","CodeVersion":"2020","CustomName":"HOME INFUS TX ALL SPL NECES MIDLINE CATH INSERT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5629","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4322","CodeVersion":"2020","CustomName":"SPLINT - INTRA-COR; NATURAL TEETH\/PROSTH CROWNS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6240","CodeVersion":"2020","CustomName":"PONTIC-PORCELN FUSED HI NOBLE METL"},{"ServiceGroup":"104837","CodeType":"HCPCS","Code":"Q5003","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV NURSING LTC FACL\/NON-SKILL NF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T5999","CodeVersion":"2020","CustomName":"SUPPLY NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4202","CodeVersion":"2020","CustomName":"KEROXX (2.5G\/CC) 1CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4110","CodeVersion":"2020","CustomName":"PRIMATRIX PER SQ CM"},{"ServiceGroup":"86088","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0157","CodeVersion":"2020","CustomName":"SERVICES PT ASSIST HOME HEALTH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0671","CodeVersion":"2020","CustomName":"SEGMENTAL GRADENT PRESS PNEUMAT APPLINC FULL LEG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6212","CodeVersion":"2020","CustomName":"FOAM DRESS STERL PAD SZ 16 SQ\/> W\/ADHES BORDR EA"},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8511","CodeVersion":"2020","CustomName":"INSRT INDWLL TRACHEOESOPH PROS W\/WO VALV REPLCMT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0220","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB & CILGAVIMAB CERT ADT&PED 300 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L3984","CodeVersion":"2020","CustomName":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT&ADJ"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9533","CodeVersion":"2020","CustomName":"PT MIN BLUNT HEAD TRMA NO APPROP INDICAT HEAD CT"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K1023","CodeVersion":"2020","CustomName":"DISTL TRANSCT ELC NRV STM STIM PERIPH NRV UP ARM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1910","CodeVersion":"2020","CustomName":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0050","CodeVersion":"2020","CustomName":"RATCHET ASSEMBLY REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8617","CodeVersion":"2020","CustomName":"TRANSMITTING COIL COCHLEAR IMPLANT DEVICE REPL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P2033","CodeVersion":"2020","CustomName":"THYMOL TURBIDITY BLOOD"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1902","CodeVersion":"2020","CustomName":"ANKLE ORTH ANKLE GAUNT\/SIM PREFAB OFF-THE-SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1128","CodeVersion":"2020","CustomName":"ONGOING CARE NOT IND PT NEED REF OTH PROV FACILT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L3961","CodeVersion":"2020","CustomName":"SEWHO SHOULDER CAP DESIGN W\/O JOINTS CSTM FAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2376","CodeVersion":"2020","CustomName":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5151","CodeVersion":"2020","CustomName":"UNSKILLED RESPITE CARE NOT HOSPICE; PER DIEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8864","CodeVersion":"2020","CustomName":"PNEUMOCOCCAL VACCINE ADMIN OR PREVIOUSLY RECEIVD"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3271","CodeType":"REV","Code":"0214","CodeVersion":"2020","CustomName":"Coronary Care Unit - Intermediate CCU"},{"ServiceGroup":"34342","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"91754","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"69019","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0119","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Other"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"424","CodeVersion":"2020","CustomName":"Operating room procedure with principal diagnoses of mental illness"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4056F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92579","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95965","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27275","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86729","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"88175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00928","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0310U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35907","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1039F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81183","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0576T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54348","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"66625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29863","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4221F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76377","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"12056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"51570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80196","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78184","CodeType":"CPT","Code":"77021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"24640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"69688","CodeType":"CPT","Code":"93641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75559","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89939","CodeType":"CPT","Code":"93568","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.28","CodeVersion":"2017","CustomName":"INTRACARDIAC ECHOCARDIOGRAPHY"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C8929","CodeVersion":"2020","CustomName":"TTE CMPL SPEC DOPPLER & COLOR FLOW DOPPLER ECHO"},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80359","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3753F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"68362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90435","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42509","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0071T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63057","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15004","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102259","CodeType":"CPT","Code":"3322F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91012","CodeType":"CPT","Code":"29867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0536T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22854","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42892","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0119U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0157U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44373","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104852","CodeType":"CPT","Code":"29806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0225U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"85302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7200","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX RIXUBIS PER IU"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7516","CodeVersion":"2020","CustomName":"CYCLOSPORINE PARENTERAL 250 MG"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9150","CodeVersion":"2020","CustomName":"NONPRESCRIPTION DRUG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9089","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G6013","CodeVersion":"2020","CustomName":"RAD TX DEL 3\/> SEP TX AR CSTM BLOCKING;11-19 MEV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9899","CodeVersion":"2020","CustomName":"SCR DX FILM DIGITAL\/DBT MAMMO RESULTS DOC & REV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6196","CodeVersion":"2020","CustomName":"ALGINAT\/OTH FIBER GELL DRESS STERIL PAD 16 SQ\/<"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8410","CodeVersion":"2020","CustomName":"FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9539","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0930","CodeVersion":"2020","CustomName":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9946","CodeVersion":"2020","CustomName":"BP NOT MSR BY VAS W\/I 3 MOS PREOP & AT 1 YR P\/O"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1426","CodeVersion":"2020","CustomName":"INJECTION CASIMERSEN 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4377","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93784","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78182","CodeType":"CPT","Code":"72194","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3120F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8563","CodeVersion":"2020","CustomName":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0245","CodeVersion":"2020","CustomName":"INJECTION BAMLANIVIMAB AND ETESEVIMAB 2100 MG"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9550","CodeVersion":"2020","CustomName":"FINAL REPORTS IMAG STS W\/F\/U IMAG REC\/FINAL RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0940","CodeVersion":"2020","CustomName":"TRAPEZE BAR FREESTANDING COMPLETE WITH GRAB BAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0172","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q3027","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 1 MCG IM USE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9041","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0916","CodeVersion":"2020","CustomName":"SATISFACTION W\/CARE ACHV W\/I 90 DAY FLW CAT SURG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1784","CodeVersion":"2020","CustomName":"OCULAR DEVICE INTRAOPERATIVE DETACHED RETINA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4143","CodeVersion":"2020","CustomName":"REPRIZA PER SQ CM"},{"ServiceGroup":"30095","CodeType":"REV","Code":"0434","CodeVersion":"2020","CustomName":"Occupational Therapy - Evaluation or Re-evaluation"},{"ServiceGroup":"17275","CodeType":"REV","Code":"1002","CodeVersion":"2020","CustomName":"Behaviorial Health Accomodations - Residential Treatment - Chemical Dependency"},{"ServiceGroup":"100983","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"17019","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0721","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Labor"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0932","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Full Day"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0149","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Other"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"472","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"258","CodeVersion":"2020","CustomName":"Total mastectomy for malignancy without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87538","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"96936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"60600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4189F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22857","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82735","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87124","CodeType":"CPT","Code":"64640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"100260","CodeType":"CPT","Code":"12018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"70140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77763","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"42200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0570T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"41826","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29850","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89346","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"55677","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"22533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32561","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"59821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4328F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0312U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0326U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0724T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15773","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83872","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32609","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0019T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3450F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"109286","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88738","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0612T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4135F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"52842","CodeType":"CPT","Code":"44385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4595","CodeVersion":"2020","CustomName":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0508","CodeVersion":"2020","CustomName":"TH CONSULT CC INIT PHYS 60 MIN CMNCT PT & PROV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1824","CodeVersion":"2020","CustomName":"GENERATOR CARDIAC CONTRACTILITY MODULATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7310","CodeVersion":"2020","CustomName":"GANCICLOVIR 45 MG LONG-ACTING IMPLANT"},{"ServiceGroup":"87769","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"113940","CodeType":"HCPCS","Code":"C9760","CodeVersion":"2020","CustomName":"NONRND NONBLINDED PROC NYHA CLASS II III IV HF;"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8035","CodeVersion":"2020","CustomName":"CSTM BREAST PROSTH POST MASTECT MOLDED PT MODEL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0822","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SLING SEAT PT TO &=300 LBS"},{"ServiceGroup":"87297","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3011F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"69650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107087","CodeType":"CPT","Code":"15120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1600","CodeVersion":"2020","CustomName":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D4212","CodeVersion":"2020","CustomName":"GING\/GINGIVOPLASTY ALLW ACSS RESTORATV PRO-TOOTH"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9960","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 200-249 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9434","CodeVersion":"2020","CustomName":"ASTHMA NOT WC SPEC CTR TOOL NOT USED RSN NOT GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2310","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER OVR 6.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0837","CodeVersion":"2020","CustomName":"PWR WC GRP 2 HVY 1 PWR SLING SEAT PT 301-450 LBS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0282","CodeVersion":"2020","CustomName":"INJECTION AMIODARONE HYDROCHLORIDE 30 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1602","CodeVersion":"2020","CustomName":"INJECTION GOLIMUMAB 1 MG FOR INTRAVENOUS USE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C2638","CodeVersion":"2020","CustomName":"BRACHYTHERAPY STRANDED IODINE-125 PER SOURCE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3370","CodeVersion":"2020","CustomName":"INJECTION VANCOMYCIN HCL 500 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4773","CodeVersion":"2020","CustomName":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0553","CodeVersion":"2020","CustomName":"SUPPLY ALLOW FOR TX CGM1 MO SPL = 1 U OF SERVICE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L5976","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0514","CodeVersion":"2020","CustomName":"Clinic - OB-GYN Clinic"},{"ServiceGroup":"33261","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"88977","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"66168","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"34766","CodeType":"REV","Code":"0421","CodeVersion":"2020","CustomName":"Physical Therapy - Visit"},{"ServiceGroup":"63158","CodeType":"DRG","Code":"505","CodeVersion":"2020","CustomName":"Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33514","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95929","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"11310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80326","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"91314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"73725","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82128","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"10035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"83701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"59353","CodeType":"CPT","Code":"90993","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0278T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0054T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107499","CodeType":"CPT","Code":"54065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65175","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4261F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0066U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"49083","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73562","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106226","CodeType":"CPT","Code":"22862","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88237","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15421","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81424","CodeType":"CPT","Code":"93564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86787","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81349","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85396","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86832","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45148","CodeType":"CPT","Code":"92626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"28227","CodeType":"ICD9P","Code":"36.0","CodeVersion":"2017","CustomName":"REMOVAL CORONARY ART OBSTRUCTION&INSERTION STENT"},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.82","CodeVersion":"2017","CustomName":"TOTAL REPAIR TOTAL ANOMALOUS PULM VENOUS CONNECT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90607","CodeType":"CPT","Code":"44389","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1133","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT SEEN ONLY ONE TO TWO VISIT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9431","CodeVersion":"2020","CustomName":"PATH RPRT NO PT CAT & STM THK ULCER & MITOTIC RA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4641","CodeVersion":"2020","CustomName":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8040","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4212","CodeVersion":"2020","CustomName":"NONCORING NEEDLE OR STYLET W\/WO CATHETER"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9500","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SESTAMIBI DX PER STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1555","CodeVersion":"2020","CustomName":"INJECTION IMMUNE GLOBULIN 100 MG"},{"ServiceGroup":"113576","CodeType":"HCPCS","Code":"A9598","CodeVersion":"2020","CustomName":"POSITRON EMISSION TOMO RP DX NON-TUMOR ID NOC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9664","CodeVersion":"2020","CustomName":"PT CURRENT STATIN TX USER\/RCVD ORDER STATIN TX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7345","CodeVersion":"2020","CustomName":"AMINOLEVULINIC ACID HCL TOP ADMIN 10% GEL 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5010","CodeVersion":"2020","CustomName":"5% DEXTROSE AND 0.45% NORMAL SALINE 1000 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0891","CodeVersion":"2020","CustomName":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO &=125 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7283","CodeVersion":"2020","CustomName":"PLCMT DEVICE FACILITATE ERUPTION IMPACTED TOOTH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1719","CodeVersion":"2020","CustomName":"BRACHYTX NONSTRANDED NON-HD IRIDIUM-192 PER SRC"},{"ServiceGroup":"73979","CodeType":"ICD10P","Code":"0DB64Z3","CodeVersion":"2020","CustomName":"EXCISION STOMACH PERQ ENDO APPROACH VERTICAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3430","CodeVersion":"2020","CustomName":"RETROGRADE FILLING - PER ROOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6388","CodeVersion":"2020","CustomName":"IMMED POSTSURG\/EARLY FIT APPLIC RIGID DRESS ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1780","CodeVersion":"2020","CustomName":"LENS INTRAOCULAR"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8608","CodeVersion":"2020","CustomName":"MISC EXT COMP SPL\/ACSS FOR ARGUS II RET PROS SYS"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5106","CodeVersion":"2020","CustomName":"INJECTION EPOETIN ALFA-EPBX BIOSIMILAR 1000 U"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L6637","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0276","CodeVersion":"2020","CustomName":"PILD\/PLACEBO CONTROL CLIN TR"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1136F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5712","CodeVersion":"2020","CustomName":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0196","CodeVersion":"2020","CustomName":"GEL PRESSURE MATTRESS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1610","CodeVersion":"2020","CustomName":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5101","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER HALF DAY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4620","CodeVersion":"2020","CustomName":"VARIABLE CONCENTRATION MASK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2787","CodeVersion":"2020","CustomName":"ASTIGMATISM CORRECTING FUNCTION INTRAOCULAR LENS"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0417","CodeVersion":"2020","CustomName":"CLCT & PREP SALIVA SAMPLE FOR LAB DX TESTING"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8507","CodeVersion":"2020","CustomName":"TRACHEO-ESOPH VOICE PROSTH PT INSRT ANY TYPE EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1766","CodeVersion":"2020","CustomName":"INTRDUCR\/SHEATH GUID INTRACARD EP NOT PEEL-AWAY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4522","CodeVersion":"2020","CustomName":"ADLT SIZED DISPBL INCONT PROD BRF\/DIAPER MED EA"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0971","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X - LABORATORY"},{"ServiceGroup":"14221","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"22809","CodeType":"REV","Code":"0129","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Other"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0633","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Restrictive Prescription"},{"ServiceGroup":"30041","CodeType":"REV","Code":"0370","CodeVersion":"2020","CustomName":"Anesthesia - General Classification"},{"ServiceGroup":"14366","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"53154","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80058","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15265","CodeType":"CPT","Code":"90937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27751","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69949","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.54","CodeVersion":"2017","CustomName":"REPAIR ENDOCARDIAL CUSHION DEFECT W\/PROSTHESIS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88257","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"11750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34871","CodeType":"ICD9P","Code":"11.63","CodeVersion":"2017","CustomName":"PENETRATING KERATOPLASTY WITH AUTOGRAFT"},{"ServiceGroup":"103059","CodeType":"CPT","Code":"30320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0313U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"40525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87061","CodeType":"CPT","Code":"27238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104742","CodeType":"CPT","Code":"27132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65772","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"24345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"68040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3085F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36819","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36908","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44347","CodeType":"CPT","Code":"97110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0272T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0194T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"23550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31256","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3291F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.83","CodeVersion":"2017","CustomName":"INITIAL INSERTION OF DUAL-CHAMBER DEVICE"},{"ServiceGroup":"78184","CodeType":"CPT","Code":"71555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80422","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"70371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45150","CodeType":"CPT","Code":"97602","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71022","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5054","CodeVersion":"2020","CustomName":"OSTOMY POUCH CLOSED; USE BARRIER W\/FLANGE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0435","CodeVersion":"2020","CustomName":"PRTBLE LQD O2 SYS PURCH; RESRVOR FLWMTR HUMIDFR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5702","CodeVersion":"2020","CustomName":"REPLCMT SOCKT HIP DISARTIC W\/HIP JNT MOLD PT MDL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D0483","CodeVersion":"2020","CustomName":"INDIRECT IMMUNOFLUORESCENCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6686","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION SUCTION SOCKET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4510","CodeVersion":"2020","CustomName":"SURGICAL STOCKING FULL-LENGTH EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4375","CodeVersion":"2020","CustomName":"OSTOMY POUCH DRAINABLE W\/FCEPLATE ATTCH PLSTC EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8560","CodeVersion":"2020","CustomName":"PT HISTORY ACTIVE DRAINAGE FROM EAR PREV 90 DAYS"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8030","CodeVersion":"2020","CustomName":"BREAST PROSTH SILICONE\/EQUAL W\/O INTEGRAL ADHES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2023","CodeVersion":"2020","CustomName":"SPEC CLCT FOR SARS-COV-2 COVID-19 ANY SPEC SRC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2704","CodeVersion":"2020","CustomName":"INJECTION PROPOFOL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8419","CodeVersion":"2020","CustomName":"BMI DOC OUT NML PARAM NO F\/U PLN DOC NO RSN GVN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0574","CodeVersion":"2020","CustomName":"ULTRASONIC\/ELEC AROSL GEN W\/SMALL VOLUME NEB"},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"C1785","CodeVersion":"2020","CustomName":"PACEMAKER DUAL CHAMBER RATE-RESPONSIVE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1500","CodeVersion":"2020","CustomName":"CENTRIFUGE FOR DIALYSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9124","CodeVersion":"2020","CustomName":"NURSING CARE IN THE HOME; BY LPN PER HOUR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9406","CodeVersion":"2020","CustomName":"CLIN DOC RSN PT NOT CMPL 7 DAY F\/U AC INPT D\/C"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1205","CodeVersion":"2020","CustomName":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D9311","CodeVersion":"2020","CustomName":"CONSULTATION W\/MEDICAL HEALTH CARE PROFESSIONAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0480","CodeVersion":"2020","CustomName":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9046","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 25% 20 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9732","CodeVersion":"2020","CustomName":"PATIENT REFUSED TO PARTICIPATE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9281","CodeVersion":"2020","CustomName":"MITOMYCIN PYELOCALYCEAL INSTILLATION 1 MG"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9963","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 350-399 MG\/ML IODINE CONC ML"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T2016","CodeVersion":"2020","CustomName":"HABILITATION RESIDENTIAL WAIVER; PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1031","CodeVersion":"2020","CustomName":"ROLLABOUT CHAIR ANY&ALL TYPES W\/CASTERS 5 IN\/GT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J8499","CodeVersion":"2020","CustomName":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9165","CodeVersion":"2020","CustomName":"INJECTION DIETHYLSTILBESTROL DIPHOSPHATE 250 MG"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4066F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4006F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4141","CodeVersion":"2020","CustomName":"ALLOSKIN AC PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L4070","CodeVersion":"2020","CustomName":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2783","CodeVersion":"2020","CustomName":"CROWN - 3\/4 PORCELAIN\/CERAMIC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0930","CodeVersion":"2020","CustomName":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0030","CodeVersion":"2020","CustomName":"INJECTION METRONIDAZOLE 500 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0515","CodeVersion":"2020","CustomName":"SCLERAL LENS LIQUID BANDAGE DEVICE PER LENS"},{"ServiceGroup":"47593","CodeType":"ICD10P","Code":"10D00Z2","CodeVersion":"2020","CustomName":"EXTRACTION POC EXTRAPERITONEAL OPEN"},{"ServiceGroup":"34041","CodeType":"REV","Code":"0124","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Psychiatric"},{"ServiceGroup":"74694","CodeType":"REV","Code":"0111","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Medical\/Surgical\/Gyn"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0256","CodeVersion":"2020","CustomName":"Pharmacy - Experimental Drugs"},{"ServiceGroup":"36589","CodeType":"REV","Code":"0259","CodeVersion":"2020","CustomName":"Pharmacy - Other Pharmacy"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0983","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CLINIC"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0600","CodeVersion":"2020","CustomName":"Home Health (HH) - Oxygen - General Classification"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0540","CodeVersion":"2020","CustomName":"Ambulance - General Classification"},{"ServiceGroup":"23929","CodeType":"REV","Code":"0635","CodeVersion":"2020","CustomName":"PHARMACY - EXTENSION OF 025X - ERYTHROEPOETIN (EPO)>=10,000"},{"ServiceGroup":"62718","CodeType":"REV","Code":"0689","CodeVersion":"2020","CustomName":"Trauma Response - Other Trauma Response"},{"ServiceGroup":"48004","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"113447","CodeType":"DRG","Code":"229","CodeVersion":"2020","CustomName":"Hand or wrist procedures, except major joint procedures, without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99457","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"115056","CodeType":"CPT","Code":"49656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2030F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25443","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"70496","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83090","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"12013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81412","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111201","CodeType":"CPT","Code":"90867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"42806","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111992","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1022F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82941","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3380F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"25274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4153F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35637","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35683","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"50920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4155F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43659","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69636","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82943","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31298","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"40818","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"34718","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1061F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108691","CodeType":"CPT","Code":"72147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88137","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27095","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87153","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24079","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81179","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"903","CodeType":"ICD9P","Code":"37.34","CodeVersion":"2017","CustomName":"EXC\/DESTRUC OTH LESION\/TISSUE HRT OTH APPRCH"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"54408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01482","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77786","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"116022","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T1017","CodeVersion":"2020","CustomName":"TARGETED CASE MANAGEMENT EACH 15 MINS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0888","CodeVersion":"2020","CustomName":"INJECTION EPOETIN BETA 1 MICROGRAM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9410","CodeVersion":"2020","CustomName":"PT ADM WI 180 DAYS POST CIED W\/INF RQR DEVC REMV"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9763","CodeVersion":"2020","CustomName":"CMRI MORPHOL & FUNC QUAN SEG DYSFUNC;STRESS IMAG"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"J9050","CodeVersion":"2020","CustomName":"INJECTION CARMUSTINE 100 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2212","CodeVersion":"2020","CustomName":"BIFOCL +\/-7.25-+\/-12.00D SPHER 2.25-4.00D CYL-EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D6119","CodeVersion":"2020","CustomName":"IMPL\/ABUT SPTD INT FIX DENTUR EDENT ARCH-MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9142","CodeVersion":"2020","CustomName":"INJECTION BEVACIZUMAB-MALY BIOSIMILAR 10 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0350","CodeVersion":"2020","CustomName":"INJECTION ANISTREPLASE PER 30 UNITS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9584","CodeVersion":"2020","CustomName":"IODINE I-123 IOFLUPANE DX-STUDY DOSE UP 5 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5223","CodeVersion":"2020","CustomName":"IMMEDIATE MAX PRTL DENTURE - CAST METAL FRAMEWRK"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3530","CodeVersion":"2020","CustomName":"NASAL VACCINE INHALATION"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4174F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"30915","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"33087","CodeType":"ICD9P","Code":"17.43","CodeVersion":"2017","CustomName":"PERCUTANEOUS ROBOTIC ASSISTED PROCEDURE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0135","CodeVersion":"2020","CustomName":"INJECTION ADALIMUMAB 20 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4860","CodeVersion":"2020","CustomName":"DISPBL CATHETER TIPS PERITONEAL DIALYSIS PER 10"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0185","CodeVersion":"2020","CustomName":"INJECTION APREPITANT 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3230","CodeVersion":"2020","CustomName":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG"},{"ServiceGroup":"91564","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9571","CodeVersion":"2020","CustomName":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6753","CodeVersion":"2020","CustomName":"RETAINER CROWN - PORCELN FUSED TIT & TIT ALLOYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8698","CodeVersion":"2020","CustomName":"MISC COMP SPL\/ACCESS FOR USE WITH TOT AH SYSTEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2525","CodeVersion":"2020","CustomName":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL"},{"ServiceGroup":"30941","CodeType":"REV","Code":"0179","CodeVersion":"2020","CustomName":"Nursery - Other Nursery"},{"ServiceGroup":"49622","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"115049","CodeType":"REV","Code":"0510","CodeVersion":"2020","CustomName":"Clinic - General Classification"},{"ServiceGroup":"26742","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0902","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Milieu Therapy"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"303","CodeVersion":"2020","CustomName":"Kidney, ureter, and major bladder procedures for neoplasm"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88374","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"54500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"24470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"12016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"17266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"114930","CodeType":"CPT","Code":"0408T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82382","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93072","CodeType":"CPT","Code":"22842","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"50750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"49590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"67005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"13131","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"77063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"74021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"46249","CodeType":"CPT","Code":"99505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"9911","CodeType":"CPT","Code":"99284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31781","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33050","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3096F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86713","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"5250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"15833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3761F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4132F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0215T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"99981","CodeType":"CPT","Code":"38120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"85441","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92617","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26517","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3281F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0329T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113982","CodeType":"CPT","Code":"63078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81438","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3051F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0499T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99245","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0602","CodeVersion":"2020","CustomName":"CARIES RISK ASSESSMENT & DOC FINDING MOD RISK"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7507","CodeVersion":"2020","CustomName":"FLTR HLDR&INTGR FLTR W\/O ADHES TRACHEOSTMA EXCHG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D3502","CodeVersion":"2020","CustomName":"SURG EXP RS W\/O APICOECTOMY\/REPR OF RR - PM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9452","CodeVersion":"2020","CustomName":"DOC MED RSN NOT RECV 1-TIME SCR HCV INFECTION"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J3111","CodeVersion":"2020","CustomName":"INJECTION ROMOSOZUMAB-AQQG 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2035","CodeVersion":"2020","CustomName":"UTIL SRVC SUPP MED EQP&ASSTIV TECH\/DEVC WAIVER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6074","CodeVersion":"2020","CustomName":"ABUT RETN CAST METL FPD NOBL METL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7639","CodeVersion":"2020","CustomName":"DORNASE ALFA INHAL SOL NONCOMP UNIT DOSE PER MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7180","CodeVersion":"2020","CustomName":"INJECTION FACTOR XIII 1 I.U."},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L1902","CodeVersion":"2020","CustomName":"ANKLE ORTH ANKLE GAUNT\/SIM PREFAB OFF-THE-SHELF"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T1003","CodeVersion":"2020","CustomName":"LPN\/LVN SERVICES UP TO 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5780","CodeVersion":"2020","CustomName":"ADD EXOSKL KNEE-SHIN PNEUMAT\/HYDRA PNEUMAT CNTRL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9045","CodeVersion":"2020","CustomName":"INFUSION ALBUMIN HUMAN 5% 250 ML"},{"ServiceGroup":"103966","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0197","CodeVersion":"2020","CustomName":"PRENATAL VITAMINS 30-DAY SUPPLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0053","CodeVersion":"2020","CustomName":"ELEVATING FOOTRESTS ARTICULATING EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5968","CodeVersion":"2020","CustomName":"ADD LW LIMB PROSTH MX-AXIAL ANK W\/SWING PHASE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K1023","CodeVersion":"2020","CustomName":"DISTL TRANSCT ELC NRV STM STIM PERIPH NRV UP ARM"},{"ServiceGroup":"76096","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0248","CodeVersion":"2020","CustomName":"DEMO HOME INR MON PT W\/MECH HT VALVE CAF\/VTE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9201","CodeVersion":"2020","CustomName":"INJECTION GEMCITABINE HCL NOS 200 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5971","CodeVersion":"2020","CustomName":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5110","CodeVersion":"2020","CustomName":"HOME CARE TRAINING FAMILY; PER 15 MINUTES"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0014","CodeVersion":"2020","CustomName":"ALCOHOL &OR DRUG SERVICES; AMB DETOXIFICATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4402","CodeVersion":"2020","CustomName":"LUBRICANT PER OUNCE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28092","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33897","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50574","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G8602","CodeVersion":"2020","CustomName":"IV TPA NOT INIT W\/I 3 HRS TIME KNOWN RSN NOT GVN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4623","CodeVersion":"2020","CustomName":"TRACHEOSTOMY INNER CANNULA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9309","CodeVersion":"2020","CustomName":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9359","CodeVersion":"2020","CustomName":"DOC NEG\/MAN P TB SCR E TB NOT AC W\/I 1 Y PT VST"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D3950","CodeVersion":"2020","CustomName":"CANAL PREP&FIT PREFORMED DOWEL\/POST"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1768","CodeVersion":"2020","CustomName":"GRAFT VASCULAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0017","CodeVersion":"2020","CustomName":"INJECTION AMINOCAPROIC ACID 5 GRAMS"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0115","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - Hospice"},{"ServiceGroup":"13268","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0140","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - General Classification"},{"ServiceGroup":"13711","CodeType":"REV","Code":"0141","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Medical\/Surgical\/Gyn"},{"ServiceGroup":"70439","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"33824","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"12597","CodeType":"REV","Code":"0889","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Other Miscellaneous Dialysis"},{"ServiceGroup":"35556","CodeType":"REV","Code":"0384","CodeVersion":"2020","CustomName":"Blood and Blood Components - Platelets"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"29387","CodeType":"DRG","Code":"008","CodeVersion":"2020","CustomName":"Peripheral and cranial nerve and other nervous system procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"463","CodeVersion":"2020","CustomName":"Signs and symptoms with CC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88027","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85732","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90723","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99448","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20694","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106715","CodeType":"CPT","Code":"27415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"71023","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"89322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93022","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0352U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30451","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87905","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"59409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81528","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87529","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"39123","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"37234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27594","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0017U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"47564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0096U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"43205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"44180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107748","CodeType":"CPT","Code":"90999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0240U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11451","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63066","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105030","CodeType":"CPT","Code":"28296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"0613T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92413","CodeType":"CPT","Code":"63016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86037","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86078","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"73225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44661","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90734","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"74775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71047","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86021","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"P9016","CodeVersion":"2020","CustomName":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9312","CodeVersion":"2020","CustomName":"INJECTION RITUXIMAB 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9230","CodeVersion":"2020","CustomName":"INJECTION MECHLORETHAMINE HCL 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9001","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE INITIAL RATE"},{"ServiceGroup":"74587","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S9152","CodeVersion":"2020","CustomName":"SPEECH THERAPY RE-EVALUATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7501","CodeVersion":"2020","CustomName":"AZATHIOPRINE PARENTERAL100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0730","CodeVersion":"2020","CustomName":"CONTROLLED DOSE INHALATION DRUG DELIVERY SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7920","CodeVersion":"2020","CustomName":"SKIN GRAFT"},{"ServiceGroup":"14654","CodeType":"ICD10P","Code":"0SW94JZ","CodeVersion":"2020","CustomName":"REVISION SYNTH SUBST RT HIP JOINT PERQ ENDO APPR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4351","CodeVersion":"2020","CustomName":"INTERMIT URIN CATH; STRAIGHT TIP W\/WO COAT EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4224","CodeVersion":"2020","CustomName":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C2629","CodeVersion":"2020","CustomName":"INTRDUCR\/SHTH OTH THAN GUID OTH THAN IC EEG LASR"},{"ServiceGroup":"78448","CodeType":"HCPCS","Code":"A9536","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0034","CodeVersion":"2020","CustomName":"INJECTION OFLOXACIN 400 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0066","CodeVersion":"2020","CustomName":"CLINICAL SOCIAL WORK MIPS SPECIALTY SET"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7527","CodeVersion":"2020","CustomName":"EVEROLIMUS ORAL 0. 25 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9229","CodeVersion":"2020","CustomName":"INJECTION INOTUZUMAB OZOGAMICIN 0.1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D1206","CodeVersion":"2020","CustomName":"TOPICAL APPLICATION OF FLUORIDE VARNISH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9101","CodeVersion":"2020","CustomName":"ONC; STATUS; GASTRC CA; R1\/R2 RESECT NO PRGRESSN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0423","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A9272","CodeVersion":"2020","CustomName":"WND SUCT DISPBL DSG ALL ACC & CMPNT ANY TYP EA"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0878","CodeVersion":"2020","CustomName":"INJECTION DAPTOMYCIN 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L6691","CodeVersion":"2020","CustomName":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20704","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"55600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87399","CodeType":"CPT","Code":"99502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97466","CodeType":"CPT","Code":"49550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0421","CodeVersion":"2020","CustomName":"FACE TO FACE EDU SRVC OF CKD; GRP PER SESS 1 HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5995","CodeVersion":"2020","CustomName":"PERIO MEDICAMNT CARR PERIPH SEAL - LAB PROCD-MAX"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S2225","CodeVersion":"2020","CustomName":"MYRINGOTOMY LASER-ASSISTED"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9510","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M0222","CodeVersion":"2020","CustomName":"INTRAVENOUS INJ BEBTELOVIMAB INC INJ & PA MON"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D6601","CodeVersion":"2020","CustomName":"RETAINER INLAY - PORCELAIN\/CERAMIC 3\/MORE SURF"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0750","CodeVersion":"2020","CustomName":"IMPLANTABLE ELECTRICAL NERVE"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"167","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"30625","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"22408","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"894","CodeVersion":"2020","CustomName":"Alcohol\/Drug Abuse or Dependence, Left Against Medical Advice"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"054","CodeVersion":"2020","CustomName":"Sinus and mastoid procedures, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"135","CodeVersion":"2020","CustomName":"Cardiac congenital and valvular disorders, age greater than 17, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4240F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4180F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"77431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107127","CodeType":"CPT","Code":"42720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37260","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"68520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"72020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43191","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86625","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23206","CodeType":"CPT","Code":"92982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"95886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32657","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86906","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3700F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44366","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"89290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3049F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91457","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15771","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"64566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65779","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"63688","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0101U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0640T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"23073","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29884","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0610T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90867","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113857","CodeType":"CPT","Code":"63011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"13100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"15740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"01320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"31949","CodeType":"CPT","Code":"92516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0043U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78456","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77414","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"78645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9228","CodeVersion":"2020","CustomName":"INJECTION IPILIMUMAB 1 MG"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9601","CodeVersion":"2020","CustomName":"FLORTAUCIPIR F 18 INJECTION DIAGNOSTIC 1 MCI"},{"ServiceGroup":"105399","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0573","CodeVersion":"2020","CustomName":"BUPRENORPHNE\/NALOXONE ORAL >3 MG BUT <\/=6 MG BPN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E2395","CodeVersion":"2020","CustomName":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2560","CodeVersion":"2020","CustomName":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7001","CodeVersion":"2020","CustomName":"CANISTER NON-DISPOSABLE USED W\/SUCTION PUMP EACH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L7401","CodeVersion":"2020","CustomName":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4283","CodeVersion":"2020","CustomName":"CAP FOR BREAST PUMP BOTTLE REPLACEMENT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9191","CodeVersion":"2020","CustomName":"DOCUMENTATION PT REASON NOT PRSC BETA-BLOCKER TX"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9501","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4248","CodeVersion":"2020","CustomName":"DERMACYTE AMNIOTIC MEMBRANE ALLOGRAFT PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0444","CodeVersion":"2020","CustomName":"ANNUAL DEPRESSION SCREENING 15 MINUTES"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1224","CodeVersion":"2020","CustomName":"WHEELCHAIR W\/DETACHABLE ARMS ELEVATING LEGRESTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S8422","CodeVersion":"2020","CustomName":"GRADIENT PRESSURE AID SLEEVE CUSTOM MED WEIGHT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0480","CodeVersion":"2020","CustomName":"TLSO TRIPLANAR 1 PIECE W\/O INTERFCE LINER CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7297","CodeVersion":"2020","CustomName":"CORTICOTOMY-FOUR OR MORE TEETH\/TOOTH SP PER QUAD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0153","CodeVersion":"2020","CustomName":"INJECTION ADENOSINE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S0341","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; 2ND\/3RD QTR"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5636","CodeVersion":"2020","CustomName":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"67901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11642","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"40804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50385","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33969","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44302","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1060","CodeVersion":"2020","CustomName":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9537","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9554","CodeVersion":"2020","CustomName":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0200","CodeVersion":"2020","CustomName":"INJECTION ALATROFLOXACIN MESYLATE 100 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0836","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD 1 PWR CAPT CHAIR PT TO 300 LBS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0380","CodeVersion":"2020","CustomName":"INJECTION METARAMINOL BITARTRATE PER 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2108","CodeVersion":"2020","CustomName":"1 VISN +\/-4.25D-+\/-7.00D SPHER 2.12-4.00D CYL EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4335","CodeVersion":"2020","CustomName":"INCONTINENCE SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"16162","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"13709","CodeType":"REV","Code":"0153","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Pediatric"},{"ServiceGroup":"107784","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"37266","CodeType":"REV","Code":"0138","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Rehabilitation"},{"ServiceGroup":"31134","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"75545","CodeType":"REV","Code":"0159","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Other"},{"ServiceGroup":"977","CodeType":"REV","Code":"0322","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Arthrography"},{"ServiceGroup":"88426","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"88978","CodeType":"REV","Code":"0151","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Medical\/Surgical\/Gyn"},{"ServiceGroup":"31009","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"9937","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"12995","CodeType":"REV","Code":"0855","CodeVersion":"2020","CustomName":"Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home - Support Services"},{"ServiceGroup":"72998","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0499","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - Other Ambulatory Surgical"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"021","CodeVersion":"2020","CustomName":"Viral meningitis"},{"ServiceGroup":"69560","CodeType":"DRG","Code":"228","CodeVersion":"2020","CustomName":"Major thumb or joint procedures, or other hand or wrist procedures, with CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"88380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"36405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4540F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"94761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99056","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"50760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"55810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82044","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"38102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11041","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38724","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86794","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88819","CodeType":"CPT","Code":"90870","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"76812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0211U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99395","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97533","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36005","CodeType":"CPT","Code":"43235","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103080","CodeType":"CPT","Code":"42821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27856","CodeType":"CPT","Code":"97116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83582","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"14001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"32663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33621","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4557F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"37145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113115","CodeType":"CPT","Code":"33340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15937","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"58820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36473","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3750F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37238","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17281","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"2044F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101184","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"82952","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"19285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88007","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0489T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83873","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77409","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76257","CodeType":"CPT","Code":"93313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"44950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"71010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"10160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"20974","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9692","CodeVersion":"2020","CustomName":"HOSPICE SERVICES RECEIVED PT ANY TIME DUR MSR PR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G4002","CodeVersion":"2020","CustomName":"ELECTROPHYSIOLOGY CARDIAC SPEC MIPS SPECIALT SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C9602","CodeVersion":"2020","CustomName":"PC TL COR ATHERECT W\/RX ELUT IC STENT; 1 MCA\/BR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9860","CodeVersion":"2020","CustomName":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2930","CodeVersion":"2020","CustomName":"PRFABR STAINLESS STEEL CROWN-PRIM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8865","CodeVersion":"2020","CustomName":"DOC MED RSN NOT ADM\/PREV RECV PNEUMOCOCCAL VAC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0333","CodeVersion":"2020","CustomName":"PHARM DISPEN FEE INHAL RX; INITIAL 30-DAY SUPPLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q2028","CodeVersion":"2020","CustomName":"INJECTION SCULPTRA 0.5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V5273","CodeVersion":"2020","CustomName":"ASSTIVE LISTENING DEVICE USE W\/COCHLEAR IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E1580","CodeVersion":"2020","CustomName":"UNIPUNCTURE CONTROL SYSTEM FOR HEMODIALYSIS"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0046","CodeVersion":"2020","CustomName":"CLINIC FU MRS SCR NOT ASSESS 90DAY FLW EV STROKE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9032","CodeVersion":"2020","CustomName":"INJECTION BELINOSTAT 10 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5211","CodeVersion":"2020","CustomName":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE\/ITE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"T4531","CodeVersion":"2020","CustomName":"PED SZD DISPBL INCONT PROD UNDWEAR SM\/MED EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9473","CodeVersion":"2020","CustomName":"PULM REHAB PROGM NON-PHYSICIAN PROVIDER PER DIEM"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8680","CodeVersion":"2020","CustomName":"IMPLANTABLE NEUROSTIMULATOR ELECTRODE EACH"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"20525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"36227","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8568","CodeVersion":"2020","CustomName":"PATIENT NOT REF PHYS OTOLOGIC EVAL RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"P9043","CodeVersion":"2020","CustomName":"INFUSION PLASMA PROTEIN FRACTION HUMAN 5% 50 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4313","CodeVersion":"2020","CustomName":"INSRT TRAY W\/O DRN BAG W\/CATH 3-WAY CONT IRRIG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9484","CodeVersion":"2020","CustomName":"CRISIS INTERVEN MENTAL HEALTH SERVICES PER HOUR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9544","CodeVersion":"2020","CustomName":"PATIENTS THAT DO NOT HAVE THE FILTER REMOVED"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1380","CodeVersion":"2020","CustomName":"INJECTION ESTRADIOL VALERATE UP TO 10 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J7187","CodeVersion":"2020","CustomName":"INJ VONWILLEBRND FACTOR CMPLX HUMN RISTOCETIN IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2373","CodeVersion":"2020","CustomName":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK"},{"ServiceGroup":"15557","CodeType":"REV","Code":"0419","CodeVersion":"2020","CustomName":"Respiratory Services - Other Respiratory Services"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"526","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"46112","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"9840","CodeType":"REV","Code":"0211","CodeVersion":"2020","CustomName":"Coronary Care Unit - Myocardial Infarction"},{"ServiceGroup":"79720","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"94886","CodeType":"REV","Code":"0130","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - General Classification"},{"ServiceGroup":"62098","CodeType":"REV","Code":"0552","CodeVersion":"2020","CustomName":"SKILLED NURSING - HOURLY CHARGE"},{"ServiceGroup":"91658","CodeType":"DRG","Code":"798","CodeVersion":"2020","CustomName":"TUBERCULOSIS W\/ OPERATING ROOM PROCEDURES-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33984","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52344","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92616","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"63308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"20150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21247","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92014","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65920","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45309","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"19101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"98607","CodeType":"CPT","Code":"64708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0130U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"84108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3272F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86038","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"44160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"52317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"17340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"26498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82776","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"88314","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80358","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"34847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"32658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"53020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"38720","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54352","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"38900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0287U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81353","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75733","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"73.51","CodeVersion":"2017","CustomName":"MANUAL ROTATION OF FETAL HEAD"},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107546","CodeType":"CPT","Code":"63055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84478","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0495T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91591","CodeType":"CPT","Code":"75716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21470","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26785","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58521","CodeType":"CPT","Code":"93455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"22812","CodeType":"CPT","Code":"43262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113983","CodeType":"CPT","Code":"64490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"61358","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74668","CodeType":"HCPCS","Code":"S9480","CodeVersion":"2020","CustomName":"INTENSIVE OP PSYCHIATRIC SERVICES PER DIEM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9309","CodeVersion":"2020","CustomName":"NO UNPLANNED HOSP RDM W\/I 30 DAY PRINCIPAL PROC"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"Q9954","CodeVersion":"2020","CustomName":"ORAL MAGNETIC RESONANCE CONTRAST AGENT 100 ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9792","CodeVersion":"2020","CustomName":"MOST RECENT TOBACCO STATUS IS NOT TOBACCO FREE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1748","CodeVersion":"2020","CustomName":"ENDOSCOPE SINGLE-USE UPPER GI IMAG\/ILLUM DEVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T1009","CodeVersion":"2020","CustomName":"CHILD SIT-CHILD IND REC ALCOHL&\/SUBSTNC ABS SRVC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J0875","CodeVersion":"2020","CustomName":"INJECTION DALBAVANCIN 5MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0114","CodeVersion":"2020","CustomName":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP&HNDGRIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9661","CodeVersion":"2020","CustomName":"PT >\/=86 YOA WHO RECEIVED COLONOSCOPY"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J3365","CodeVersion":"2020","CustomName":"INJECTION IV UROKINASE 250000 IU VIAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0445","CodeVersion":"2020","CustomName":"SA HI INTENS CNSL PREV STI IND F\/F EDU CHNG BHVR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T4524","CodeVersion":"2020","CustomName":"ADLT SZD DISPBL INCONT PROD BRF\/DIAPER X-LG EA"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9485","CodeVersion":"2020","CustomName":"CRISIS INTERVENT MENTAL HEALTH SERV"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0986","CodeVersion":"2020","CustomName":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3398","CodeVersion":"2020","CustomName":"INJECTION VORETIGENE NEPARVOVEC-RZYL 1 B VEC G"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1400","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0164","CodeVersion":"2020","CustomName":"PROCHLORPERAZINE MALEATE 5 MG ORL NOT>48 HR DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1816","CodeVersion":"2020","CustomName":"RECEIVER AND\/OR TRANSMITTER NEUROSTIMULATOR"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1943","CodeVersion":"2020","CustomName":"INJECTION ARIPIPRAZOLE LAUROXIL 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9112","CodeVersion":"2020","CustomName":"ONC; STATUS; HEAD&NECK CA; EXTENT OF DZ UNKNOWN"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"45805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"51992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28080","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"V5181","CodeVersion":"2020","CustomName":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C2617","CodeVersion":"2020","CustomName":"STENT NON-COR TEMPORARY WITHOUT DELIVERY SYSTEM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0439","CodeVersion":"2020","CustomName":"STATION LQD O2 SYS RENT; FLWMTR HUMIDFR NEBULIZR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A6510","CodeVersion":"2020","CustomName":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0174","CodeVersion":"2020","CustomName":"DOLASETRON MESYLATE ORAL 50 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J3385","CodeVersion":"2020","CustomName":"INJECTION VELAGLUCERASE ALFA 100 UNITS"},{"ServiceGroup":"12118","CodeType":"REV","Code":"0350","CodeVersion":"2020","CustomName":"CT Scan - General Classification"},{"ServiceGroup":"104962","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"13217","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"30625","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"59427","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"73604","CodeType":"REV","Code":"0136","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Detoxification"},{"ServiceGroup":"52","CodeType":"REV","Code":"0915","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Group Therapy"},{"ServiceGroup":"10906","CodeType":"REV","Code":"0452","CodeVersion":"2020","CustomName":"Emergency Room - ER Beyond EMTALA"},{"ServiceGroup":"104961","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"22811","CodeType":"REV","Code":"0682","CodeVersion":"2020","CustomName":"Trauma Response - Level II Trauma"},{"ServiceGroup":"75419","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"30160","CodeType":"DRG","Code":"226","CodeVersion":"2020","CustomName":"Soft tissue procedures with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"745","CodeVersion":"2020","CustomName":"OPIOID ABUSE OR DEPENDENCE W\/O CC-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44408","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95992","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46900","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"66740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"70330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"57220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"58345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"26765","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103237","CodeType":"CPT","Code":"93566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83824","CodeType":"CPT","Code":"93458","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77293","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84580","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47539","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"47801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75676","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"75953","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"15330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"88172","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87168","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84585","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82803","CodeType":"CPT","Code":"93503","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45499","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111966","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86804","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"22112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87662","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27536","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"36593","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"46940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43195","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89986","CodeType":"CPT","Code":"28290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"53899","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21390","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25825","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"66711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81239","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81460","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82646","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104255","CodeType":"CPT","Code":"14040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33971","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0334U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93028","CodeType":"CPT","Code":"19084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"2001F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12258","CodeType":"CPT","Code":"93540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"36513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"88307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"76744","CodeType":"CPT","Code":"93890","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"47701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.10","CodeVersion":"2017","CustomName":"INCISION OF HEART NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"45392","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72159","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"20950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82638","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C8923","CodeVersion":"2020","CustomName":"TTE FLW W\/CNTRST R-T DOC 2D INCL M-MODE REC CMPL"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1130","CodeVersion":"2020","CustomName":"INJECTION DICLOFENAC SODIUM .5 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9618","CodeVersion":"2020","CustomName":"DOCUMENTATION OF SCR UTEN MALIG\/US&\/ENDOMET SAMP"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4240","CodeVersion":"2020","CustomName":"CORECYTE FOR TOPICAL USE ONLY PER 0.5 CC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D7287","CodeVersion":"2020","CustomName":"EXFOLIATIVE CYTOLOG SAMPLE CLCTION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q0092","CodeVersion":"2020","CustomName":"SET-UP PORTABLE X-RAY EQUIPMENT"},{"ServiceGroup":"87077","CodeType":"HCPCS","Code":"S9083","CodeVersion":"2020","CustomName":"GLOBAL FEE URGENT CARE CENTERS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2310","CodeVersion":"2020","CustomName":"TRIFOCL +\/-4.25-+\/-7.00D SPHER OVR 6.00D CYL EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1060","CodeVersion":"2020","CustomName":"PATIENT DIED PRIOR TO THE END OF THE PERF PERIOD"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0881","CodeVersion":"2020","CustomName":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L1110","CodeVersion":"2020","CustomName":"ADD CTLSO\/SCOLIOS RING FLNGE MOLD PT MDL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3347","CodeVersion":"2020","CustomName":"RETREATMENT OF PREVIOUS ROOT CANAL TX - PREMOLAR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0350","CodeVersion":"2020","CustomName":"ORAL\/FACIAL PHOTO IMAGE OBTAIN INTRA\/EXTRAORLLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7676","CodeVersion":"2020","CustomName":"PENTANUDUBE ISETGUIBATE I SOL CP PROD U D 300 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6975","CodeVersion":"2020","CustomName":"INTERSCAP-THOR OTTO BOCK\/=MYOELEC CNTRL TERM DVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5913","CodeVersion":"2020","CustomName":"NASAL PROSTHESIS"},{"ServiceGroup":"34873","CodeType":"ICD9P","Code":"13.71","CodeVersion":"2017","CustomName":"INSRT IOL PROSTH W\/CATARACT EXTRACT-1-STAGE"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95811","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4555F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35190","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J2504","CodeVersion":"2020","CustomName":"INJECTION PEGADEMASE BOVINE 25 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0354","CodeVersion":"2020","CustomName":"TX PLAN CARE COORD MGMT CA EST PT CHG REGIMEN"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G6008","CodeVersion":"2020","CustomName":"RT DEL 2 SEP AR 3\/> PT 1 TX AR MX BLKS:6-10 MEV"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7205","CodeVersion":"2020","CustomName":"INJECTION FACTOR VIII FC FUSION PROTEIN PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S0622","CodeVersion":"2020","CustomName":"PHYSICAL EXAM COLLEGE NEW OR ESTABLISHED PATIENT"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9597","CodeVersion":"2020","CustomName":"PEDIATRIC PT MI BLNT HEAD TRMA NOT LW RSK PECARN"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0301","CodeVersion":"2020","CustomName":"Laboratory - Chemistry"},{"ServiceGroup":"3434","CodeType":"REV","Code":"0761","CodeVersion":"2020","CustomName":"SPECIALTY SERVICES - TREATMENT ROOM"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"27830","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"75485","CodeType":"REV","Code":"0724","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Birthing Center"},{"ServiceGroup":"15559","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0209","CodeVersion":"2020","CustomName":"Intensive Care Unit - Other Intensive Care"},{"ServiceGroup":"20534","CodeType":"REV","Code":"0120","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - General Classification"},{"ServiceGroup":"12264","CodeType":"REV","Code":"0581","CodeVersion":"2020","CustomName":"Home Health (HH) - Other Visits - Visit Charge"},{"ServiceGroup":"58461","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"91657","CodeType":"DRG","Code":"784","CodeVersion":"2020","CustomName":"ACQUIRED HEMOLYTIC ANEMIA OR SICKLE CELL CRISIS AGE UNDER 18-NYDRG"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"77051","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"91313","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"76977","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"75731","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"93591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103503","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61566","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"87634","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"67108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86817","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"25145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"29730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33978","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45388","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"42970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87106","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"1500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103388","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47593","CodeType":"ICD9P","Code":"74","CodeVersion":"2017","CustomName":"CESAREAN SECTION AND REMOVAL OF FETUS"},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82696","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"42215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"51726","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"63075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"12036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85540","CodeType":"CPT","Code":"45317","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58636","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"30175","CodeType":"ICD9P","Code":"36.1","CodeVersion":"2017","CustomName":"BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION"},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01780","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93962","CodeType":"CPT","Code":"63685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26070","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23575","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"34708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81297","CodeType":"CPT","Code":"99304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0246T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102723","CodeType":"CPT","Code":"63035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"76999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"84442","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21465","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25635","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"28570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"74485","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"62294","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"59151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86588","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33986","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0024A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57322","CodeType":"CPT","Code":"93459","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93068","CodeType":"CPT","Code":"22633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"79403","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31730","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3700F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"84030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"16692","CodeType":"CPT","Code":"29881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"84450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9471","CodeVersion":"2020","CustomName":"WITHIN PAST 2 YEARS CENTRAL DXA NOT ORDERED\/DOC"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9540","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A4642","CodeVersion":"2020","CustomName":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5630","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5690","CodeVersion":"2020","CustomName":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD&LINED"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0311","CodeVersion":"2020","CustomName":"COMP MGMT & CARE COORD ADVANCED ILL PER CAL MO"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9359","CodeVersion":"2020","CustomName":"INJECTION, LONCASTUXIMAB TESIRINE-LPYL, 0.075 MG"},{"ServiceGroup":"76531","CodeType":"HCPCS","Code":"Q5004","CodeVersion":"2020","CustomName":"HOSPICE CARE PROVIDED SKILLED NURSING FACILITY"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0257","CodeVersion":"2020","CustomName":"INJECTION ALPHA 1 PROTEINASE INHIBITOR 10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A8004","CodeVersion":"2020","CustomName":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D0386","CodeVersion":"2020","CustomName":"MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9860","CodeVersion":"2020","CustomName":"PATIENT SPENT LESS THAN 3 DAYS IN HOSPICE CARE"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9190","CodeVersion":"2020","CustomName":"INJECTION FLUOROURACIL 500 MG"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6693","CodeVersion":"2020","CustomName":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1686","CodeVersion":"2020","CustomName":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT&ADJ"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24666","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43277","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"56440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9778","CodeVersion":"2020","CustomName":"COLPOPEXY VAGINAL; MI EXTRAPERITONEAL APPROACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0831","CodeVersion":"2020","CustomName":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G2021","CodeVersion":"2020","CustomName":"HEALTH CARE PRACTITIONERS RENDERING TIP"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8510","CodeVersion":"2020","CustomName":"VOICE AMPLIFIER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A9593","CodeVersion":"2020","CustomName":"GALLIUM GA-68 PSMA-11 DIAGNOSTIC UCSF 1 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6242","CodeVersion":"2020","CustomName":"PONTIC - PORCELN FUSED NOBLE METAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1816","CodeVersion":"2020","CustomName":"STATIC PROGRESSIVE STRETCH ANKLE DEVICE"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2860","CodeVersion":"2020","CustomName":"INJECTION SILTUXIMAB 10 MG"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0137","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Oncology"},{"ServiceGroup":"12969","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"9911","CodeType":"REV","Code":"0451","CodeVersion":"2020","CustomName":"Emergency Room - EMTALA Emergency Medical Screening"},{"ServiceGroup":"73006","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"96201","CodeType":"REV","Code":"0420","CodeVersion":"2020","CustomName":"Physical Therapy - General Classification"},{"ServiceGroup":"50903","CodeType":"REV","Code":"0562","CodeVersion":"2020","CustomName":"Home Health (HH) - Medical Social Services - Hourly Charge"},{"ServiceGroup":"115740","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"84439","CodeType":"REV","Code":"0150","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - General Classification"},{"ServiceGroup":"36803","CodeType":"DRG","Code":"880","CodeVersion":"2020","CustomName":"ACUTE ISCHEMIC STOKE W USE OF THROMBOLYTIC AGENT -NYDRG"},{"ServiceGroup":"20072","CodeType":"DRG","Code":"886","CodeVersion":"2020","CustomName":"OTHER ANTEPARTUM DIAGNOSES W\/O O.R.PROCEDURE -NYDRG"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"216","CodeVersion":"2020","CustomName":"Biopsies of musculoskeletal system and connective tissue"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84583","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90963","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"96420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78121","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80351","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"61708","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111993","CodeType":"CPT","Code":"33289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81192","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15833","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90608","CodeType":"CPT","Code":"45334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92933","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"77452","CodeType":"CPT","Code":"54405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"84061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58671","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"57452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"71260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"75889","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"6090F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61607","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20103","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4075F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"37187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0727T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0502F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"10956","CodeType":"CPT","Code":"97024","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"1008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"17271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0545F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"35626","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"40812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"24149","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"87166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27333","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31656","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J9999","CodeVersion":"2020","CustomName":"NOT OTHERWISE CLASSIFIED ANTINEOPLASTIC DRUG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4235","CodeVersion":"2020","CustomName":"AMNIOREPAIR OR ALTIPLY PER SQ CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2182","CodeVersion":"2020","CustomName":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A0392","CodeVersion":"2020","CustomName":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9086","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; T-14 N-12 M0 NO PROGRESSN"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J2724","CodeVersion":"2020","CustomName":"INJECTION PROTEN C CONCENTRATE IV HUMAN 10 IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2207","CodeVersion":"2020","CustomName":"RSN NOT ADM ADJ TX COURSE INCL CHEMO & HER2-TT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9317","CodeVersion":"2020","CustomName":"DOC PT RISK ASSESS RISK CALC W\/PT\/FAM NOT COMPL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"M1071","CodeVersion":"2020","CustomName":"PATIENT HAD ADD SP PROC PERF SD L DSKC\/LAMINOT"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8631","CodeVersion":"2020","CustomName":"MPJ REPLCMT TWO\/MORE PECES METL CERAM-LIKE MATL"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9524","CodeVersion":"2020","CustomName":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI"},{"ServiceGroup":"68261","CodeType":"HCPCS","Code":"G0160","CodeVersion":"2020","CustomName":"SERVICES OT HOME HEALTH EST\/DEL OT MP EA 15 MINS"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1953","CodeVersion":"2020","CustomName":"INJECTION LEVETIRACETAM 10 MG"},{"ServiceGroup":"112940","CodeType":"CPT","Code":"63283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58542","CodeType":"CPT","Code":"43775","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8010","CodeVersion":"2020","CustomName":"BREAST PROSTHESIS MASTECTOMY SLEEVE"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9810","CodeVersion":"2020","CustomName":"PATIENT ACHIEVED PDC AL 75% FOR ASTHMA CONTR MED"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"A9531","CodeVersion":"2020","CustomName":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9623","CodeVersion":"2020","CustomName":"DOCUMENTATION MED RSN NO SCR UNHLTHY ALCOHL USE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0457","CodeVersion":"2020","CustomName":"CHEST SHELL"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"A9577","CodeVersion":"2020","CustomName":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9643","CodeVersion":"2020","CustomName":"ELECTIVE SURGERY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1632","CodeVersion":"2020","CustomName":"WEARABLE ARTIFICIAL KIDNEY EACH"},{"ServiceGroup":"10540","CodeType":"HCPCS","Code":"S9122","CodeVersion":"2020","CustomName":"HOM HLTH AIDE\/CERT NURSE ASST PROV CARE HOM;-HR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9041","CodeVersion":"2020","CustomName":"INJECTION BORTEZOMIB 0.1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1820","CodeVersion":"2020","CustomName":"GEN NEUROSTIM W\/RECHRG BATTERY & CHARGING SYSTEM"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86606","CodeType":"CPT","Code":"66983","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28124","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21031","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44721","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37236","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61692","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104962","CodeType":"REV","Code":"0490","CodeVersion":"2020","CustomName":"Ambulatory Surgical Care - General Classification"},{"ServiceGroup":"9826","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"62717","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"59428","CodeType":"REV","Code":"0442","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Hourly"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"508","CodeVersion":"2020","CustomName":"Full thickness burn without skin graft or inhalation injury with CC or significant trauma"},{"ServiceGroup":"51276","CodeType":"DRG","Code":"652","CodeVersion":"2020","CustomName":"HIGH RISK VAGINAL DELIVERY W STERILIZATION AND\/OR D-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"28740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87163","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3493F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"40510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"88263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"51865","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"97803","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"48148","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"78445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104124","CodeType":"CPT","Code":"29901","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"2010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92973","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3757F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42961","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43287","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"60270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86778","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107871","CodeType":"CPT","Code":"49203","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"53444","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"77315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84910","CodeType":"CPT","Code":"31296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00796","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"97505","CodeType":"CPT","Code":"44372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"58672","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"80367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"13122","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"34714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4500F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"85230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"80166","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21407","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"57283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27641","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27185","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81002","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"80355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"84081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81371","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24363","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33774","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83379","CodeType":"CPT","Code":"0293U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"46917","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62269","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"20701","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"0104A","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0234U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"24587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26861","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"24500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113689","CodeType":"CPT","Code":"43651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112111","CodeType":"CPT","Code":"27486","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92086","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"58570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70445","CodeType":"CPT","Code":"72198","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4267F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01939","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"63746","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82653","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"11762","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33859","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"37231","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0271U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"01710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"23350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76010","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86822","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0630T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00147","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88741","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87880","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"21337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"70130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"1130F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73218","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43201","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"76830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4269","CodeVersion":"2020","CustomName":"CONTRACEPTIVE SUPPLY SPERMICIDE EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0898","CodeVersion":"2020","CustomName":"POWER WHEELCHAIR NOT OTHERWISE CLASSIFIED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8696","CodeVersion":"2020","CustomName":"ANTENNA FOR USE W\/IMPL DIA\/PN ST DEV REPL EA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D4920","CodeVersion":"2020","CustomName":"UNSCHEDULED DRESSING CHANGE NOT TX DENTIST STAFF"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2700","CodeVersion":"2020","CustomName":"INJECTION OXACILLIN SODIUM UP TO 250 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9674","CodeVersion":"2020","CustomName":"PATIENTS WITH CLINICAL ASCVD DIAGNOSIS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A6257","CodeVersion":"2020","CustomName":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS"},{"ServiceGroup":"59837","CodeType":"HCPCS","Code":"C2639","CodeVersion":"2020","CustomName":"BRACHYTHERAPY NONSTRANDED IODINE-125 PER SOURCE"},{"ServiceGroup":"89239","CodeType":"HCPCS","Code":"A9507","CodeVersion":"2020","CustomName":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2180","CodeVersion":"2020","CustomName":"INJECTION MEPERIDINE&PROMETHAZINE HCL TO 50 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6190","CodeVersion":"2020","CustomName":"RADIOGRAPHIC\/SURG IMPLANT INDX RPT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4616","CodeVersion":"2020","CustomName":"TUBING PER FOOT"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A5200","CodeVersion":"2020","CustomName":"PERCUT CATH\/TUBE ANCHR DEVICE ADHES SKIN ATTCH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H2000","CodeVersion":"2020","CustomName":"COMPREHENSIVE MULTIDISCIPLINARY EVALUATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4218","CodeVersion":"2020","CustomName":"SURGICORD PER SQ CM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D3501","CodeVersion":"2020","CustomName":"SURG EXP OF RS W\/O APICOECTOMY\/REPR RR - ANT"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93985","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11306","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"34471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35686","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31368","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"41120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"59320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A2005","CodeVersion":"2020","CustomName":"MICROLYTE MATRIX PER SQ C"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J0620","CodeVersion":"2020","CustomName":"INJ CALCM GLYCEROPHOSPHATE&CALCM LACTAT-10 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0168","CodeVersion":"2020","CustomName":"COMMODE CHAIR XTRA WIDE&\/HEVY DUTY STATION\/MOBIL"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4160","CodeVersion":"2020","CustomName":"NUSHIELD PER SQUARE CENTIMETER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1004","CodeVersion":"2020","CustomName":"DOC MEDICAL RSN NOT SCR FOR TB\/INTPRET RESULTS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0452","CodeVersion":"2020","CustomName":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C1714","CodeVersion":"2020","CustomName":"CATHETER TRANSLUMINAL ATHERECTOMY DIRECTIONAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5162","CodeVersion":"2020","CustomName":"EMERGENCY RESPONSE SYSTEM; PURCHASE ONLY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2090","CodeVersion":"2020","CustomName":"PT 66 Y&>1 CLM FRLTY & DIS MED DMNT MP\/YR PRI MP"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0208","CodeVersion":"2020","CustomName":"Intensive Care Unit - Trauma"},{"ServiceGroup":"73602","CodeType":"REV","Code":"0170","CodeVersion":"2020","CustomName":"Nursery - General Classification"},{"ServiceGroup":"78537","CodeType":"REV","Code":"0429","CodeVersion":"2020","CustomName":"Physical Therapy - Other Physical Therapy"},{"ServiceGroup":"11920","CodeType":"REV","Code":"0252","CodeVersion":"2020","CustomName":"Pharmacy - Non-Generic Drugs"},{"ServiceGroup":"34551","CodeType":"REV","Code":"0194","CodeVersion":"2020","CustomName":"Subacute Care - Subacute Care - Level IV"},{"ServiceGroup":"30477","CodeType":"REV","Code":"0206","CodeVersion":"2020","CustomName":"Intensive Care Unit - Intermediate ICU"},{"ServiceGroup":"75491","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"29898","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"14079","CodeType":"REV","Code":"0333","CodeVersion":"2020","CustomName":"Radiology - Therapeutic and\/or Chemotherapy Administration - Radiation Therapy"},{"ServiceGroup":"26421","CodeType":"REV","Code":"0274","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Prosthetic\/Orthotic Devices"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"501","CodeVersion":"2020","CustomName":"Knee procedure with principal diagnosis of infection with CC"},{"ServiceGroup":"28120","CodeType":"DRG","Code":"467","CodeVersion":"2020","CustomName":"Other factors influencing health status"},{"ServiceGroup":"24598","CodeType":"DRG","Code":"945","CodeVersion":"2020","CustomName":"Rehabilitation with CC\/MCC"},{"ServiceGroup":"31778","CodeType":"DRG","Code":"249","CodeVersion":"2020","CustomName":"Aftercare, musculoskeletal system, and connective tissue"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"78140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"75946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"34847","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"84577","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93241","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"93462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92531","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"91013","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"93290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"49605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"57291","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44242","CodeType":"CPT","Code":"90935","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"43633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15159","CodeType":"CPT","Code":"90801","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27788","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"82739","CodeType":"CPT","Code":"80061","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78017","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"54401","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"70558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41135","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86303","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110675","CodeType":"CPT","Code":"63064","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49411","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0276U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"87265","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52354","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23206","CodeType":"CPT","Code":"93650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"83525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"85535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87143","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4016F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84161","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"54250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"22207","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"25150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29888","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"30462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91039","CodeType":"CPT","Code":"67015","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"3142F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"4324F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91646","CodeType":"CPT","Code":"22853","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"69714","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"20162","CodeType":"ICD9P","Code":"45.90","CodeVersion":"2017","CustomName":"INTESTINAL ANASTOMOSIS NOT OTHERWISE SPECIFIED"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0709T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91595","CodeType":"CPT","Code":"37233","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1152F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0091U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0585T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51705","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"87086","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"111201","CodeType":"CPT","Code":"90869","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78709","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"21139","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"30802","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"3084F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"01716","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81535","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"71034","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15878","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0268U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80170","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113687","CodeType":"CPT","Code":"50546","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"43284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0345U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"86141","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0346U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"84432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26844","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"53145","CodeType":"HCPCS","Code":"G0155","CodeVersion":"2020","CustomName":"SRVC CLINICAL SOCIAL WORKER HH\/HOSPICE EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0406","CodeVersion":"2020","CustomName":"F\/U IP CNSLT LTD PHYS 15 MIN W\/PT VIA TELEHEALTH"},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9572","CodeVersion":"2020","CustomName":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5661","CodeVersion":"2020","CustomName":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES"},{"ServiceGroup":"80618","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0944","CodeVersion":"2020","CustomName":"PELVIC BELT\/HARNESS\/BOOT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J2186","CodeVersion":"2020","CustomName":"INJECTION MEROPENEM VABORBACTAM 10 MG\/10 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0615","CodeVersion":"2020","CustomName":"PACEMKR MON CHECKS BATTRY DEPLET W\/DIGTL\/VISIBL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0186","CodeVersion":"2020","CustomName":"DESTRUC LOC LES CHOROID; PHOTOCOAG FDER VES TECH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9753","CodeVersion":"2020","CustomName":"DOC MED RSN NOT C SRCH DICOM F IMAG W\/I P 12 MO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0080","CodeVersion":"2020","CustomName":"INJECTION PENTAMIDINE ISETHIONATE 300 MG"},{"ServiceGroup":"33081","CodeType":"HCPCS","Code":"J9130","CodeVersion":"2020","CustomName":"DACARBAZINE 100 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7670","CodeVersion":"2020","CustomName":"ALVEOLUS-CLOSED REDUCTION W\/STABILIZATION TEETH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0602","CodeVersion":"2020","CustomName":"BREAST PUMP MANUAL ANY TYPE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0246","CodeVersion":"2020","CustomName":"FOLLOWUP EVAL DIABETIC PT NEUROPATHY W\/LOPS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0421","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2399","CodeVersion":"2020","CustomName":"SPECIALTY TRIFOCAL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D1520","CodeVersion":"2020","CustomName":"SPACE MAINTAINER - REMOVABLE UNI - PER QUADRANT"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9862","CodeVersion":"2020","CustomName":"DOC MED RSN FOR NOT RECOMMEND AL 10 YR F\/U INTVL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0064","CodeVersion":"2020","CustomName":"CERTIFIED NURSE MIDWIFE MIPS SPECIALTY SET"},{"ServiceGroup":"115762","CodeType":"HCPCS","Code":"Q9962","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 300-349 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"M1045","CodeVersion":"2020","CustomName":"FUNCTIONL STATUS MSR OKS AT 1 YEAR POSTOP >\/= 37"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"T2021","CodeVersion":"2020","CustomName":"DAY HABILITATION WAIVER; PER 15 MINUTES"},{"ServiceGroup":"91586","CodeType":"HCPCS","Code":"C9606","CodeVersion":"2020","CustomName":"PERQ TL REV AC TOTAL\/SUBTOTAL OCCLUSION 1 VES"},{"ServiceGroup":"81341","CodeType":"HCPCS","Code":"S0148","CodeVersion":"2020","CustomName":"INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9285","CodeVersion":"2020","CustomName":"INVERSION\/EVERSION CORRECTION DEVICE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4250","CodeVersion":"2020","CustomName":"AMNIOAMP-MP PER SQ CM"},{"ServiceGroup":"74120","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"46255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"42820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70439","CodeType":"CPT","Code":"99283","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"54120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"64495","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"75505","CodeType":"CPT","Code":"93244","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J2792","CodeVersion":"2020","CustomName":"INJ RHO D IMMUE GLOBULIN IV HUMN 100 IU"},{"ServiceGroup":"97507","CodeType":"HCPCS","Code":"Q5009","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE PROVIDED IN PLACE NOS"},{"ServiceGroup":"94159","CodeType":"HCPCS","Code":"D2331","CodeVersion":"2020","CustomName":"RESIN COMPOS - 2 SURFACES ANTERIOR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L5624","CodeVersion":"2020","CustomName":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S5100","CodeVersion":"2020","CustomName":"DAY CARE SERVICES ADULT; PER 15 MINUTES"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"Q9966","CodeVersion":"2020","CustomName":"LOCM 200-299 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E2000","CodeVersion":"2020","CustomName":"GASTR SUCTION PUMP HOM MODEL PRTBLE\/STATION ELEC"},{"ServiceGroup":"47482","CodeType":"REV","Code":"0906","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Chemical Dependency"},{"ServiceGroup":"30401","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"9438","CodeType":"REV","Code":"0683","CodeVersion":"2020","CustomName":"Trauma Response - Level III Trauma"},{"ServiceGroup":"27856","CodeType":"REV","Code":"0431","CodeVersion":"2020","CustomName":"Occupational Therapy - Visit"},{"ServiceGroup":"15132","CodeType":"REV","Code":"0110","CodeVersion":"2020","CustomName":"Room & BOARD - Private (One Bed) - General Classification"},{"ServiceGroup":"79377","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0131","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Medical\/Surgical\/Gyn"},{"ServiceGroup":"62537","CodeType":"REV","Code":"0441","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Visit"},{"ServiceGroup":"10391","CodeType":"REV","Code":"0100","CodeVersion":"2020","CustomName":"All Inclusive Rate - All-Inclusive Room and Board Plus Ancillary"},{"ServiceGroup":"22817","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"58458","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"72990","CodeType":"REV","Code":"0723","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Circumcision"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0480","CodeVersion":"2020","CustomName":"Cardiology - General Classification"},{"ServiceGroup":"20912","CodeType":"DRG","Code":"236","CodeVersion":"2020","CustomName":"Fractures of hip and pelvis"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87205","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81336","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86644","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"41252","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81322","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"95830","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"78814","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"78598","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110994","CodeType":"CPT","Code":"11012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"66821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74469","CodeType":"CPT","Code":"96402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"65435","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"92325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"41408","CodeType":"CPT","Code":"35471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67229","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81180","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"63706","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"72125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"73552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0204U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"66740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83627","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25116","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0350T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"80081","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31584","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"32670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"31750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"20930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88112","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"38215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26590","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31587","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4481F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0411T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113624","CodeType":"CPT","Code":"0632T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"82552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"12053","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"51555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"60500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112911","CodeType":"CPT","Code":"33212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"26455","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"67318","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27767","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"81315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36226","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"45332","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43405","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"48554","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"67599","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"10160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87557","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74119","CodeType":"CPT","Code":"49323","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"29515","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"71100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"15876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99379","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"13151","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3273F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88367","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"22852","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"45800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5250F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"83006","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21082","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106175","CodeType":"CPT","Code":"42410","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108081","CodeType":"CPT","Code":"90945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"50500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80504","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"11606","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87558","CodeType":"CPT","Code":"63286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22558","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86596","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61541","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"44326","CodeType":"CPT","Code":"97016","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"67950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86759","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"85380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82232","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"U0001","CodeVersion":"2020","CustomName":"CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX PANEL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7858","CodeVersion":"2020","CustomName":"JOINT RECONSTRUCTION"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9723","CodeVersion":"2020","CustomName":"HOSPICE SRVC PATIENT RECEIVD ANY TIME DUR MSR PR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9895","CodeVersion":"2020","CustomName":"DOC M RSN NOT RX\/ADM AD TX COMB EXT BEAM RT PROS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G2000","CodeVersion":"2020","CustomName":"BLINDED ADMINISTRATION OF CONVULSIVE TX PROC"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0691","CodeVersion":"2020","CustomName":"INJECTION LEFAMULIN 1 MG"},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9551","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"B4105","CodeVersion":"2020","CustomName":"IN-LINE CART CTG DIG ENZYME ENTERAL FEEDING EA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8958","CodeVersion":"2020","CustomName":"ASMT ADEQUACY VOLUME MGMT NOT DOC RSN NOT GIVEN"},{"ServiceGroup":"76243","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"S5036","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY REPAIR OF INFUSION DEVICE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4384","CodeVersion":"2020","CustomName":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0740","CodeVersion":"2020","CustomName":"REPR\/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A7526","CodeVersion":"2020","CustomName":"TRACHEOSTOMY TUBE COLLAR\/HOLDER EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D5110","CodeVersion":"2020","CustomName":"COMPLETE DENTURE - MAXILLARY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9050","CodeVersion":"2020","CustomName":"GRANULOCYTES PHERESIS EACH UNIT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"C9601","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4409","CodeVersion":"2020","CustomName":"OST SKN BARR EXT W\/O BUILT-IN CONVXTY 4X4 IN\/48 HR DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1823","CodeVersion":"2020","CustomName":"INJECTION INEBILIZUMAB-CDON 1 MG"},{"ServiceGroup":"73002","CodeType":"REV","Code":"0481","CodeVersion":"2020","CustomName":"Cardiology - Cardiac Cath Lab"},{"ServiceGroup":"10966","CodeType":"REV","Code":"0213","CodeVersion":"2020","CustomName":"Coronary Care Unit - Heart Transplant"},{"ServiceGroup":"68191","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"87536","CodeType":"REV","Code":"0931","CodeVersion":"2020","CustomName":"Medical Rehabilitation Day Program - Half Day"},{"ServiceGroup":"26775","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"58518","CodeType":"DRG","Code":"693","CodeVersion":"2020","CustomName":"Urinary Stones without ESW Lithotripsy with MCC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"375","CodeVersion":"2020","CustomName":"Vaginal delivery with operating room procedure except sterilization and\/or dilation and curettage"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33416","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44979","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99144","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99174","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"59612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"61597","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"92188","CodeType":"CPT","Code":"95805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12580","CodeType":"CPT","Code":"58660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"25300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67921","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"29505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81176","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11307","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"44800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"86950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"74246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66711","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26449","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"80210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"19085","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"77310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27830","CodeType":"CPT","Code":"97018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70074","CodeType":"CPT","Code":"49651","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"86930","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83896","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"92018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"86308","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"31591","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33513","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"26230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"28261","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33940","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"86663","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"87471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80200","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21193","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29345","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"65270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28288","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27246","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"28264","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"89329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"33813","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"65855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"26216","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"00160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1032F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"87327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86235","CodeType":"CPT","Code":"26525","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"88171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113637","CodeType":"CPT","Code":"34717","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64487","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"39.28","CodeVersion":"2017","CustomName":"EXTRACRANIAL-INTRACRANIAL VASCULAR BYPASS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"89255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"73540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81202","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"73040","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97165","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"91420","CodeType":"CPT","Code":"42836","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20664","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"94161","CodeType":"CPT","Code":"28800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.69","CodeVersion":"2017","CustomName":"OTHER EXCISION OF LOWER LIMB VEINS"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33476","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78491","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113738","CodeType":"CPT","Code":"00564","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80186","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1494F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87523","CodeType":"CPT","Code":"27427","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G0309","CodeVersion":"2020","CustomName":"RMVL IMPL INT GLU SNSR INS 180 D IMPL SNSR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G8878","CodeVersion":"2020","CustomName":"SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7200","CodeVersion":"2020","CustomName":"INJECTION FACTOR IX RIXUBIS PER IU"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0116","CodeVersion":"2020","CustomName":"CRTCH UNDARM NOT WOOD ADJUST\/FIX PAD TIP HNDGRIP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"P9026","CodeVersion":"2020","CustomName":"CRYOPRECIPIT FIBRINOGEN CMPL PATHGEN REDUC EA UN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"K0137","CodeVersion":"2020","CustomName":"MEDCR_DME"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0739","CodeVersion":"2020","CustomName":"INJECTION CABOTEGRAVIR 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D7321","CodeVersion":"2020","CustomName":"ALVEOLOPLSTY NOT W\/XTRCT 1-3 TEETH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0296","CodeVersion":"2020","CustomName":"HOSPITAL BED TOTAL ELEC W\/O SIDE RAILS W\/MATTRSS"},{"ServiceGroup":"79238","CodeType":"HCPCS","Code":"S4005","CodeVersion":"2020","CustomName":"INTERIM LABOR FACILITY GLOBAL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9902","CodeVersion":"2020","CustomName":"PATIENT SCR TOBACCO USE & ID AS TOBACCO USER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4202","CodeVersion":"2020","CustomName":"KEROXX (2.5G\/CC) 1CC"},{"ServiceGroup":"23958","CodeType":"HCPCS","Code":"J2820","CodeVersion":"2020","CustomName":"INJECTION SARGRAMOSTIM 50 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9223","CodeVersion":"2020","CustomName":"INJECTION LURBINECTEDIN 0.1 MG"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9568","CodeVersion":"2020","CustomName":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64809","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"22526","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28576","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25312","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"50300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"44620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"67028","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78680","CodeType":"CPT","Code":"93505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"61108","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103261","CodeType":"HCPCS","Code":"A9569","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"K0864","CodeVersion":"2020","CustomName":"PWR WC GRP 3 XTR HD MX PWR SLNG SEAT PT 601 LB\/>"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S5570","CodeVersion":"2020","CustomName":"INSULIN DELIV DEVICE DISPOSABLE PEN; 1.5 ML SIZE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2607","CodeVersion":"2020","CustomName":"SKN PROTECT&PSTN WC SEAT CUSHN WDTH <22 IN DEPTH"},{"ServiceGroup":"104402","CodeType":"HCPCS","Code":"A9516","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999"},{"ServiceGroup":"113187","CodeType":"HCPCS","Code":"A9576","CodeVersion":"2020","CustomName":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9108","CodeVersion":"2020","CustomName":"ONC; STATUS; PAN CA; EXTENT DZ UNKN UNDER EVAL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8613","CodeVersion":"2020","CustomName":"OSSICULA IMPLANT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H2030","CodeVersion":"2020","CustomName":"MENTAL HEALTH CLUBHOUSE SERVICES PER 15 MINUTES"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"C1878","CodeVersion":"2020","CustomName":"MATERIAL FOR VOCAL CORD MEDIALIZATION SYNTHETIC"},{"ServiceGroup":"21306","CodeType":"REV","Code":"0212","CodeVersion":"2020","CustomName":"Coronary Care Unit - Pulmonary Care"},{"ServiceGroup":"53744","CodeType":"REV","Code":"0133","CodeVersion":"2020","CustomName":"Room & BOARD - Three and Four Beds - Pediatric"},{"ServiceGroup":"107634","CodeType":"REV","Code":"0831","CodeVersion":"2020","CustomName":"Peritoneal Dialysis - Outpatient or Home - Peritoneal\/Composite or Other Rate"},{"ServiceGroup":"2020","CodeType":"REV","Code":"0961","CodeVersion":"2020","CustomName":"Professional Fees - Psychiatric"},{"ServiceGroup":"57402","CodeType":"REV","Code":"0312","CodeVersion":"2020","CustomName":"Laboratory Pathology - Histology"},{"ServiceGroup":"22106","CodeType":"REV","Code":"0352","CodeVersion":"2020","CustomName":"CT Scan - CT - Body Scan"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0819","CodeVersion":"2020","CustomName":"Acquisition of Body Components - Other Donor"},{"ServiceGroup":"13162","CodeType":"REV","Code":"0258","CodeVersion":"2020","CustomName":"Pharmacy - IV Solutions"},{"ServiceGroup":"30033","CodeType":"DRG","Code":"222","CodeVersion":"2020","CustomName":"multiple (eg, Swanson type cavus foot procedure)"},{"ServiceGroup":"31848","CodeType":"DRG","Code":"540","CodeVersion":"2020","CustomName":"Lymphoma and Leukemia with Major O.R. Procedure without CC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33959","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"32994","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86821","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"86945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90477","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"97003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"93970","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"95719","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82101","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"69805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85055","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"39220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58951","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"65770","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72142","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44799","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"101744","CodeType":"CPT","Code":"90461","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"76981","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"00524","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"47550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13849","CodeType":"ICD9P","Code":"98.52","CodeVersion":"2017","CustomName":"XTRACORP SHOCKWAVE LITHOTRIPSY GALLBLADD &OR BD"},{"ServiceGroup":"104042","CodeType":"CPT","Code":"0293T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"26727","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86361","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106326","CodeType":"CPT","Code":"61782","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33945","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"45305","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"84110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36248","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"43633","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"34501","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81162","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"15431","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"63005","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"83586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81225","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"33475","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"35631","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"49419","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"62145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"61450","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"36216","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35508","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35623","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11624","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"50384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"55860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"38.94","CodeVersion":"2017","CustomName":"VENOUS CUTDOWN"},{"ServiceGroup":"38452","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0016U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81290","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81224","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81059","CodeType":"CPT","Code":"97113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88372","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0046U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86001","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"27619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"28750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"87350","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78230","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"106710","CodeType":"CPT","Code":"63650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86698","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81522","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"81212","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0131U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"76098","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"35.60","CodeVersion":"2017","CustomName":"REPAIR UNSPEC SEPTAL DEFECT HEART W\/TISSUE GRAFT"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"30120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"80154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107695","CodeType":"CPT","Code":"47563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78299","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"75658","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"88341","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78610","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"46761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"5010F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"112809","CodeType":"HCPCS","Code":"A9555","CodeVersion":"2020","CustomName":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9087","CodeVersion":"2020","CustomName":"ONC; STATUS; COLON CA; M1 MET W\/CURR EVIDENCE DZ"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5811","CodeVersion":"2020","CustomName":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL"},{"ServiceGroup":"86723","CodeType":"HCPCS","Code":"H0035","CodeVersion":"2020","CustomName":"MENTAL HEALTH PARTIAL HOSP TX < 24 HOURS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1634","CodeVersion":"2020","CustomName":"PERITONEAL DIALYSIS CLAMPS EACH"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L5671","CodeVersion":"2020","CustomName":"ADD LW EXTRM BELW\/ABVE KNEE SUSP LOCK MECH"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G2206","CodeVersion":"2020","CustomName":"PT RECEIVED ADJ TX COURSE CHEMO & HER2-TGT TX"},{"ServiceGroup":"80126","CodeType":"HCPCS","Code":"A9505","CodeVersion":"2020","CustomName":"THALLIUM TL-201 THALLOUS CHLORID DX PER MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G0304","CodeVersion":"2020","CustomName":"PRE-OP PULM SURG PREP LVRS 1-9 DA SRVC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1826","CodeVersion":"2020","CustomName":"INJECTION INTERFERON BETA-1A 30 MCG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4032","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS"},{"ServiceGroup":"97507","CodeType":"HCPCS","Code":"Q5008","CodeVersion":"2020","CustomName":"HOSPICE CARE PROV INPATIENT PSYCHIATRIC FACILITY"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1000","CodeVersion":"2020","CustomName":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1575","CodeVersion":"2020","CustomName":"INJ IMMUNE GLOBULIN\/HYALURONIDASE 100 MG IG"},{"ServiceGroup":"113988","CodeType":"HCPCS","Code":"A9581","CodeVersion":"2020","CustomName":"INJECTION GADOXETATE DISODIUM 1 ML"},{"ServiceGroup":"79420","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92570","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"24150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33964","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49428","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1610","CodeVersion":"2020","CustomName":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4773","CodeVersion":"2020","CustomName":"OCCULT BLOOD TEST STRIPS FOR DIALYSIS PER 50"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9364","CodeVersion":"2020","CustomName":"PORCINE IMPLANT PERMACOL PER SQUARE CM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E1540","CodeVersion":"2020","CustomName":"PRESSURE ALARM FOR HEMODIALYSIS EACH REPLACEMENT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0475","CodeVersion":"2020","CustomName":"INJECTION BACLOFEN 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D2392","CodeVersion":"2020","CustomName":"RESIN COMPOS - 2 SURFACES POSTERIOR"},{"ServiceGroup":"113114","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9310","CodeVersion":"2020","CustomName":"UNPLANNED HOSP READMISSION W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S4015","CodeVersion":"2020","CustomName":"CMPL IN VITRO FERTILIZATION CYCLE CASE RATE NOS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L3702","CodeVersion":"2020","CustomName":"ELBOW ORTHOSIS W\/O JOINTS CUSTOM FABRICATED"},{"ServiceGroup":"92676","CodeType":"HCPCS","Code":"A9561","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI"},{"ServiceGroup":"92021","CodeType":"HCPCS","Code":"L8641","CodeVersion":"2020","CustomName":"METATARSAL JOINT IMPLANT"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L6638","CodeVersion":"2020","CustomName":"UP EXT ADD PROS ELEC LOCK ONLY W\/MNL PWR ELB"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"90682","CodeType":"HCPCS","Code":"Q9961","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 250-299 MG\/ML IODINE CONC ML"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9054","CodeVersion":"2020","CustomName":"ONC; PRIM FOCUS; SUP PT TERM CA; PALLIATIVE TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9367","CodeVersion":"2020","CustomName":"HIT TPN; > 2 LITERS BUT NOT > 3 LITERS-DA -DIEM"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9559","CodeVersion":"2020","CustomName":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G8818","CodeVersion":"2020","CustomName":"PATIENT D\/C TO HOME NO LATER THAN POSTOP DAY #7"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"E0172","CodeVersion":"2020","CustomName":"SEAT LIFT MECH PLACED OVER\/TOP TOILET ANY TYPE"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1628","CodeVersion":"2020","CustomName":"INJECTION GUSELKUMAB 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G0104","CodeVersion":"2020","CustomName":"COLORECTAL CANCER SCREENING; FLEXSIG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9645","CodeVersion":"2020","CustomName":"PT DID NOT ABST FROM SMOKING PRI ANES DAY SX\/PCR"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q5002","CodeVersion":"2020","CustomName":"HOSPICE\/HOME HEALTH CARE IN ASSISTED LIVING FAC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L2112","CodeVersion":"2020","CustomName":"AFO FX ORTHO TIB FX ORTHOS SFT PRFAB W\/FIT & ADJ"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0174","CodeVersion":"2020","CustomName":"DOLASETRON MESYLATE ORAL 50 MG"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J1230","CodeVersion":"2020","CustomName":"INJECTION METHADONE HCL UP TO 10 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L0640","CodeVersion":"2020","CustomName":"LSO SAGITTAL-CORONAL RIGID SHELL\/PANEL CUSTM FAB"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9261","CodeVersion":"2020","CustomName":"INJECTION NELARABINE 50 MG"},{"ServiceGroup":"12099","CodeType":"ICD10P","Code":"10D00Z2","CodeVersion":"2020","CustomName":"EXTRACTION POC EXTRAPERITONEAL OPEN"},{"ServiceGroup":"86537","CodeType":"HCPCS","Code":"Q9958","CodeVersion":"2020","CustomName":"HIGH OSM CONTRAST MATL 149 MG\/ML IODINE CONC ML"},{"ServiceGroup":"80988","CodeType":"ICD10P","Code":"10A07Z6","CodeVersion":"2020","CustomName":"ABORTION PRODUCT OF CONCEPTION VACUUM NAT\/ART OP"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S0340","CodeVersion":"2020","CustomName":"LIFESTYL MOD PROG MGMT COR ART DZ; LIFESTYL MOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L2180","CodeVersion":"2020","CustomName":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT"},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"94011","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19357","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"15150","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28113","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"21339","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"33925","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"49423","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"32670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"3491F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"52327","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"62268","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"45145","CodeType":"REV","Code":"0439","CodeVersion":"2020","CustomName":"Occupational Therapy - Other Occupational Therapy"},{"ServiceGroup":"76321","CodeType":"REV","Code":"0200","CodeVersion":"2020","CustomName":"Intensive Care Unit - General Classification"},{"ServiceGroup":"58460","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"28818","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0649","CodeVersion":"2020","CustomName":"Home IV Therapy Services - Other IV Therapy Services"},{"ServiceGroup":"977","CodeType":"REV","Code":"0324","CodeVersion":"2020","CustomName":"Radiology - Diagnostic - Chest X-Ray"},{"ServiceGroup":"76501","CodeType":"REV","Code":"0155","CodeVersion":"2020","CustomName":"Room & BOARD - Ward - Hospice"},{"ServiceGroup":"73659","CodeType":"REV","Code":"0123","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Pediactric"},{"ServiceGroup":"108041","CodeType":"REV","Code":"0821","CodeVersion":"2020","CustomName":"Hemodialysis - Outpatient or Home - Hemodialysis Composite or Other Rate"},{"ServiceGroup":"59428","CodeType":"REV","Code":"0440","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - General Classification"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"87267","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44025","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44386","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"35452","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90667","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"92640","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"50800","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99391","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"52301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"58578","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"76516","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"60502","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"67875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"73550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93029","CodeType":"CPT","Code":"58565","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61537","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"64581","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"68328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76946","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"76975","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"73944","CodeType":"CPT","Code":"52000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"25077","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4012F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"21120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26510","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"31084","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86919","CodeType":"CPT","Code":"93454","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"3358","CodeType":"ICD9P","Code":"37.65","CodeVersion":"2017","CustomName":"IMPLANT SINGLE VENT EC EXT HEART ASSIST SYS"},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"24343","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"4350F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"53425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"32153","CodeType":"CPT","Code":"97755","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4045F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"61545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"27620","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"33875","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32556","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33881","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"36483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"37619","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"43123","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"47130","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"52260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"104613","CodeType":"CPT","Code":"38740","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0199U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"01210","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1111F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28289","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"82668","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102522","CodeType":"CPT","Code":"49650","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27831","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"23552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"93612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37591","CodeType":"ICD9P","Code":"41.0","CodeVersion":"2017","CustomName":"BONE MARROW TRANSPLANT"},{"ServiceGroup":"86578","CodeType":"CPT","Code":"29856","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82805","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107322","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"57505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89356","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"63003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"299","CodeType":"ICD9P","Code":"92.32","CodeVersion":"2017","CustomName":"MULTI-SOURCE PHOTON RADIOSURGERY"},{"ServiceGroup":"89985","CodeType":"CPT","Code":"38760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"22319","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0223U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"49424","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D6612","CodeVersion":"2020","CustomName":"ONLAY - CAST PREDOMINANTLY BASE METAL 2 SURFACES"},{"ServiceGroup":"80123","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q0221","CodeVersion":"2020","CustomName":"INJ TIXAGEVIMAB & CILGAVIMAB CERT ADT&PED 600 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9756","CodeVersion":"2020","CustomName":"SURGICAL PROCEDURES INCL USE OF SILICONE OIL"},{"ServiceGroup":"82881","CodeType":"HCPCS","Code":"A9547","CodeVersion":"2020","CustomName":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E0225","CodeVersion":"2020","CustomName":"HYDROCOLLATOR UNIT INCLUDES PADS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S9152","CodeVersion":"2020","CustomName":"SPEECH THERAPY RE-EVALUATION"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8701","CodeVersion":"2020","CustomName":"PWR UE ROM ASST DVC ELB WR HND WITH SNGL\/DBL UPR"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J7331","CodeVersion":"2020","CustomName":"HYALURONAN\/DERIVATIVE SYNOJOYNT IA INJ 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J0594","CodeVersion":"2020","CustomName":"INJECTION BUSULFAN 1 MG"},{"ServiceGroup":"37706","CodeType":"HCPCS","Code":"A4649","CodeVersion":"2020","CustomName":"SURGICAL SUPPLY; MISCELLANEOUS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A5126","CodeVersion":"2020","CustomName":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8400","CodeVersion":"2020","CustomName":"PROSTHETIC SHEATH BELOW KNEE EACH"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"A4648","CodeVersion":"2020","CustomName":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4035","CodeVersion":"2020","CustomName":"THORACIC SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7027","CodeVersion":"2020","CustomName":"COMB ORAL\/NASAL MASK USED W\/CPAP DEVICE EACH"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J0594","CodeVersion":"2020","CustomName":"INJECTION BUSULFAN 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C9601","CodeVersion":"2020","CustomName":"PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J9039","CodeVersion":"2020","CustomName":"INJECTION BLINATUMOMAB 1 MICROGRAM"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9476","CodeVersion":"2020","CustomName":"SERVICES PERF VOLUNTEER HOSPICE SETTING EA15 MIN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L2810","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD"},{"ServiceGroup":"103079","CodeType":"CPT","Code":"28660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L8603","CodeVersion":"2020","CustomName":"INJ BULK AGT COLL IMPL URIN TRACT 2.5 ML SYRINGE"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4042","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4310","CodeVersion":"2020","CustomName":"INSERTION TRAY W\/O DRAIN BAG&W\/O CATHETER"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4409","CodeVersion":"2020","CustomName":"OST SKN BARR EXT W\/O BUILT-IN CONVXTY 4X4 IN\/ W\/ADHES BORDR EA"},{"ServiceGroup":"97440","CodeType":"HCPCS","Code":"A9502","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M TETROFOSMIN DX PER STUDY DOSE"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9506","CodeVersion":"2020","CustomName":"BIOLOGIC IMMUNE RESPONSE MODIFIER PRESCRIBED"},{"ServiceGroup":"74999","CodeType":"CPT","Code":"63197","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J2791","CodeVersion":"2020","CustomName":"INJ RHO D IG HUMAN RHOPHYLAC IM\/IV 10 IU"},{"ServiceGroup":"39672","CodeType":"HCPCS","Code":"L8606","CodeVersion":"2020","CustomName":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE"},{"ServiceGroup":"62098","CodeType":"HCPCS","Code":"G0300","CodeVersion":"2020","CustomName":"DIRECT SNS LPN HOME HLTH\/HOSPICE SET EA 15 MIN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9007","CodeVersion":"2020","CustomName":"COORDINATED CARE FEE SCHEDULE TEAM CONFERENCE"},{"ServiceGroup":"90726","CodeType":"HCPCS","Code":"A9698","CodeVersion":"2020","CustomName":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A7003","CodeVersion":"2020","CustomName":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"S8030","CodeVersion":"2020","CustomName":"SCLERAL APPLICATION TANTALUM RING PROTON BEAM TX"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"V2755","CodeVersion":"2020","CustomName":"U-V LENS PER LENS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4020","CodeVersion":"2020","CustomName":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4340","CodeVersion":"2020","CustomName":"INDWELLING CATHETER; SPECIALTY TYPE EACH"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"Q9967","CodeVersion":"2020","CustomName":"LOCM 300-399 MG\/ML IODINE CONCENTRATION PER ML"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"93304","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"13132","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"1400F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26479","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"38214","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"66990","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"53601","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74694","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0636","CodeVersion":"2020","CustomName":"Pharmacy - Extension of 025X - Drugs Requiring Detailed Coding"},{"ServiceGroup":"110","CodeType":"REV","Code":"0148","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Rehabilitation"},{"ServiceGroup":"58455","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"53743","CodeType":"REV","Code":"0203","CodeVersion":"2020","CustomName":"Intensive Care Unit - Pediatric"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0299","CodeVersion":"2020","CustomName":"Durable Medical Equipment (Other Than Renal) - Other Equipment"},{"ServiceGroup":"40222","CodeType":"REV","Code":"0907","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Community Behavioral Health Program (Day Treatment)"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"810","CodeVersion":"2020","CustomName":"INTRACRANIAL HEMORRHAGE-NYDRG"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"44378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"82810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"83069","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"85060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54560","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"99483","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"90956","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"95976","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99471","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"52282","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"44384","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"77049","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"62360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22208","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83864","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"30999","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"65756","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"36815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11311","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"58823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61334","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"60600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"66982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86677","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"85337","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"20680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0208T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"84155","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"74182","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"83498","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103059","CodeType":"CPT","Code":"31075","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0228U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"0022U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"35111","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78315","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"78215","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"24727","CodeType":"CPT","Code":"01960","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0198U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"15003","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"52285","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29314","CodeType":"CPT","Code":"88342","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"19020","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"21087","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"62145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"21812","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"64912","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"27279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"80173","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23505","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"69399","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82595","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58931","CodeType":"CPT","Code":"82274","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"110673","CodeType":"CPT","Code":"27228","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3300F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"34808","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"41520","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"44187","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"32997","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"57500","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"45347","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0547T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"41018","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42260","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"4185F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0307T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32998","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0285U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0440T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29900","CodeType":"CPT","Code":"65710","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"3008F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"78199","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"53446","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"99222","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"78586","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43810","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"4245F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"90750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87520","CodeType":"CPT","Code":"29834","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"26418","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"81097","CodeType":"CPT","Code":"97152","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113615","CodeType":"CPT","Code":"33745","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"90317","CodeType":"CPT","Code":"22848","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74588","CodeType":"CPT","Code":"29823","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"89125","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"82550","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"23928","CodeType":"ICD9P","Code":"65.74","CodeVersion":"2017","CustomName":"LAPAROSCOPIC SIMPLE SUTURE OF OVARY"},{"ServiceGroup":"57402","CodeType":"CPT","Code":"86612","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"29121","CodeType":"CPT","Code":"81439","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88244","CodeType":"CPT","Code":"68700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"1065F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0655T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"60280","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"86674","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"84809","CodeType":"CPT","Code":"75982","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82654","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"69105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9345","CodeVersion":"2020","CustomName":"F\/U REC DOC INCIDENTALLY DETECTED PULM NODULES"},{"ServiceGroup":"112082","CodeType":"HCPCS","Code":"Q4134","CodeVersion":"2020","CustomName":"HMATRIX PER SQUARE CENTIMETER"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E0619","CodeVersion":"2020","CustomName":"APNEA MONITOR WITH RECORDING FEATURE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9758","CodeVersion":"2020","CustomName":"PT IN HOSPICE ANY TIME DURING MEASUREMENT PERIOD"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q0508","CodeVersion":"2020","CustomName":"MISC SUPPLY OR ACCESSORY USE WITH IMPLANTED VAD"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D0422","CodeVersion":"2020","CustomName":"COLLECTION & PREPARATION OF GENETIC SAMPLE MATL"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2628","CodeVersion":"2020","CustomName":"FABRICATION AND FITTING OF OCULAR CONFORMER"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1890","CodeVersion":"2020","CustomName":"INJECTION CEPHALOTHIN SODIUM UP TO 1 G"},{"ServiceGroup":"80263","CodeType":"HCPCS","Code":"A9508","CodeVersion":"2020","CustomName":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7944","CodeVersion":"2020","CustomName":"OSTEOTOMY SEGMENTED OR SUBAPICAL"},{"ServiceGroup":"91864","CodeType":"HCPCS","Code":"L8681","CodeVersion":"2020","CustomName":"PT PROG W\/IMPL PROG NEUROSTM PULSE GEN REPL ONLY"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1560","CodeVersion":"2020","CustomName":"INJECTION GAMMA GLOB INTRAMUSCULAR OVER 10 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"H0002","CodeVersion":"2020","CustomName":"BHVAL HEALTH SCR DETERM ELIGBLITY ADMIS TX PROGM"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A4890","CodeVersion":"2020","CustomName":"CONTRACTS REPAIR&MAINTENANCE HEMODIAL EQUIPMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J8565","CodeVersion":"2020","CustomName":"GEFITINIB ORAL 250 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G4038","CodeVersion":"2020","CustomName":"VASCULAR SURGERY MIPS SPECIALTY SET"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J7649","CodeVersion":"2020","CustomName":"ISOETHARINE HCI NON-COMP UNIT DOSE FORM PER MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"A4355","CodeVersion":"2020","CustomName":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA"},{"ServiceGroup":"89978","CodeType":"HCPCS","Code":"A9509","CodeVersion":"2020","CustomName":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE"},{"ServiceGroup":"88477","CodeType":"HCPCS","Code":"J0515","CodeVersion":"2020","CustomName":"INJECTION BENZTROPINE MESYLATE PER 1 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2949","CodeVersion":"2020","CustomName":"RESTORATIVE FOUNDATION AN INDIRECT RESTORATION"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9741","CodeVersion":"2020","CustomName":"PATIENTS WHO USE HOSPICE SRVC ANY TM DUR MSR PR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D7872","CodeVersion":"2020","CustomName":"ARTHROSCOPY DIAGNOSIS W\/WO BIOPSY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"L8045","CodeVersion":"2020","CustomName":"AURICULAR PROSTHESIS PROVIDED BY A NON-PHYSICIAN"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1629","CodeVersion":"2020","CustomName":"TABLO HEMODIALYSIS SYS FOR BILLABLE DIALYSIS SVC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G9916","CodeVersion":"2020","CustomName":"FUNC STATUS PERFORMED ONCE IN THE LAST 12 MONTHS"},{"ServiceGroup":"98448","CodeType":"HCPCS","Code":"A9553","CodeVersion":"2020","CustomName":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"D2390","CodeVersion":"2020","CustomName":"RESIN COMPOS CROWN ANTERIOR"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"V2770","CodeVersion":"2020","CustomName":"OCCLUDER LENS PER LENS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"L1020","CodeVersion":"2020","CustomName":"ADDITION CTLSO\/SCOLIOSIS ORTHOSIS KYPHOSIS PAD"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9386","CodeVersion":"2020","CustomName":"SCR HCV INF NOT RECV W\/I 12 MO PR RSN NOT GIVEN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"H0035","CodeVersion":"2020","CustomName":"MENTAL HEALTH PARTIAL HOSP TX < 24 HOURS"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"H2018","CodeVersion":"2020","CustomName":"PSYCHOSOCIAL REHABILITATION SERVICES PER DIEM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J3260","CodeVersion":"2020","CustomName":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"D5282","CodeVersion":"2020","CustomName":"REMOVABLE UNI PART DENTUR - 1 PECE CAST METL MAX"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D8220","CodeVersion":"2020","CustomName":"FIXED APPLIANCE THERAPY"},{"ServiceGroup":"103965","CodeType":"HCPCS","Code":"A9586","CodeVersion":"2020","CustomName":"FLORBETAPIR F18 DX PER STUDY DOSE UP TO 10 MCI"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"65105","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89941","CodeType":"CPT","Code":"29855","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47591","CodeType":"ICD9P","Code":"73.59","CodeVersion":"2017","CustomName":"OTHER MANUALLY ASSISTED DELIVERY"},{"ServiceGroup":"36768","CodeType":"CPT","Code":"95807","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"11300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"27060","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"28760","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"35266","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"71270","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78181","CodeType":"CPT","Code":"73700","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4563F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"57107","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"REV","Code":"0881","CodeVersion":"2020","CustomName":"Miscellaneous Dialysis - Ultrafiltration"},{"ServiceGroup":"36727","CodeType":"REV","Code":"0912","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Less Intensive"},{"ServiceGroup":"17421","CodeType":"REV","Code":"0145","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Hospice"},{"ServiceGroup":"18006","CodeType":"REV","Code":"0423","CodeVersion":"2020","CustomName":"Physical Therapy - Group"},{"ServiceGroup":"38648","CodeType":"REV","Code":"0122","CodeVersion":"2020","CustomName":"Room & BOARD - Semi-private (Two Beds) - Obstetrics (OB)"},{"ServiceGroup":"45967","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"65421","CodeType":"REV","Code":"0276","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Intraocular Lens"},{"ServiceGroup":"29900","CodeType":"REV","Code":"0362","CodeVersion":"2020","CustomName":"Operating Room Services - Organ Transplant - Other Than Kidney"},{"ServiceGroup":"86663","CodeType":"REV","Code":"0164","CodeVersion":"2020","CustomName":"Room & BOARD - Other - Sterile Environment"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"091","CodeVersion":"2020","CustomName":"Simple pneumonia and pleurisy, age 0-17"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"929","CodeVersion":"2020","CustomName":"Full Thickness Burn with Skin Graft or Inhalation Injury without CC\/MCC"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"3384F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"86160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85613","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"81296","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"43761","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99394","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"55605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"56632","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"74330","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"4158F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"80059","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"22868","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"55876","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113456","CodeType":"CPT","Code":"27447","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81273","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"23462","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"15354","CodeType":"CPT","Code":"94680","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"74019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58340","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"67335","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"43279","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62164","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"5005F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"52648","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"61645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"63012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"76816","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"78102","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"81434","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"86777","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"43263","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"107472","CodeType":"CPT","Code":"22551","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"27137","CodeType":"CPT","Code":"29824","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"87552","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88240","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"61120","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26750","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"86063","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"81436","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"30468","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"3274F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21206","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"82271","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"21820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"29904","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"87188","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"88036","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"30160","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"3344F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"27532","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"35883","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"47140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"36262","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88423","CodeType":"CPT","Code":"89398","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4055F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"1505F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"23145","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"29891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"25690","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"60816","CodeType":"HCPCS","Code":"L8612","CodeVersion":"2020","CustomName":"AQUEOUS SHUNT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7040","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION STERILE"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"L5697","CodeVersion":"2020","CustomName":"ADD LOW EXTREM ABVE KNEE\/KNEE DISARTIC PELV BAND"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"K0878","CodeVersion":"2020","CustomName":"PWR WC GRP 4 STD 1 PWR CAPT CHAIR PT TO &=300 LB"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7030","CodeVersion":"2020","CustomName":"INFUSION NORMAL SALINE SOLUTION 1000 CC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"G9308","CodeVersion":"2020","CustomName":"UNPLAN RTN OP ROOM FOR PROC W\/I 30 DAY PRIN PROC"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4009","CodeVersion":"2020","CustomName":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J9274","CodeVersion":"2020","CustomName":"INJECTION TEBENTAFUSP-TEBN 1 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J9264","CodeVersion":"2020","CustomName":"INJECTION PACLITAXEL PROTEINBOUND PARTICLES 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D2999","CodeVersion":"2020","CustomName":"UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J1320","CodeVersion":"2020","CustomName":"INJECTION AMITRIPTYLINE HCL UP TO 20 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A9556","CodeVersion":"2020","CustomName":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE"},{"ServiceGroup":"99084","CodeType":"HCPCS","Code":"A9552","CodeVersion":"2020","CustomName":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q4175","CodeVersion":"2020","CustomName":"MIRODERM PER SQ CM"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"S9373","CodeVersion":"2020","CustomName":"HOME INFUSION THERAPY HYDRATION TX; PER DIEM"},{"ServiceGroup":"93121","CodeType":"HCPCS","Code":"Q9959","CodeVersion":"2020","CustomName":"HI OSM CONTRST MATL 150-199 MG\/ML IODINE CONC ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"J1620","CodeVersion":"2020","CustomName":"INJECTION GONADORELIN HYDROCHLORIDE PER 100 MCG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"C1816","CodeVersion":"2020","CustomName":"RECEIVER AND\/OR TRANSMITTER NEUROSTIMULATOR"},{"ServiceGroup":"78878","CodeType":"HCPCS","Code":"A9583","CodeVersion":"2020","CustomName":"INJECTION GADOFOSVESET TRISODIUM 1 ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"G4030","CodeVersion":"2020","CustomName":"PULMONOLOGY MIPS SPECIALTY SET"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"69540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"19295","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"23530","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31370","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4525F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"4052F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47482","CodeType":"REV","Code":"0905","CodeVersion":"2020","CustomName":"Behavioral Health Treatment\/Services - Intensive Outpatient Services - Psychiatric"},{"ServiceGroup":"69747","CodeType":"REV","Code":"0550","CodeVersion":"2020","CustomName":"SKILLED NURSING - GENERAL CLASSIFICATION"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0871","CodeVersion":"2020","CustomName":"Cell\/Gene Therapy - Cell Collection"},{"ServiceGroup":"22404","CodeType":"REV","Code":"0369","CodeVersion":"2020","CustomName":"Operating Room Services - Other OR Services"},{"ServiceGroup":"51267","CodeType":"DRG","Code":"221","CodeVersion":"2020","CustomName":"No Longer Valid"},{"ServiceGroup":"40222","CodeType":"CPT","Code":"72072","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"80420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"31622","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"90958","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"47540","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4553F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"47542","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"75685","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81301","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"103082","CodeType":"CPT","Code":"45380","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108687","CodeType":"CPT","Code":"74178","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4019F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"42600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"1007F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"82375","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61518","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"45171","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"84430","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"85415","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"75722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"48146","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"78300","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"57284","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"77046","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"Q4145","CodeVersion":"2020","CustomName":"EPIFIX INJECTABLE 1 MG"},{"ServiceGroup":"38925","CodeType":"HCPCS","Code":"C1898","CodeVersion":"2020","CustomName":"LEAD PACEMKR OTH THAN TRNS VDD SINGLE PASS"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1030","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 40 MG"},{"ServiceGroup":"22092","CodeType":"REV","Code":"0614","CodeVersion":"2020","CustomName":"Magnetic Resonance Technology (MRT) - MRI - Other"},{"ServiceGroup":"72994","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"93274","CodeType":"REV","Code":"0147","CodeVersion":"2020","CustomName":"Room & BOARD - Deluxe Private - Oncology"},{"ServiceGroup":"33263","CodeType":"REV","Code":"0361","CodeVersion":"2020","CustomName":"Operating Room Services - Minor Surgery"},{"ServiceGroup":"34342","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"107785","CodeType":"REV","Code":"0367","CodeVersion":"2020","CustomName":"Operating Room Services - Kidney Transplant"},{"ServiceGroup":"62721","CodeType":"REV","Code":"0204","CodeVersion":"2020","CustomName":"Intensive Care Unit - Psychiatric"},{"ServiceGroup":"68140","CodeType":"REV","Code":"0579","CodeVersion":"2020","CustomName":"Home Health (HH) Aide - Other HH - Aide"},{"ServiceGroup":"25535","CodeType":"REV","Code":"0202","CodeVersion":"2020","CustomName":"Intensive Care Unit - Medical"},{"ServiceGroup":"50842","CodeType":"REV","Code":"0929","CodeVersion":"2020","CustomName":"Other Diagnostic Services - Other Diagnostic Services"},{"ServiceGroup":"40403","CodeType":"REV","Code":"0450","CodeVersion":"2020","CustomName":"Emergency Room - General Classification"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"85032","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4151F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"4187F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"39220","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"99100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92012","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"92065","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"54860","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"62272","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70492","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"70548","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"53425","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1124F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"15400","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"27100","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33365","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"4220F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"80325","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81432","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"58544","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81378","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"62223","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"38129","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"72265","CodeType":"CPT","Code":"70547","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"87058","CodeType":"CPT","Code":"63052","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"62362","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87910","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76815","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87154","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76140","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"74250","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"58932","CodeType":"CPT","Code":"72114","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"48183","CodeType":"CPT","Code":"74328","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"1033F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"83806","CodeType":"CPT","Code":"29851","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"28234","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31420","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"31592","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"31715","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33258","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"33523","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"54840","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"35355","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"0264T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"42665","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"11302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"82286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81490","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"81381","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"51643","CodeType":"CPT","Code":"80440","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"77062","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"0086U","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"85159","CodeType":"CPT","Code":"93563","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"113940","CodeType":"CPT","Code":"0415T","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"64895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"25251","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"32660","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"35499","CodeType":"CPT","Code":"29895","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"37591","CodeType":"ICD9P","Code":"41.04","CodeVersion":"2017","CustomName":"AUTOL HEMATOPOIETIC STEM CELL TPLNT W\/O PURGING"},{"ServiceGroup":"70080","CodeType":"CPT","Code":"73722","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"79445","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"77402","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"11980","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"62153","CodeType":"CPT","Code":"78608","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"27217","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"00752","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"38452","CodeType":"CPT","Code":"28286","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"33019","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"13526","CodeType":"CPT","Code":"83045","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74616","CodeType":"CPT","Code":"88302","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"88241","CodeType":"CPT","Code":"92938","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"27161","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"93006","CodeType":"CPT","Code":"62310","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"88369","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"89985","CodeType":"CPT","Code":"32555","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12179","CodeType":"CPT","Code":"73030","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"10035","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"57402","CodeType":"CPT","Code":"81360","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70080","CodeType":"CPT","Code":"72127","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"47103","CodeType":"CPT","Code":"26553","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"78443","CodeType":"ICD9P","Code":"72.79","CodeVersion":"2017","CustomName":"OTHER VACUUM EXTRACTION"},{"ServiceGroup":"74616","CodeType":"CPT","Code":"82950","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"86236","CodeType":"CPT","Code":"22600","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"105488","CodeType":"CPT","Code":"29846","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J1040","CodeVersion":"2020","CustomName":"INJECTION METHYLPREDNISOLONE ACETATE 80 MG"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"T2005","CodeVersion":"2020","CustomName":"NONEMERGENCY TRANSPORTATION; STRETCHER VAN"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"D5760","CodeVersion":"2020","CustomName":"RELINE MAXILLARY PARTIAL DENTURE INDIRECT"},{"ServiceGroup":"103867","CodeType":"HCPCS","Code":"L8616","CodeVersion":"2020","CustomName":"MICROPHONE COCHLEAR IMPLANT DEVICE REPLACEMENT"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"E2366","CodeVersion":"2020","CustomName":"PWR WC ACSS BATTRY CHRGR 1 MODE W\/ONLY 1 BATTRY"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"E1010","CodeVersion":"2020","CustomName":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J1756","CodeVersion":"2020","CustomName":"INJECTION IRON SUCROSE 1 MG"},{"ServiceGroup":"40222","CodeType":"HCPCS","Code":"J3316","CodeVersion":"2020","CustomName":"INJECTION TRIPTORELIN EXTENDED-RELEASE 3.75 MG"},{"ServiceGroup":"88478","CodeType":"HCPCS","Code":"J7196","CodeVersion":"2020","CustomName":"INJECTION ANTITHROMBIN RECOMBINANT 50 I.U."},{"ServiceGroup":"103527","CodeType":"HCPCS","Code":"A9528","CodeVersion":"2020","CustomName":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI"},{"ServiceGroup":"112862","CodeType":"HCPCS","Code":"A9580","CodeVersion":"2020","CustomName":"SODIUM FLUORIDE F-18 DX PER STUDY DOSE TO 30 MCI"},{"ServiceGroup":"89636","CodeType":"HCPCS","Code":"A9562","CodeVersion":"2020","CustomName":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J9307","CodeVersion":"2020","CustomName":"INJECTION PRALATREXATE 1 MG"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"J7179","CodeVersion":"2020","CustomName":"INJECTION VON WILLEBRAND FACTOR 1 I.U. VWF:RCO"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"Q4034","CodeVersion":"2020","CustomName":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"G9153","CodeVersion":"2020","CustomName":"MAPCP DEMONSTRATION-PHYSICIAN INCENTIVE POOL"},{"ServiceGroup":"89985","CodeType":"HCPCS","Code":"Q9953","CodeVersion":"2020","CustomName":"INJECTION IRONBASED MR CONTRAST AGENT PER ML"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"M1119","CodeVersion":"2020","CustomName":"ONGO CARE NOT POSS PT D\/C EARLY D\/T MED EVNT DOC"},{"ServiceGroup":"50842","CodeType":"HCPCS","Code":"A7505","CodeVersion":"2020","CustomName":"HOUSING REUSABL W\/O ADHES EXCHG SYS&\/ VALV EA"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"64766","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"36768","CodeType":"CPT","Code":"92545","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"25924","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"26645","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"31259","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"37615","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"43605","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"74999","CodeType":"CPT","Code":"47480","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"102261","CodeType":"CPT","Code":"29886","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12791","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"43787","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"51983","CodeType":"REV","Code":"0444","CodeVersion":"2020","CustomName":"Speech Therapy - Language Pathology - Evaluation or Re-evaluation"},{"ServiceGroup":"11441","CodeType":"REV","Code":"0250","CodeVersion":"2020","CustomName":"Pharmacy - General Classification"},{"ServiceGroup":"33311","CodeType":"REV","Code":"0750","CodeVersion":"2020","CustomName":"Gastro-Intestinal (GI) Services - General Classification"},{"ServiceGroup":"104172","CodeType":"REV","Code":"0729","CodeVersion":"2020","CustomName":"Labor Room\/Delivery - Other Labor Room\/Delivery"},{"ServiceGroup":"11306","CodeType":"REV","Code":"0275","CodeVersion":"2020","CustomName":"Medical\/Surgical Supplies and Devices - Pacemaker"},{"ServiceGroup":"16700","CodeType":"REV","Code":"0983","CodeVersion":"2020","CustomName":"PROFESSIONAL FEES - EXTENSION OF 096X &097X - CLINIC"},{"ServiceGroup":"3499","CodeType":"REV","Code":"0278","CodeVersion":"2020","CustomName":"MEDICAL\/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT"},{"ServiceGroup":"17079","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"30222","CodeType":"REV","Code":"0913","CodeVersion":"2020","CustomName":"Behavioral Health Treatments\/Services - Extension of 090X - Partial Hospitalization - Intensive"},{"ServiceGroup":"46110","CodeType":"REV","Code":"0551","CodeVersion":"2020","CustomName":"SKILLED NURSING - VISIT CHARGE"},{"ServiceGroup":"70046","CodeType":"REV","Code":"0360","CodeVersion":"2020","CustomName":"Operating Room Services - General Classification"},{"ServiceGroup":"62720","CodeType":"DRG","Code":"264","CodeVersion":"2020","CustomName":"Skin graft and\/or debridement for skin ulcer or cellulitis without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"335","CodeVersion":"2020","CustomName":"Major male pelvic procedures without CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"593","CodeVersion":"2020","CustomName":"Skin Ulcers with CC"},{"ServiceGroup":"19613","CodeType":"DRG","Code":"856","CodeVersion":"2020","CustomName":"Postoperative or Posttraumatic Infections with O.R. Procedure with MCC"},{"ServiceGroup":"50842","CodeType":"CPT","Code":"83009","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"33404","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"38211","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"87329","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"98972","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"17000","CodeType":"CPT","Code":"5050F","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"469","CodeType":"ICD9P","Code":"93.74","CodeVersion":"2017","CustomName":"SPEECH DEFECT TRAINING"},{"ServiceGroup":"17000","CodeType":"CPT","Code":"21406","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"81511","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"108770","CodeType":"CPT","Code":"43255","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59320","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81254","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"81167","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"11000","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"59820","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"34346","CodeType":"CPT","Code":"61630","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"83891","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"69670","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"70081","CodeType":"CPT","Code":"87481","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"76936","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"50842","CodeType":"CPT","Code":"64837","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"40222","CodeType":"CPT","Code":"41110","CodeVersion":"2020","CustomName":""},{"ServiceGroup":"12889","CodeType":"CPT","Code":"72255","CodeVersion":"2020","CustomName":""}]}